Planning A Demonstration Of Per Case Reimbursement For Inpatient Physician Services Under Medicare
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Planning a Demonstration of Per-case Reimbursement for Inpatient Physician Services Under Medicare by Paul B. Ginsburg,Rand Corporation Pdf
It has been proposed that Medicare pay for inpatient physicians' services on a per-case basis, giving physicians an incentive to economize on services delivered in the hospital. This report outlines the design of a possible demonstration of a system of per-case payment and considers the following key issues in developing such a design: (1) selecting the options most attractive to demonstrate, (2) participation in the demonstration, (3) setting payment rates, (4) site selection, and (5) evaluation of the demonstration. The demonstration would seek to determine how alternative methods of paying physicians would affect costs, beneficiary access and financial liability, and health status outcomes or quality of care.
Institute of Medicine,Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries
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 : 46,6 Mb Release : 2000-03-17 Category : Medical ISBN : 9780309068888
Extending Medicare Reimbursement in Clinical Trials by Institute of Medicine,Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries Pdf
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.
Looks at the theory and practice of privatization internationally through case studies of the US, Canada, New Zealand, Great Britain, West Germany, France, Sweden and Chile. Among the sectors of health care examined are public and private hospitals, mental health care, prepaid health plans. and the multinational pharmaceutical industry. A report from the Foundation for Health Services Research. Commissioned essays by leading scholars provide an account of what health services research aims to do, what the breadth of the effort has been, and what the research has accomplished. Volume editor Ginzberg (director, Conservation of Human Resources, Columbia U.) introduces the subject with an overview of health services research and its relation to health policy and concludes with thoughts on future research needs. Annotation copyrighted by Book News, Inc., Portland, OR
Author : American Medical Association Publisher : American Medical Association Press Page : 26 pages File Size : 42,5 Mb Release : 1995 Category : Decision making ISBN : UCLA:L0069394112
United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : Unknown Page : 206 pages File Size : 51,7 Mb Release : 1985 Category : Medicaid ISBN : UCR:31210024956532
Medicare Financing Crisis and Recommendations for Medicare Financial Reforms by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf
Institute of Medicine,Roundtable on Evidence-Based Medicine
Author : Institute of Medicine,Roundtable on Evidence-Based Medicine Publisher : National Academies Press Page : 852 pages File Size : 46,9 Mb Release : 2011-01-17 Category : Medical ISBN : 9780309144339
The Healthcare Imperative by Institute of Medicine,Roundtable on Evidence-Based Medicine Pdf
The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Health Information - E-Book by Mervat Abdelhak,Sara Grostick,Mary Alice Hanken Pdf
Following the AHIMA standards for education for both two-year HIT programs and four-year HIA programs, Health Information: Management of a Strategic Resource, 4th Edition describes the deployment of information technology and your role as a HIM professional in the development of the electronic health record. It provides clear coverage of health information infrastructure and systems along with health care informatics including technology, applications, and security. Practical applications provide hands-on experience in abstracting and manipulating health information data. From well-known HIM experts Mervat Abdelhak, Sara S. Grostick, and Mary Alice Hanken, this book includes examples from diverse areas of health care delivery such as long-term care, public health, home health care, and ambulatory care. An e-book version makes it even easier to learn to manage and use health data electronically. A focus on the electronic health care record helps you learn electronic methods of organizing, maintaining, and abstracting from the patient health care record. Learning features include a chapter outline, key words, common abbreviations, and learning objectives at the beginning of each chapter, and references at the end. Unique! Availability in the e-book format helps you in researching, abstracting, and managing data electronically. A study guide on the companion Evolve website includes interactive exercises and cases containing real-life medical records, letting you apply what you've learned from the book and in the classroom. Evolve logos within the textbook connect the material to the Evolve website, tying together the textbook, student study guide and online resources. Well-known and respected authors include Mervat Abdelhak and Mary Alice Hanken, past presidents of the American Health Information Management Association (AHIMA), and Sara S. Grostick, a 2007 AHIMA Triumph Award winner for excellence in education. Self-assessment quizzes test your learning and retention, with answers available on the companion Evolve website. Did You Know? boxes highlight interesting facts to enhance learning.