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Author : Medical Management Institute
Publisher : Unknown
Page : 128 pages
File Size : 48,5 Mb
Release : 1992
Category : Medicare
ISBN : OCLC:29195603
Author : Medical Management Institute, The
Publisher : Unknown
Page : 325 pages
File Size : 49,7 Mb
Release : 1998-01
Category : Electronic
ISBN : 1583830065
Author : Medical Management Institute, The
Publisher : Unknown
Page : 350 pages
File Size : 43,9 Mb
Release : 2001-01-01
Category : Electronic
ISBN : 158383124X
Author : Contexto Media
Publisher : Unknown
Page : 0 pages
File Size : 49,6 Mb
Release : 2009-12
Category : Insurance
ISBN : 1583836829
Author : MMI
Publisher : Contexo Media
Page : 128 pages
File Size : 53,6 Mb
Release : 2007-01-01
Category : Electronic
ISBN : 1583834680
Author : Institute of Medicine,Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries
Publisher : National Academies Press
Page : 86 pages
File Size : 53,5 Mb
Release : 2000-03-17
Category : Medical
ISBN : 9780309068888
Increasingly over the past five years, uncertainty about reimbursement for routine patient care has been suspected as contributing to problems enrolling people in clinical trials. Clinical trial investigators cannot guarantee that Medicare will pay for the care required, and they must disclose this uncertainty to potential participants during the informed consent process. Since Medicare does not routinely "preauthorize" care (as do many commercial insurers) the uncertainty cannot be dispelled in advance. Thus, patients considering whether to enter trials must assume that they may have to pay bills that Medicare rejects simply because they have enrolled in the trial. This report recommends an explicit policy for reimbursement of routine patient care costs in clinical trials. It further recommends that HCFA provide additional support for selected clinical trials, and that the government support the establishment of a national clinical trials registry. These policies (1) should assure that beneficiaries would not be denied coverage merely because they have volunteered to participate in a clinical trial; and (2) would not impose excessive administrative burdens on HCFA, its fiscal intermediaries and carriers, or investigators, providers, or participants in clinical trials. Explicit rules would have the added benefit of increasing the uniformity of reimbursement decisions made by Medicare fiscal intermediaries and carriers in different parts of the country. Greater uniformity would, in turn, decrease the uncertainty about reimbursement when providers and patients embark on a clinical trial.
Author : Institute of Medicine,Division of Health Care Services,Committee on Medicare Coverage Extensions
Publisher : National Academies Press
Page : 410 pages
File Size : 55,5 Mb
Release : 2000-05-07
Category : Medical
ISBN : 9780309068895
This report, which was developed by an expert committee of the Institute of Medicine, reviews the first three services listed above. It is intended to assist policymakers by providing syntheses of the best evidence available about the effectiveness of these services and by estimating the cost to Medicare of covering them. For each service or condition examined, the committee commissioned a review of the scientific literature that was presented and discussed at a public workshop. As requested by Congress, this report includes explicit estimates only of costs to Medicare, not costs to beneficiaries, their families, or others. It also does not include cost-effectiveness analyses. That is, the extent of the benefits relative to the costs to Medicareâ€"or to society generallyâ€"is not evaluated for the services examined. The method for estimating Medicare costs follows the generic estimation practices of the Congressional Budget Office (CBO). The objective was to provide Congress with estimates that were based on familiar procedures and could be compared readily with earlier and later CBO estimates. For each condition or service, the estimates are intended to suggest the order of magnitude of the costs to Medicare of extending coverage, but the estimates could be considerably higher or lower than what Medicare might actually spend were coverage policies changed. The estimates cover the five-year period 2000-2004. In addition to the conclusions about specific coverage issues, the report examines some broader concerns about the processes for making coverage decisions and about the research and organizational infrastructure for these decisions. It also briefly examines the limits of coverage as a means of improving health services and outcomes and the limits of evidence as a means of resolving policy and ethical questions.
Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 45,9 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author : Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans
Publisher : National Academies Press
Page : 256 pages
File Size : 40,7 Mb
Release : 2012-01-17
Category : Medical
ISBN : 9780309219174
In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.
Author : Bette A. Warn,Elizabeth W. Woodcock
Publisher : Medical Group Management Assn
Page : 466 pages
File Size : 42,7 Mb
Release : 2001
Category : Medical offices
ISBN : 9781568291451
Author : United States. Health Care Financing Administration
Publisher : Unknown
Page : 6 pages
File Size : 51,6 Mb
Release : 1993
Category : Hospice care
ISBN : MINN:31951D01035074B
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Disability in America
Publisher : National Academies Press
Page : 619 pages
File Size : 41,5 Mb
Release : 2007-10-24
Category : Medical
ISBN : 9780309104722
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
Author : United States. National Archives and Records Service. Office of Records Management
Publisher : Unknown
Page : 176 pages
File Size : 44,6 Mb
Release : 1974
Category : Government publications
ISBN : UIUC:30112018752854
Author : American Medical Association
Publisher : Unknown
Page : 1200 pages
File Size : 41,7 Mb
Release : 2021-09-17
Category : Electronic
ISBN : 1640160876
CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
Author : United States. Social Security Administration
Publisher : Unknown
Page : 72 pages
File Size : 41,5 Mb
Release : 1966
Category : Hospitals
ISBN : IND:30000090541008
