Intro. to HSR: Case 3. Medicare Reimbursement Reforms

National Information Center on Health Services Research and Health Care Technology (NICHSR)

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The Cases

	Case 1: Health Disparities Research Case Description Background Objectives Exercise
	Case 2: The End-Stage Renal Disease Program: Quality Issues Description Background Objectives Exercise
	Case 3: Medicare Reimbursement Reforms Description Background Objectives Exercise
	Case 4: Bioterrorism -- Community Preparedness Description Background Objectives Exercise
	Case 5: HIV/AIDS, the AIDS Drug Assistance Program Description Background Objectives Exercise

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Introduction to Health Services Research : A Self-Study Course

Case Description | Case Background | Case Objectives | Case Exercise

Case 3. Medicare Reimbursement Reforms (Page 8 of 37)

Phase One: Thinking About the Issues

Q2a. How does this regulation, the prospective payment system (DRGs), affect different stakeholders: The elderly, disabled, and others covered by Medicare policies?

Suggested Solution

Some of the following might occur

Poorer quality of care may result
earlier discharge without sufficient patient education and rehabilitation
burden on the family to provide home care services
fewer hospital services than privately covered patients
locating a nursing home if the person is very sick and home care is not feasible

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