作者: I. Cristian Nedelea , James N. Barnes , James Matthew Fannin
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摘要: Relying heavily on Medicare reimbursement, small rural hospitals have been largely affected by the payment policies. has most important source of revenue for because communities a relatively higher proportion elderly compared to urban areas. Prior 1983, reimbursed according actual costs incurred in providing services beneficiaries. This cost-based reimbursement gave little incentives control their and encouraged both excessive inefficiently produced (Gianfrancesco 1990). In replaced with prospective system