Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS

Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS

The inpatient psychiatric facility prospective payment system (IPF-PPS), provides per diem payments for psychiatric hospitals and units, including 17 comorbid condition payment adjustors that cover 11 percent of patients. This study identifies an alternative set of 16 adjustors identifying three tim...

Full description

Bibliographic Details
Main Authors: Drozd, Edward M., Maier, Jan, Hales, Jan F., Thomas, Frederick G.
Format: Online
Language:English
Published: CENTERS for MEDICARE & MEDICAID SERVICES 2008
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195050/
id pubmed-4195050
recordtype oai_dc
spelling pubmed-41950502014-11-04 Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS Drozd, Edward M. Maier, Jan Hales, Jan F. Thomas, Frederick G. Also Featuring… The inpatient psychiatric facility prospective payment system (IPF-PPS), provides per diem payments for psychiatric hospitals and units, including 17 comorbid condition payment adjustors that cover 11 percent of patients. This study identifies an alternative set of 16 adjustors identifying three times as many high-cost patients and evaluates the improved predictive power in log per diem cost regression models. A model using the IPF-PPS adjustors achieved 8.8 percent of the feasible improvement from a no-adjustor baseline, while the alternative adjustors achieved 22.1 percent of the feasible improvement. The current adjustors may therefore be too restrictive, resulting in systematic over- or underpayment for many patients. CENTERS for MEDICARE & MEDICAID SERVICES 2008 /pmc/articles/PMC4195050/ /pubmed/19361117 Text en
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Drozd, Edward M.
Maier, Jan
Hales, Jan F.
Thomas, Frederick G.
spellingShingle Drozd, Edward M.
Maier, Jan
Hales, Jan F.
Thomas, Frederick G.
Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS
author_facet Drozd, Edward M.
Maier, Jan
Hales, Jan F.
Thomas, Frederick G.
author_sort Drozd, Edward M.
title Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS
title_short Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS
title_full Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS
title_fullStr Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS
title_full_unstemmed Alternative Comorbidity Adjustors for the Medicare Inpatient Psychiatric Facility PPS
title_sort alternative comorbidity adjustors for the medicare inpatient psychiatric facility pps
description The inpatient psychiatric facility prospective payment system (IPF-PPS), provides per diem payments for psychiatric hospitals and units, including 17 comorbid condition payment adjustors that cover 11 percent of patients. This study identifies an alternative set of 16 adjustors identifying three times as many high-cost patients and evaluates the improved predictive power in log per diem cost regression models. A model using the IPF-PPS adjustors achieved 8.8 percent of the feasible improvement from a no-adjustor baseline, while the alternative adjustors achieved 22.1 percent of the feasible improvement. The current adjustors may therefore be too restrictive, resulting in systematic over- or underpayment for many patients.
publisher CENTERS for MEDICARE & MEDICAID SERVICES
publishDate 2008
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195050/
_version_ 1613144008615264256

Similar Items