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Related Experiment Videos

Reimbursement for autopsies. A personal view.

M J Shapiro

    Archives of Pathology & Laboratory Medicine
    |June 1, 1984
    PubMed
    Summary

    Hospitals may reduce autopsies due to new reimbursement models. Funding for postmortem examinations must shift from health insurance to research and education to preserve their community benefits.

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    Area of Science:

    • Medical reimbursement policies
    • Pathology and autopsy services

    Background:

    • Historically, Medicare Part A and Blue Cross reimbursed postmortem examinations.
    • The implementation of diagnostic-related group reimbursement is anticipated to decrease autopsy rates in hospitals.
    • Private payers are likely to exclude autopsy coverage to manage costs.

    Purpose of the Study:

    • To analyze the financial impact of changing reimbursement models on autopsy services.
    • To propose alternative funding strategies for preserving autopsy benefits.

    Main Methods:

    • Analysis of current and projected healthcare reimbursement structures.
    • Review of the financial implications for pathology departments and hospitals.
    • Identification of stakeholders and potential funding avenues.

    Main Results:

    • Diagnostic-related group reimbursement is expected to lead to cost-cutting measures, including reduced autopsies.
    • Third-party payers are likely to discontinue autopsy coverage.
    • Existing insurance subsidies for certain costs may be phased out.

    Conclusions:

    • Autopsies provide demonstrable community benefits that are at risk due to financial pressures.
    • A shift in funding from health insurance to research and education is necessary to sustain autopsy services.
    • The College of American Pathologists faces the challenge of developing independent funding streams for autopsies.

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