Recupero de costos en un hospital militar de Argentina
The recovery of social security costs constitutes a source of financing for argentine public hospitals. Military hospitals can also recover the costs, although through a different process with limitations. It was proposed to evaluate the feasibility of improving it by: i) describe the recovery proce...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional del Litoral
2021
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| Acceso en línea: | https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/DocumentosyAportes/article/view/10060 |
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I26-R133-article-100602021-02-02T13:42:53Z Recupero de costos en un hospital militar de Argentina Glerean, Carlos Atilio Geri, Milva Elorza, María Eugenia Hospital Costs military hospitals Argentina Costos de hospital Hospitales militares Argentina The recovery of social security costs constitutes a source of financing for argentine public hospitals. Military hospitals can also recover the costs, although through a different process with limitations. It was proposed to evaluate the feasibility of improving it by: i) describe the recovery process, ii) quantify and characterize the not recovered costs and iii) identify the problems of the process and investigate alternatives for improvement. The cost recovery regulations were reviewed and the billing for hospitalizations of non–beneficiary patients of the military insurer during 2016–2018 was characterized. Difficulties were described and improvements suggested by interviews with key actors were proposed. A high rate of uncollectibility and delay in the payment chain and a low incidence of the resources recovered in hospital financing were verified. The need to establish formal agreements between the hospital and the provider and financing entities of the region was evident. These would allow the regional use of idle capacity in a highly complex hospital institution. El recupero de costos de la seguridad social constituye una fuente de financiamiento de los hospitales públicos argentinos. Los hospitales militares también pueden recuperar los costos aunque mediante un proceso con diferente con limitaciones. Se propuso evaluar la factibilidad de mejorarlo a partir de: i) describir el proceso de recupero, ii) cuantificar y caracterizar los costos no recuperados e iii) identificar los problemas e indagar alternativas de mejora. Se revisó la normativa sobre recupero de costos y se caracterizó la facturación por internaciones de pacientes no beneficiarios de la aseguradora militar durante 2016–2018. Se describieron las dificultades y propusieron mejoras que surgen de entrevistas a los actores claves. Se comprobó un alto índice de incobrabilidad y demora en la cadena de pago y una baja incidencia de los recursos recuperados en el financiamiento del hospital. Se evidenció la necesidad de establecer acuerdos formales entre el hospital y las entidades proveedoras y financiadoras de la región. Estos posibilitarían el aprovechamiento regional de la capacidad instalada ociosa en una institución hospitalaria de alta complejidad. Universidad Nacional del Litoral 2021-02-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/DocumentosyAportes/article/view/10060 10.14409/daapge.v20i34.10060 Documentos y Aportes en Administración Pública y Gestión Estatal; Vol. 20 Núm. 34 (2020): Documentos y Aportes en Administración Pública y Gestión Estatal; 139-157 Documentos y Aportes en Administración Pública y Gestion Estatal; Vol. 20 No. 34 (2020): Documentos y Aportes en Administración Pública y Gestión Estatal; 139-157 1851-3727 1666-4124 10.14409/daapge.v20i34 spa https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/DocumentosyAportes/article/view/10060/13516 Derechos de autor 2021 Documentos y Aportes en Administración Pública y Gestion Estatal |
| institution |
Universidad Nacional del Litoral |
| institution_str |
I-26 |
| repository_str |
R-133 |
| container_title_str |
Biblioteca Virtual - Publicaciones (UNL) |
| language |
Español |
| format |
Artículo revista |
| topic |
Hospital Costs military hospitals Argentina Costos de hospital Hospitales militares Argentina |
| spellingShingle |
Hospital Costs military hospitals Argentina Costos de hospital Hospitales militares Argentina Glerean, Carlos Atilio Geri, Milva Elorza, María Eugenia Recupero de costos en un hospital militar de Argentina |
| topic_facet |
Hospital Costs military hospitals Argentina Costos de hospital Hospitales militares Argentina |
| author |
Glerean, Carlos Atilio Geri, Milva Elorza, María Eugenia |
| author_facet |
Glerean, Carlos Atilio Geri, Milva Elorza, María Eugenia |
| author_sort |
Glerean, Carlos Atilio |
| title |
Recupero de costos en un hospital militar de Argentina |
| title_short |
Recupero de costos en un hospital militar de Argentina |
| title_full |
Recupero de costos en un hospital militar de Argentina |
| title_fullStr |
Recupero de costos en un hospital militar de Argentina |
| title_full_unstemmed |
Recupero de costos en un hospital militar de Argentina |
| title_sort |
recupero de costos en un hospital militar de argentina |
| description |
The recovery of social security costs constitutes a source of financing for argentine public hospitals. Military hospitals can also recover the costs, although through a different process with limitations. It was proposed to evaluate the feasibility of improving it by: i) describe the recovery process, ii) quantify and characterize the not recovered costs and iii) identify the problems of the process and investigate alternatives for improvement. The cost recovery regulations were reviewed and the billing for hospitalizations of non–beneficiary patients of the military insurer during 2016–2018 was characterized. Difficulties were described and improvements suggested by interviews with key actors were proposed. A high rate of uncollectibility and delay in the payment chain and a low incidence of the resources recovered in hospital financing were verified. The need to establish formal agreements between the hospital and the provider and financing entities of the region was evident. These would allow the regional use of idle capacity in a highly complex hospital institution. |
| publisher |
Universidad Nacional del Litoral |
| publishDate |
2021 |
| url |
https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/DocumentosyAportes/article/view/10060 |
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AT glereancarlosatilio recuperodecostosenunhospitalmilitardeargentina AT gerimilva recuperodecostosenunhospitalmilitardeargentina AT elorzamariaeugenia recuperodecostosenunhospitalmilitardeargentina |
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2023-07-05T23:04:56Z |
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2023-07-05T23:04:56Z |
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