Medicare intensive care unit use: Analysis of incidence, cost, and payment

Critical Care Medicine

Volumn 32, Issue 11, 2004, Pages 2247-2253

  Cooper, Liesl M ^a,b   Linde Zwirble, Walter T ^a,c  

^a ELI LILLY AND COMPANY   (United States)

^b Health Process Management LLC   (United States)

^c UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

Cost; Diagnosis related groups; Economics; Intensive care unit; Medicare; Prospective reimbursement

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; DATA BASE; DIAGNOSIS RELATED GROUP; FEMALE; HOSPITAL BED CAPACITY; HOSPITAL COST; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; MALE; MEDICAL EDUCATION; MEDICARE; PRIORITY JOURNAL; PROSPECTIVE PAYMENT; RETROSPECTIVE STUDY; TEACHING HOSPITAL;

ADULT; AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; COHORT STUDIES; COST CONTROL; DIAGNOSIS-RELATED GROUPS; EFFICIENCY, ORGANIZATIONAL; FEMALE; HEALTH SERVICES RESEARCH; HOSPITAL COSTS; HOSPITAL MORTALITY; HUMANS; INCIDENCE; INSURANCE, HEALTH, REIMBURSEMENT; INTENSIVE CARE UNITS; LINEAR MODELS; MALE; MEDICARE PART A; MIDDLE AGED; OUTLIERS, DRG; PATIENT DISCHARGE; PROSPECTIVE PAYMENT SYSTEM; RETROSPECTIVE STUDIES; SEX DISTRIBUTION; UNITED STATES;

EID: 8544271682     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000146301.47334.BD     Document Type: Article

References (17)

1. Available at: http://www.census.gov/main/ www/cen2000.html. Accessed July 15, 2002
2. Medicare Payment Advisory Commission (MedPAC) Report to the Congress: Medicare Payment Policy, March 2003, p 246
3. Angus DC, Kelley MA, Schmitz RJ, et al: Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease. Can we meet the requirements of an aging population? JAMA 2000; 284:2762-2770
4. Kurek CJ, Dewar D, Lambrinos J, et al: Clinical and economic outcome of mechanically ventilated patients in New York State during 1993: Analysis of 10,473 cases under DRG 475. Chest 1998; 114:214-222
5. Coulton CJ, McClish D, Doremus H, et al: Implications of DRG payments for medical intensive care. Med Care 1985; 23:977-985
6. Bekes C, Fleming S, Scott E: Reimbursement for intensive care services under diagnosis-related groups. Crit Care Med 1988; 16: 478-481
7. Decker GJ, Strauch GO, Saranchak HJ: Outcome and cost of prolonged stay in the surgical intensive care unit. Arch Surg 1984; 119:1338-1342
8. Gracey DR: The problem with Diagnosis Related Group 475. Chest 2002; 122:299-301
9. Taheri PA, Butz DA, Greenfield LJ: Paying a premium: How patient complexity affects costs and profit margins. Ann Surg 1999; 229:807-814
10. Ahmad M, Fergus L, Stothard P, et al: Impact of Diagnosis-Related Groups' prospective payment on utilization of medical intensive care. Chest 1988; 93:176-179
11. Munoz E, Josephson J, Tenenbaum N, et al: Diagnosis-related groups, costs, and outcome for patients in the intensive care unit. Heart Lung 1989; 18:627-633
12. Surgenor SD, Corwin HL, Henry SA, et al: The cost of providing intensive care to Diagnosis Related Groups. Clin intensive Care 2001; 12:161-167
13. MedPAR, Medicare Provider Analysis and Review File, Centers for Medicare and Medicaid Services (CMS), Baltimore, MD
14. 2000 Payment Impact File, Centers for Medicare and Medicaid Services (CMS), Baltimore, MD
15. Healthcare Financing Administration, Department of Health and Human Services. Medicare program: Changes to the hospital inpatient prospective payment system and fiscal year 2000 rates; Final rule. Federal Register July 30, 1999; 64(146):41490-41641
16. Russell LB: Intensive care. In: Technology in hospitals, medical advances and their diffusion. Washington, DC, The Brookings Institution, 1979, pp 41-70
17. Centers for Medicare and Medicaid Services, Department of Health and Human Services. Medicare program: Changes to the hospital inpatient prospective payment system and fiscal year 2003 rates; Final rule. Federal Register August 1, 2002: 67(148):50132