New Models For Delivering And Paying For Medicare Services

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New Models for Delivering and Paying for Medicare Services

Author : United States Congress,United States House of Representatives,Committee On Ways And Means
Publisher : Createspace Independent Publishing Platform
Page : 140 pages
File Size : 45,8 Mb
Release : 2017-10-08
Category : Electronic
ISBN : 1978053061

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New Models for Delivering and Paying for Medicare Services by United States Congress,United States House of Representatives,Committee On Ways And Means Pdf

New models for delivering and paying for Medicare services: hearing before the Subcommittee on Health of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Twelfth Congress, first session, May 12, 2011.

New Models for Delivering and Paying for Medicare Services

Author : United States House of Representatives,Committee on Ways and Means (house),United State Congress
Publisher : Unknown
Page : 140 pages
File Size : 43,5 Mb
Release : 2019-10-02
Category : Electronic
ISBN : 169713288X

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New Models for Delivering and Paying for Medicare Services by United States House of Representatives,Committee on Ways and Means (house),United State Congress Pdf

New models for delivering and paying for Medicare services: hearing before the Subcommittee on Health of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Twelfth Congress, first session, May 12, 2011.

New Models for Delivering and Paying for Medicare Services

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 140 pages
File Size : 41,7 Mb
Release : 2011
Category : Medical
ISBN : UCSD:31822038356812

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New Models for Delivering and Paying for Medicare Services by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

The Future of Nursing 2020-2030

Author : National Academies of Sciences Engineering and Medicine,Committee on the Future of Nursing 2020-2030
Publisher : Unknown
Page : 128 pages
File Size : 51,9 Mb
Release : 2021-09-30
Category : Electronic
ISBN : 0309685060

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The Future of Nursing 2020-2030 by National Academies of Sciences Engineering and Medicine,Committee on the Future of Nursing 2020-2030 Pdf

The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

The President's and Other Bipartisan Proposals to Reform Medicare Post-acute Care Payments

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 112 pages
File Size : 54,9 Mb
Release : 2016
Category : Health care reform
ISBN : PURD:32754085104382

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The President's and Other Bipartisan Proposals to Reform Medicare Post-acute Care Payments by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

The Role of Telehealth in an Evolving Health Care Environment

Author : Institute of Medicine,Board on Health Care Services
Publisher : National Academies Press
Page : 159 pages
File Size : 45,5 Mb
Release : 2012-12-20
Category : Medical
ISBN : 9780309262019

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The Role of Telehealth in an Evolving Health Care Environment by Institute of Medicine,Board on Health Care Services Pdf

In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Geographic Adjustment in Medicare Payment

Author : Institute of Medicine,Board on Health Care Services,Committee on Geographic Adjustment Factors in Medicare Payment
Publisher : National Academies Press
Page : 238 pages
File Size : 48,7 Mb
Release : 2012-10-31
Category : Medical
ISBN : 9780309258012

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Geographic Adjustment in Medicare Payment by Institute of Medicine,Board on Health Care Services,Committee on Geographic Adjustment Factors in Medicare Payment Pdf

Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.

Clinical Co-Management

Author : Cherilyn G. Murer, JD, CRA
Publisher : CRC Press
Page : 131 pages
File Size : 46,9 Mb
Release : 2016-02-12
Category : Business & Economics
ISBN : 9781498777377

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Clinical Co-Management by Cherilyn G. Murer, JD, CRA Pdf

A decade ago, UK HealthCare recognized the need to reposition itself as a regional referral center, focusing on advanced subspecialty care for the entire state of Kentucky. The goal was to become a "medical destination" for patients from that region who needed access to specialized care. To support that goal, UK HealthCare established a virtual network of partnering provider organizations throughout Kentucky. By working together, UK HealthCare and its partners provide all Kentuckians access to the appropriate levels of care as close to home as possible. Clinical Co-Management: A Bridge to Clinical Integration and Pathway to Bundled Payments supplies a detailed view of the Clinical Co-Management Agreement (CCMA) framework. It describes how the successful implementation of CCMAs can pave the way to coordinated efforts by hospital administration and physicians to reduce cost, increase quality, and improve patient satisfaction. Detailing why CCMAs present a viable alternative to conventional hospital-physician alignment models, such as medical directorships, committee chairs, and physician employment, the book presents an insider's view of the working models for clinical co-management programs. Complete with a detailed explanation of the self-referral statute (Stark Law) and the Anti-Kickback Statute, this book provides physicians, hospital executives, healthcare attorneys, and industry experts with a trustworthy reference they can refer to prior to and during CCMA negotiations, implementation, and oversight. Includes a Foreword by Mark D. Birdwhistell, Vice-President for Administration and External Affairs, UK HealthCare

Health Care Policy and Practice

Author : Cynthia D. Moniz,Stephen H. Gorin
Publisher : Routledge
Page : 402 pages
File Size : 43,6 Mb
Release : 2014-01-10
Category : Social Science
ISBN : 9781317938279

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Health Care Policy and Practice by Cynthia D. Moniz,Stephen H. Gorin Pdf

In Health Care Policy and Practice: A Biopsychosocial Perspective, Moniz and Gorin have updated their text to incorporate health care reform. The authors have also restructured the book to guide students through the development of the American health care system: what it is, what the policies are, and how students can influence them. The first section focuses on recent history and reforms during the Obama Administration to describe the health care system; section two examines the system’s structure and policies; and the third section explores policy analysis and advocacy, and disparities in health based on demographics and inequities in access to care. It concludes with a discussion of the impact of social factors on health and health status. The new edition incorporates the CSWE EPAS competencies; it is for social work courses in health care, health care policy, and health and mental health care policy.

The Medicare Handbook

Author : Anonim
Publisher : Unknown
Page : 60 pages
File Size : 55,5 Mb
Release : 2024-06-30
Category : Health insurance
ISBN : UOM:39015022573201

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The Medicare Handbook by Anonim Pdf

Community/Public Health Nursing - E-Book

Author : Mary A. Nies,Melanie McEwen
Publisher : Elsevier Health Sciences
Page : 803 pages
File Size : 52,8 Mb
Release : 2022-10-01
Category : Medical
ISBN : 9780323831857

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Community/Public Health Nursing - E-Book by Mary A. Nies,Melanie McEwen Pdf

Master the knowledge and skills you need to succeed in community health nursing! Community/Public Health Nursing, 8th Edition discusses the nurse’s role in population health promotion with a unique "upstream" preventive focus and a strong social justice approach, all in a concise, easy-to-read text. It shows how nurses can take an active role in social action and health policy — especially in caring for diverse and vulnerable population groups. This edition integrates the NCSBN Clinical Judgment Measurement Model to help you prepare for the Next Generation NCLEX®. Clinical examples and photo novellas show how nursing concepts apply to the real world. Active Learning boxes test your knowledge of the content you’ve just read, helping provide clinical application and knowledge retention. UNIQUE! Social justice approach promotes health for all people, emphasizing society’s responsibility to protect all human life and ensure that all people have their basic needs met, such as adequate health protection. UNIQUE! Veterans’ Health chapter presents situations and considerations unique to the care of military veterans. Genetics in Public Health boxes reflect increasing scientific evidence supporting the health benefits of using genetic tests and family health history to guide public health interventions. UNIQUE! "Upstream" focus addresses contributing factors of poor health and promotes community efforts to address potential health problems before they occur. Case studies present the theory, concepts, and application of the nursing process in practical and manageable examples. UNIQUE! Photo novellas — stories in photograph form — show real-life clinical scenarios and highlight the application of important community/public health nursing roles. Consistent pedagogy at the beginning of each chapter includes learning objectives, key terms and chapter outlines to help you locate important information and focus your study time. Clinical Examples present snippets of real-life client situations. Theoretical frameworks common to nursing and public health aid in the application of familiar and new theory bases to problems and challenges in the community. Research Highlights introduce you to the growing amount of community/public health nursing research literature. Ethical Insights boxes present situations of ethical dilemmas or considerations pertinent to select chapter topics. NEW! Online case studies for the Next Generation NCLEX® Examination (NGN) provide you with the necessary tools to prepare for the NGN. NEW! Overview of the NCSBN Clinical Judgment Measurement Model provides information on the latest recommendations to promote evidence-based client decisions. NEW! Healthy People 2030 boxes highlight the most current national health care goals and objectives throughout the text.

The Future of Healthcare Reform in the United States

Author : Anup Malani,Michael H. Schill
Publisher : University of Chicago Press
Page : 365 pages
File Size : 41,5 Mb
Release : 2015-10-15
Category : Law
ISBN : 9780226254951

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The Future of Healthcare Reform in the United States by Anup Malani,Michael H. Schill Pdf

When the Supreme Court's majority ruling in NFIB v. Sebelius upheld the Patient Protection and Affordable Care Act (the PPACA, or Obamacare), it was clear that this major shift in American health care provision was here to stay. For better or worse, the PPACA is now both a target for, and a constraint on, the next wave of reformist ideas. Driven by curiosity about how the American health care regime will continue to evolve in the near and medium term, Dean Michael Schill and Professor Anup Malani of the University of Chicago Law School commissioned fourteen essays from leading scholars of law, economics, medicine, and public health that offer predictions for the most important issues and debates in health-care reform over the next five to seven years. Essays are arranged in five sections. Part I, ACA and the Law, sets the stage with three essays on legal challenges and justifications for the Act. Part II, ACA and the Federal Budget, explores the variety of potential fiscal consequences resulting from Obamacare. Part III, ACA and Health Care Delivery, offers competing viewpoints on what the Act will ultimately mean for consumers of health care. Part IV, Health Care Costs, Innovation, and the ACA speculates about what the altered financial structure of health care will mean for the pace of development of new medical technologies. Part V, ACA and Health Insurance Markets, concludes the volume with a pair of contrasting assessments of the prospects for the new insurance exchange” markets.

The Future of Home Health Care

Author : National Research Council,Institute of Medicine,Division on Behavioral and Social Sciences and Education,Board on Health Sciences Policy,Forum on Aging, Disability, and Independence
Publisher : National Academies Press
Page : 168 pages
File Size : 49,7 Mb
Release : 2015-08-04
Category : Medical
ISBN : 9780309367561

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The Future of Home Health Care by National Research Council,Institute of Medicine,Division on Behavioral and Social Sciences and Education,Board on Health Sciences Policy,Forum on Aging, Disability, and Independence Pdf

Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future health care system overall. On September 30 and October 1, 2014, the Institute of Medicine and the National Research Council convened a public workshop on the future of home health care. The workshop brought together a spectrum of public and private stakeholders and thought leaders to improve understanding of the current role of Medicare home health care in supporting aging in place and in helping high-risk, chronically ill, and disabled Americans receive health care in their communities. Through presentations and discussion, participants explored the evolving role of Medicare home health care in caring for Americans in the future, including how to integrate Medicare home health care into new models for the delivery of care and the future health care marketplace. The workshop also considered the key policy reforms and investments in workforces, technologies, and research needed to leverage the value of home health care to support older Americans, and research priorities that can help clarify the value of home health care. This summary captures important points raised by the individual speakers and workshop participants.

New Directions in Medicare

Author : United States. Congress. Senate. Committee on Finance
Publisher : Unknown
Page : 324 pages
File Size : 54,8 Mb
Release : 1997
Category : Business & Economics
ISBN : UCR:31210011017579

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New Directions in Medicare by United States. Congress. Senate. Committee on Finance Pdf

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 43,5 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.