Download or read book Medicare s DRG Prospective Payment and It s sic Effect on Planning and Management of Physical Therapy Services in a Small Community Hospital in South Central Pennsylvania written by Penelope Lee Samuelson and published by . This book was released on 1987 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Impact of the Medicare Hospital Prospective Payment System written by and published by . This book was released on 1984 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Effects of the DRG based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Rand Corporation and published by . This book was released on 1991 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Adjustments to the Medicare Prospective Payment System written by United States. Prospective Payment Assessment Commission and published by . This book was released on 1990 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Post hospital Care written by United States. General Accounting Office and published by . This book was released on 1986 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Prospective Payment and the American Health Care System written by and published by . This book was released on 1986 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Prospective Payment and the Shaping of U S Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Impact of the Medicare Prospective Payment System for Hospitals written by Stuart Guterman and published by . This book was released on 1986 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Explanation of the Administration s Medicare Hospital Prospective Payment Proposal as Compared to Current Law written by and published by . This book was released on 1983 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Prospective Payment for Medicare Posthospital Services written by Carl Richard Neu and published by . This book was released on 1986 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the implementation of the prospective payment system (PPS) for Medicare hospital services, attention has turned to extending the principle of prospective payment to posthospital care provided by skilled nursing facilities and home health agencies. The aim behind this extension of the prospective payment system is to provide a financial incentive for the efficient management of an entire episode of patient care--hospital and posthospital. Whether an extended PPS is feasible and whether it would provide the hoped-for benefits can be assessed only through a demonstration of the proposed system. This report details some preliminary analyses of existing data needed to refine the design of the demonstration, to set payment rates for the demonstration, and to make sure that neither a demonstration nor a fully implemented extended PPS will expose beneficiaries or providers to unacceptable risks. An earlier RAND report, R-3335, describes in detail how an extended PPS would operate and how a demonstration would be structured.
Download or read book Information Requirements for Evaluating the Impacts of Medicare Prospective Payment on Post hospital Long term care Services written by and published by . This book was released on 1985 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Effects of the DRG based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Katherine L. Kahn and published by . This book was released on 1990 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Prospective Payment written by and published by . This book was released on 1983 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Inpatient Hospital Payments CMS Has Used External Data for New Technologies in Certain Instances and medicare Remains Primary Data Source written by and published by DIANE Publishing. This book was released on 2007 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Impact of the Prospective Payment System on the Delivery of Physical Therapy Services written by Ken Davis and published by . This book was released on 1986 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Effects of the DRG based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by and published by Rand Corporation. This book was released on 1992 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1983, in an effort to control rising health care costs, the federal government established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. Under PPS, hospitals are paid an amount based largely on flat rates per admission calculated for each of approximately 470 diagnosis-related groups (DRGs). This new payment system has been somewhat successful at slowing the upward spiral of Medicare costs. However, because PPS presents incentives to decrease lengths of stay and to substitute lower-cost services and procedures, patients, physicians, and policymakers are concerned that, despite the introduction of monitoring by professional review organizations, the quality of health care given Medicare patients may have declined under PPS. This report assesses the quality of inhospital care for Medicare patients age 65 and over, before and after the implementation of PPS, and estimates the effects of the PPS intervention on quality of care, by comparing quality of care now with the best estimate of what it would have been without PPS. Specifically, the authors describe the study's design, sampling, and fieldwork; discuss changes in sickness at admission following the introduction of PPS; consider measurements of the quality of care using explicit criteria before and after implementation of the PPS; compare changes in quality of care between 1981 and 1986 for five diseases as measured by implicit review; and discuss PPS and impairment at discharge.
Download or read book Medicare Physician Payments written by James C. Cosgrove and published by DIANE Publishing. This book was released on 2010-02 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare¿s physician fees may not always reflect efficiencies that occur when a physician performs multiple services for the same patient on the same day, and some resources required for these services do not need to be duplicated. This report examined: (1) the Centers for Medicare and Medicaid Services¿ (CMS) efforts to set appropriate fees for services furnished together; and (2) additional opportunities for CMS to avoid excessive payments when services are furnished together. The report examined relevant policies, laws, and regulations; interviewed CMS officials and others; and analyzed claims data to identify opportunities for further savings. Includes recommendations. Charts and tables.
