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 Status of the Medicare Transaction System written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Government Management, Information, and Technology and published by . This book was released on 1997 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Transaction System written by Mark E. Heatwole and published by DIANE Publishing. This book was released on 1998 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluates the Health Care Financing Admin's (HCFA) acquisition of its Medicare Transaction System (MTS). Specifically addresses the extent to which HCFA is effectively managing its interim Medicare processing environment, is using required practices to manage MTS as an investment, & is applying sound system development processes to reduce risk. Makes several recommendations that could help HCFA effectively meet its Medicare info. technology needs & decrease the risk of costly technological decisions & wasted Fed. expenditures that are often associated with large Fed. info. technology projects.

Download or read book Medicare Transaction System written by United States. General Accounting Office and published by . This book was released on 1997 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Transaction System written by Frank W. Reilly and published by . This book was released on 1995 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Status of the Medicare Transaction System written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and published by . This book was released on 1997 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Transaction System written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-05-27 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Transaction System: Strengthened Management and Sound Development Approach Critical to Success

Download or read book Concept of Operations for the Medicare Transaction System written by United States. Health Care Financing Administration. Bureau of Program Operations and published by . This book was released on 1994 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Status of the Medicare Transaction System the Health Care Financing Administration s Planned Data System to Control Fraud Abuse written by United States Congress and published by Forgotten Books. This book was released on 2016-12-25 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from Status of the Medicare Transaction System, the Health Care Financing Administration's Planned Data System to Control Fraud/Abuse: Joint Hearing Before the Subcommittee on Government Management, Information, and Technology, and the Subcommittee on Human Resources and Intergovernmental Relations of the Committee on Government Reform and Oversight; November 16, 1995 Today there are nine standard systems, a Common Working File that contains beneficiary data at nine separate sites, more than 70 intermediaries and carriers, and more than 56 hardware sites It is expensive and difficult to make a single change in Medicare policy or procedures because all these systems need to be modified. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1995 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Stopping Abusive and Unnecessary Medicare Payments written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 1995 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare s Prospective Payment System written by and published by . This book was released on 1985 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Report to the Congress Medicare Payment Policy written by Medicare Payment Advisory Commission (U.S.) and published by . This book was released on 1998 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 United States. Prospective Payment Assessment Commission and published by . This book was released on 1987 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Transaction System written by United States. General Accounting Office and published by . This book was released on 1997 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Geographic Adjustment in Medicare Payment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-01 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Medicare Prospective Payment and the American Health Care System written by and published by . This book was released on 1987 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: