白卡的临终关怀服务是可能有上限的,查到一个旧的文档

来源: 自了汉 2022-11-27 14:12:35 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (1852 bytes)
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The aggregate cap is calculated by multiplying the number of Medicaid beneficiaries served by an individual hospice by a “cap amount” — $15,916.98 effective November 1, 1999- October 31, 2000. Hospices with Medicaid expenditures exceeding the cap amount must refund any payments received in excess of the cap. Second, an individual hospice’s aggregate number of inpatient hospice days during a fiscal year may not exceed 20 percent of the total days of care the hospice provides to all Medicaid beneficiaries (State Medicaid Manual, Part 4, section 4306.5). However, states may choose to exclude Medicaid beneficiaries with AIDS when calculating the aggregate limit on an individual hospice’s total inpatient days. The hospice must refund any excess Medicaid reimbursement.

The aggregate cap is calculated by multiplying the number of Medicaid beneficiaries served by an individual hospice by a “cap amount” — $15,916.98 effective November 1, 1999- October 31, 2000. Hospices with Medicaid expenditures exceeding the cap amount must refund any payments received in excess of the cap. Second, an individual hospice’s aggregate number of inpatient hospice days during a fiscal year may not exceed 20 percent of the total days of care the hospice provides to all Medicaid beneficiaries (State Medicaid Manual, Part 4, section 4306.5). However, states may choose to exclude Medicaid beneficiaries with AIDS when calculating the aggregate limit on an individual hospice’s total inpatient days. The hospice must refund any excess Medicaid reimbursement.

https://www.urban.org/sites/default/files/publication/61746/410409-Medicaid-and-End-of-Life-Care.PDF

所有跟帖: 

拿白卡的人人均支出是普通拿Medicare的近五倍,难怪得设个上限 -自了汉- 给 自了汉 发送悄悄话 (514 bytes) () 11/27/2022 postreply 14:53:52

这个是对整个关怀医院的,在每一年度每个病人平均向政府开的账单不能超过一定数。不是对个人的。 -borisg- 给 borisg 发送悄悄话 borisg 的博客首页 (0 bytes) () 11/27/2022 postreply 14:55:42

谢谢波大指出,可能医院快达到上限以后的不规范行为,国内医院医保快用完以后,就有很多幺蛾子 -自了汉- 给 自了汉 发送悄悄话 (0 bytes) () 11/27/2022 postreply 15:04:57

Medicaid啥政府项目都有另外的quality assurance, 部门监督等,有措施比没好,希望这幺蛾子是个别。 -luckyfin66- 给 luckyfin66 发送悄悄话 (0 bytes) () 11/27/2022 postreply 19:33:30

你这说的是Medicaid和Hospice Provider之间价钱的上限吧。就像验血的Labcorp列出的价钱是800 -luckyfin66- 给 luckyfin66 发送悄悄话 (1600 bytes) () 11/27/2022 postreply 15:30:27

应该是这么回事,最好有个业内人士能够详细讲解一下 -自了汉- 给 自了汉 发送悄悄话 (0 bytes) () 11/27/2022 postreply 15:37:25

同意HZ说的自己照顾好自己身前给自己做好决定。到那天全靠家属决定家属负担也很重很纠结。 -luckyfin66- 给 luckyfin66 发送悄悄话 (0 bytes) () 11/27/2022 postreply 15:46:48

请看我的315节。 -佩尼燕京人penny- 给 佩尼燕京人penny 发送悄悄话 佩尼燕京人penny 的博客首页 (0 bytes) () 11/28/2022 postreply 13:18:43

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