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Medicare DRGs and post-hospital care for the elderly: does out of the hospital mean out of luck?
- Source :
-
Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 1990 Mar; Vol. 9 (1), pp. 20-35. - Publication Year :
- 1990
-
Abstract
- This article reports findings from a multistate study of the effects of medical cost containment policy, particularly the Medicare DRG (Diagnosis Related Groups) reimbursement policy, on community-based services for the elderly. The study findings reveal that since the implementation of DRGs, more older clients in poorer states of health are seeking posthospital care services. Greater client demand and illness acuity is leading to increases in service refusals to vulnerable clients and the creation of agency waiting lists. The majority of agency directors attribute the declining health status of clients to DRG reimbursement.
- Subjects :
- Aged
Diagnosis-Related Groups economics
Evaluation Studies as Topic
Health Services Needs and Demand statistics & numerical data
Humans
Interviews as Topic
United States
Waiting Lists
Aftercare statistics & numerical data
Health Services for the Aged trends
Medicare organization & administration
Prospective Payment System
Subjects
Details
- Language :
- English
- ISSN :
- 0733-4648
- Volume :
- 9
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of applied gerontology : the official journal of the Southern Gerontological Society
- Publication Type :
- Academic Journal
- Accession number :
- 10128531
- Full Text :
- https://doi.org/10.1177/073346489000900103