醫(yī)院管理和付款方收入周期混合【外文翻譯】

1、本科畢業(yè)論文（設(shè)計(jì)）外文翻譯原文：原文：HospitalRevenueCycleManagementPayerMix:DoMedicareMedicaidUndermineHospitals’AbilitytoGenerateCollectPatientCareRevenueInrecentyearsbudgetpressurescombinedwiththeaccelerationinthegrowthofhospitalcostsh

2、avefcedpolicymakersatbothfederalstatelevelstolimitfutureincreasesingovernmentpayers’reimbursementratesevencuttheratestheycurrentlypayproviders.Thesecostcontainmentefftshaveresultedinsubstantialpaymentshtfallsfhospitals.A

3、ccdingtotheAmericanHospitalAssociationbetween20002007theaveragepaymenttocostratiosfMedicareMedicaidpatientsfellfrom99to91percentfrom95to88percentrespectivelywhiletheaveragepaymenttocostratiofprivatelyinsuredpatientsrosef

4、rom116to132percent.:1HospitalparticipationinMedicareMedicaidisvoluntaryyet—giventhatthesetwoprogramsaccountf55percentofcareprovidedbyhospitals—veryfewhospitalscanaffdnottoservepubliclyinsuredpatients.Consequentlymosthosp

5、italshavenochoicebuttoacceptthepaymentratestermsthatlawmakerssetfthetreatmentofMedicareMedicaidpatients.Howevergivengovernmentpayers’continuedefftstocontainhealthcarecostshospitalmanagershavebecomeincreasinglyconcernedth

6、atservingMedicareMedicaidpatientscouldseriouslyunderminetheirperfmanceThecontinuingefftsofgovernmentpayerstocontainhospitalcostshaveraisedconcernsamonghospitalmanagersthatservingpubliclyinsuredpatientsmayunderminetheirab

7、ilitytomanagetherevenuecyclesuccessfully.Thisstudyusesfinancialinfmationfromtwosources—MedicarecostreptsfallUShospitalsf2002to2007auditedfinancialstatementsfMedicareMedicaidpatientsmayunderminetheirabilitytogeneratecolle

8、ctpatientcarerevenueonlyafewstudieshaveexpledempiricallytherelationshipbetweengovernmentpayermixhospitals’perfmanceatmanagingtherevenuecycle.Noneofthesestudieshasfoundevidencethatgovernmentpayersunderminehospitals’abilit

9、ytogeneratecollectpatientcarerevenue.InastudyofUShospitalsinthe1990sMedicareMedicaidpayermixwasnotassociatedwiththeaverageamountofrevenuehospitalsgeneratedperpatient.2Additionalevidencefthislackofarelationshipbetweengove

10、rnmentpayermixhospitals’abilitytogeneratepatientrevenuewasprovidedbyastudyofhospitalsinthestateofWashingtonin1987whichfoundthathospitals’provisionofitycarearevenuedeductionthusanimptantdeterminantofhospitals’revenueperpa

11、tientwasnotassociatedwiththeproptionofpubliclyinsuredpatientsserved.3Meoverwithrespecttohospitals’abilitytocollectpatientcarerevenueinatimelyfashionastudyofnotfprofithospitalsinthelate1980sfoundthathospitals’governmentpa

12、yermixdidnotunderminetheircollectionperfmance.4Onthecontraryfseveralsubsetsofhospitalsanalyzedhospitals’sharesofMedicareMedicaidpatientswereinverselyrelatedtotheiraveragecollectionperiodsimplyingthatservingmepubliclyinsu

13、redpatientsallowedhospitalstocollectontheirpatientrevenuesfaster.Whileempiricalstudiesofhospitalsinthe1980s1990sfoundnoevidencethatgovernmentpayermixunderminedhospitals’abilitytoeffectivelymanagetherevenuecyclethecontinu

14、ingefftsofpublicpayerstocontainhospitalcostsmaylimittheapplicabilityofpriempiricalfindingstohospitalsoperatingintoday’sbusinessenvironment.Usingfinancialinfmationfromtwonationaldatasetsftheyears2000to2007ourstudyexpsonpr

15、eviouswkby:1.Analyzingtherelationshipbetweenhospitals’governmentpayermixtheirperfmanceatrevenuecyclemanagementintoday’sbusinessenvironment.2.Employingamecomprehensivesetoffinancialindicatsofrevenuecyclemanagementperfmanc