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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w25017 |
来源ID | Working Paper 25017 |
Medicare Payment to Skilled Nursing Facilities: The Consequences of the Three-Day Rule | |
Ginger Zhe Jin; Ajin Lee; Susan Feng Lu | |
发表日期 | 2018-09-10 |
出版年 | 2018 |
语种 | 英语 |
摘要 | Medicare does not pay for a skilled nursing facility (SNF) unless a fee-for-service patient has stayed in the hospital for at least three days. Discharges after the three-day cutoff consistently result in more transfers to SNFs. Using the three-day rule as an instrument, we find that SNF discharges decrease hospital readmission for patients with comorbidities. However, for knee and hip replacement patients, we find significant increases in readmission. This perverse effect is more severe when local SNFs have lower quality. Back-of-the-envelope calculations suggest that the three-day rule may have generated extra Medicare payments to SNFs by $100-447 million per year. |
主题 | Microeconomics ; Economics of Information ; Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w25017 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/582691 |
推荐引用方式 GB/T 7714 | Ginger Zhe Jin,Ajin Lee,Susan Feng Lu. Medicare Payment to Skilled Nursing Facilities: The Consequences of the Three-Day Rule. 2018. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w25017.pdf(676KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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