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来源类型Working Paper
规范类型报告
DOI10.3386/w25017
来源IDWorking 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
URLhttps://www.nber.org/papers/w25017
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/582691
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Ginger Zhe Jin,Ajin Lee,Susan Feng Lu. Medicare Payment to Skilled Nursing Facilities: The Consequences of the Three-Day Rule. 2018.
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