医疗保险技术护理机构的占用率和支付来源:财务绩效的调节作用
Hyunmin Kim1, Asos Mahmood2,3, Cyril F Chang4
1School of Health Professions, The University of Southern Mississippi, Hattiesburg, MS, USA.
SAGE open medicine
|September 3, 2024
概括
具有更高利率的熟练护理机构实现了更好的占用率,特别是对医疗保险患者. 财务绩效是改善这些设施管理绩效的关键.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
背景情况:
- 熟练护理设施 (SNFs) 在管理绩效方面面临挑战,占用率是关键指标.
- 有限的研究存在于影响SNF管理绩效的因素,特别是占用率.
- 了解付款人组合,利率和占用率之间的相互作用对于SNF运营至关重要.
研究的目的:
- 为了检查付款者组合,利率和熟练护理设施的占用率之间的关系.
- 评估财务业绩 (利率) 作为SNF管理业绩驱动因素的重要性.
- 调查利率如何影响付款人组合和占用率之间的关联.
主要方法:
- 分析了田纳西州612家熟练护理机构 (2019-2020) 的数据.
- 使用概括估计方程的回归分析被用来建模占用率.
- 该研究的重点是付款人组合和总利率对占用率的影响.
主要成果:
- 利率较高的四分位数中的设施显示出明显更高的占用率.
- 传统医疗保险和医疗保险优惠支付者的混合增加与更有利可图的设施的更高的占用率有关.
- 具体来说,更高的利率与每单位占用率大幅增加相关,增加了医疗保险覆盖日数.
结论:
- 较强的SNF财务业绩与较高的占用率有关.
- 医疗保险 (传统和优惠) 对占用率的影响被更高的利率放大.
- 决策者和SNF经理应该考虑财务绩效和付款人组合,当旨在提高管理绩效和占用率.
关键词:
美国医疗保险 (Medicare) 的医疗保险.医疗保险C部分医疗保险的优势是医疗保险.熟练的护理设施 熟练的护理设施金融业绩表现 财务业绩表现停留时间的长度.占用率 占用率 占用率 占用率付款人的来源是付款人.利率是一个利率.更多相关视频
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