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  • Title: A comprehensive payment model for short- and long-stay psychiatric patients.
    Author: Fries BE, Durance PW, Nerenz DR, Ashcraft ML.
    Journal: Health Care Financ Rev; 1993; 15(2):31-50. PubMed ID: 10135343.
    Abstract:
    In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. "Transition pricing" provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated.
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