医院管理和付款方收入周期混合【外文翻译】

《医院管理和付款方收入周期混合【外文翻译】》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、本科毕业论文（设计）外文翻译原文：HospitalRevenueCycleManagementandPayerMix:DoMedicareandMedicaidUndermineHospitals’AbilitytoGenerateandCollectPatientCareRevenue?Inrecentyears,budgetpressurescombinedwiththeaccelerationinthegrowthofhospitalcostshaveforcedpolicymakersatbothfederalandstat

2、elevelstolimitfutureincreasesingovernmentpayers’reimbursementratesorevencuttheratestheycurrentlypayproviders.Thesecostcontainmenteffortshaveresultedinsubstantialpaymentshortfallsforhospitals.AccordingtotheAmericanHospitalAssociation,between2000and2007,theaveragepayment

3、-to-costratiosforMedicareandMedicaidpatientsfellfrom99to91percentandfrom95to88percent,respectively,whiletheaveragepayment-to-costratioforprivatelyinsuredpatientsrosefrom116to132percent.:1HospitalparticipationinMedicareandMedicaidisvoluntary,yet—giventhatthesetwoprogram

4、saccountfor55percentofcareprovidedbyhospitals—veryfewhospitalscanaffordnottoservepubliclyinsuredpatients.Consequently,mosthospitalshavenochoicebuttoacceptthepaymentratesandtermsthatlawmakerssetforthetreatmentofMedicareandMedicaidpatients.However,givengovernmentpayers’c

5、ontinuedeffortstocontainhealthcarecosts,hospitalmanagershavebecomeincreasinglyconcernedthatservingMedicareandMedicaidpatientscouldseriouslyunderminetheirperformanceThecontinuingeffortsofgovernmentpayerstocontainhospitalcostshaveraisedconcernsamonghospitalmanagersthatse

6、rvingpubliclyinsuredpatientsmayunderminetheirabilitytomanagetherevenuecyclesuccessfully.Thisstudyusesfinancialinformationfromtwosources—MedicarecostreportsforallUShospitalsfor2002to2007andauditedfinancialstatementsforallbond-issuing,not-for-profithospitalsfor2000to2006

7、—toexaminetherelationshipbetweenhospitals’sharesofMedicareandMedicaidpatientsandtheamountofpatientcarerevenuetheygenerateaswellasthespeedwithwhichtheycollecttheirrevenue.Hospital-levelfixedeffectsregressionanalysisfindsthathospitalswithhigherMedicareandMedicaidpayermix

8、collectsomewhathigheraveragepatientcarerevenuesthanhospitalswithmoreprivatelyinsuredandself-paypatients.Hospitalswith