How Long to Read Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System

By Grace M. Carter

How Long Does it Take to Read Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System?

It takes the average reader and 35 minutes to read Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System by Grace M. Carter

Assuming a reading speed of 250 words per minute. Learn more

Description

The authors studied the ratio of costs to charges (RCC) used to estimate the cost of Medicare hospital cases in the formula which sets cost outlier payments. The authors estimate that, under current payment policy, the cost of the average cost outlier case is overestimated by 23 percent. The causes of this overestimate are a secular decline in RCC of between 2 and 3 percent a year and the fact that cost outlier cases typically receive a higher percentage of ancillary charges that have a very low actual RCC. The inaccurate estimate of the cost of cost outlier cases contravenes current policy intent in two important ways. First, it changes the fraction of the excess costs that are insured from the intended 75 percent to 92 percent. Secondly, cases face different cost outlier thresholds, and therefore receive different payment amounts, depending on the mix of ancillary and accommodation services required by the patient. It would be possible to improve the measurement of the cost of cost outlier cases by using separate RCCs for ancillary and accommodation charges. The outcomes of alternative policies are estimated in the report.

How long is Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System?

Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System by Grace M. Carter is 35 pages long, and a total of 8,925 words.

This makes it 12% the length of the average book. It also has 11% more words than the average book.

How Long Does it Take to Read Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System Aloud?

The average oral reading speed is 183 words per minute. This means it takes and 48 minutes to read Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System aloud.

What Reading Level is Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System?

Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System is suitable for students ages 8 and up.

Note that there may be other factors that effect this rating besides length that are not factored in on this page. This may include things like complex language or sensitive topics not suitable for students of certain ages.

When deciding what to show young students always use your best judgement and consult a professional.

Where Can I Buy Cost Estimates for Cost Outlier Cases Under Medicare's Prospective Payment System?

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