Determination of VA Health Care Costs  

Oleh:

Barnett, Paul G.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Care Research and Review vol. 60 no. 3 (Sep. 2003), page 124S-141S.
Topik: cost; economics; billing; charges; reimbursement; average costs; micro costs; veterans; VA
Fulltext: 124SMCR60.3.pdf (92.75KB)

Isi artikel

In the absence of billing data, alternative methods are used to estimate the cost of hospital stays, outpatient visits, and treatment innovations in the U.S. Department of Veterans Affairs (VA). The choice of method represents a trade-off between accuracy and research cost. The direct measurement method gathers information on staff activities, supplies, equipment, space, and workload. Since it is expensive, direct measurement should be reserved for finding short-run costs, evaluating provider efficiency, or determining the cost of treatments that are innovative or unique to VA. The pseudo-bill method combines utilization data with a non-VAreimbursement schedule. The cost regression method estimates the cost of VAhospital stays by applying the relationship between cost and characteristics of non-VAhospitalizations. The Health Economics Resource Center uses pseudobill and cost regression methods to create an encounter-level database of VAcosts. Researchers are also beginning to use theA aVctivity-based cost allocation system.

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