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Author : Stuart Guterman,Allen Dobson
Publisher : Unknown
Page : 18 pages
File Size : 50,6 Mb
Release : 1986
Category : Hospitals
ISBN : IND:32000014596664
Author : Anonim
Publisher : Unknown
Page : 340 pages
File Size : 41,8 Mb
Release : 1984
Category : Hospitals
ISBN : IND:30000124297817
Author : Anonim
Publisher : Unknown
Page : 44 pages
File Size : 43,8 Mb
Release : 1985
Category : Medicare
ISBN : IND:30000112693548
Author : Anonim
Publisher : Unknown
Page : 12 pages
File Size : 45,5 Mb
Release : 1998
Category : Hospital care
ISBN : NWU:35556029693736
Author : United States. General Accounting Office
Publisher : Unknown
Page : 184 pages
File Size : 43,8 Mb
Release : 1986
Category : Ambulatory surgery
ISBN : UOM:39015022612363
Author : Anonim
Publisher : Unknown
Page : 36 pages
File Size : 40,9 Mb
Release : 1988-01-01
Category : Catholic hospitals
ISBN : 0871251590
Author : Anonim
Publisher : Unknown
Page : 132 pages
File Size : 46,6 Mb
Release : 1986
Category : Hospitals
ISBN : UOM:39015029168013
Author : Laura A. Dummit
Publisher : Unknown
Page : 84 pages
File Size : 40,8 Mb
Release : 1985
Category : Health insurance
ISBN : IND:32000014592150
Author : Rick Mayes,Robert A. Berenson
Publisher : JHU Press
Page : 274 pages
File Size : 44,7 Mb
Release : 2006-12-20
Category : Medical
ISBN : 9780801888878
This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Author : United States. Prospective Payment Assessment Commission
Publisher : Unknown
Page : 136 pages
File Size : 42,7 Mb
Release : 1987
Category : Cost
ISBN : IND:39000008047776
Author : Anonim
Publisher : Unknown
Page : 76 pages
File Size : 44,5 Mb
Release : 1991
Category : Medicare
ISBN : UOM:39015025390959
Author : Anonim
Publisher : Unknown
Page : 16 pages
File Size : 52,5 Mb
Release : 1985
Category : Medical care
ISBN : UCBK:B000483299
Author : Institute of Medicine,National Academy of Engineering
Publisher : National Academies Press
Page : 203 pages
File Size : 47,9 Mb
Release : 1988-01-01
Category : Medical
ISBN : 9780309038478
In the past 50 years the development of a wide range of medical devices has improved the quality of people's lives and revolutionized the prevention and treatment of disease, but it also has contributed to the high cost of health care. Issues that shape the invention of new medical devices and affect their introduction and use are explored in this volume. The authors examine the role of federal support, the decision-making process behind private funding, the need for reforms in regulation and product liability, the effects of the medical payment system, and other critical topics relevant to the development of new devices.
Author : Kathleen N. Lohr
Publisher : Rand Corporation
Page : 69 pages
File Size : 45,5 Mb
Release : 1985
Category : Social Science
ISBN : 0833006533
Under the prospective payment system (PPS) introduced in 1983, hospitals are to be paid for each Medicare admission on the basis of a price per case set in advance, thus giving hospitals and other providers incentives for delivering care that are radically different from those of cost-reimbursement financing. This report identifies major issues relating to quality of care, sketches conceptual and practical aspects of carrying out appropriate studies of these issues, and outlines a quality-of-care research agenda. It emphasizes changes in hospital care that are most likely to occur secondary to PPS, those likely to have the most direct impact on patients' outcomes, and changes that can be defined, detected, and measured with relative ease. Certain themes for future research efforts are stressed: (1) the overall research agenda must be strong enough to detect clinically meaningful impacts on patient outcomes and to be able to assign those impacts to PPS; (2) outcomes other than death must be examined; (3) interpreting the impacts of PPS requires understanding the clinical circumstances of Medicare patients; (4) developing better outcome measures is essential; (5) targeting impact studies on high-priority topics will be unavoidable; and (6) a full picture of the effects of PPS requires a long-term perspective, extending beyond FY 1987.
Author : Rand Corporation
Publisher : Unknown
Page : 32 pages
File Size : 43,8 Mb
Release : 1991
Category : Diagnosis related groups
ISBN : IND:30000009572284
To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.