Observation care--high-value care or a cost-shifting loophole?
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Protocolized observation care in dedicated hospital units can result in higher-value care for some conditions, but by treating observation billing for inpatient care the same as for observation-unit care, current policy promotes cost shifting without rewarding higher value.
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[2] C. Baugh,et al. Making greater use of dedicated hospital observation units for many short-stay patients could save $3.1 billion a year. , 2012, Health affairs.
[3] V. Mor,et al. Sharp rise in Medicare enrollees being held in hospitals for observation raises concerns about causes and consequences. , 2012, Health affairs.