Micro-cost Methods of Finding VA Costs Mark W. Smith, PhD Paul G. Barnett, PhD HERC Economics Course March 16, 2005 Methods described in this talk Direct measurement Pseudo-bill Reduced list costing Clinical cost function Estimate Medicare inpatient payment
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Mark W. Smith, PhD
Paul G. Barnett, PhD
HERC Economics Course
March 16, 2005
FMS reports cost and hours
ALBCC = Account Level Budgeter Cost Center
Use either payroll analysis (BOC 1000-1099) or personnel services (BOC 1100-1199).
Full FMS & DSS data at AAC. Summary data in KLFMenu.
More on FMS in Volume IV of the “Blue Books”
HERC Technical Report #12 (Smith & Velez 2003)
on the HERC web site:
Disadvantage: could have large error for individual bills
= the mean of the anti-log of the residuals
Provider IDs: www.cms.hhs.gov/providers/hipps/ippspufs.asp#psf
Barnett PG. Determination of VA health care costs. Medical Care Research and Review 2003;60(3 Suppl.):124S-141S.
Medical Care Research and Review 2003 (vol. 60, no. 3 Suppl.)
- Direct measurement
- Pharmacy data
- Choosing a method
Supplement available from HERC by request
HERC web site: FAQ responses, technical reports
HERC Help Desk (email@example.com)
Articles on estimating the private-sector cost of services provided by VA:
- acute inpatient - outpatient services
- specialized inpatient - VA providers
- nursing home care - assistive devices
Medical Care 2003 (vol. 41, no. 6 Suppl.)