Download or read book Relationships Among Medicare Inpatient Overall Medicare and Total Margins for Hospitals written by and published by . This book was released on 2003 with total page 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 1987 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare and the American Health Care System written by and published by . This book was released on 1991 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book For Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Download or read book Health Care Spending and the Medicare Program written by and published by . This book was released on 1998 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Less Profit Less Care written by United States. Congress. House. Select Committee on Aging and published by . This book was released on 1988 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Examination of Winners and Losers Under Medicare s Prospective Payment System written by and published by . This book was released on 1991 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hospital Profitability in the Fourth Year of the Medicare Prospective Payment System written by and published by . This book was released on 1989 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1988 with total page 12 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 Explaining Hospital Costs and Utilization in the Nationwide Inpatient Sample written by Thomas L. Walsh and published by . This book was released on 2012 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Results. Study One. Overall, there were 5.6 million discharges in 684 hospitals. Discharge variables explained 59% of variation in average cost per discharge within hospitals. Contextual variables added just 0.16%. Hospital structural variables added 3% and attributes of the hospital that are unaccounted for by differences in discharge variables, context, or structure (the random effect) explained an additional 7%, for a total R2 value of 69%. Discharge variables explained 39% of the variation in average LOS per discharge within hospitals. Contextual variables just 0.66%, structural variables 0.79%, and previously unmeasured aspects of the hospitals explained 2% more. The total R2 for the LOS model was 42%. After adjusting for disease status, illness-severity, and individual poverty (through discharge variables), contextual factors, and structural variables the interquartile range for adjusted costs was $7966 ($7625 - $15591) and 3.4 days (3.3 - 6.7) for LOS. Study Two. Hospital-level differences in discharge variables explained 35% of the variation in mean costs per across hospitals. Hospital context variables added 5-21% more, depending on the order variables were entered into the model. Structural variables increased the variation explained by another 3%, to 59%. Hospital-level differences in discharge variables diagnostic groups explained 58% of the variation in mean LOS across hospitals. The addition of hospital context variables increased the variation explained 6%. Structural variables added 13% to a total explained of 77%. Study Three. The mean proportion of patients within hospitals with Medicare as the expected payer was 35% (0-98%). The Spearman's correlation of mean adjusted costs per hospital for discharges with Medicare and mean adjusted costs per hospital for discharges without Medicare was 0.77, p=0.0000. The correlation for LOS was 0.42, p=0.0000. Conclusions. The overarching aim of this dissertation was to examine the amount of variation in discharge level costs and LOS within and between hospitals. Furthermore, an additional aim was to address three criticism of prior variation research. Criticism one was the lack of contextual variables in studies of regional variation of expenditures. When examing costs and LOS, contextual variables were found to explain less than 1% of the variation within and between hospitals. This is reassuring because it would be very troubling if a hospital were found to modify its delivery of care solely based upon the proportion of patients with Medicare, Medicaid, private payer, or uninsured status, the proportion of patients who are female, or the proportion of patients from high, medium, or low income ZIP-codes. Criticism two pertained to the regional nature of prior variation research. These data revealed substantial unexplained variation in both costs and LOS within and between hospitals. The amount of variation in costs at the discharge level explained by covariates was 69% and 41% for LOS at the discharge level. Of variation at the hospital level 59% was due to variation between hospitals in covariates. Of the variation in mean LOS per hospital, 77% was due to hospitals. Criticism three concerned the generalizability of research findings using Medicare expenditures. Study three addressed this concern by testing the correlation between similar patients with and without Medicare as the expected payer for both costs and LOS. There was a high correlation in costs and a moderate correlation in LOS for patients with and without Medicare as the expected payer. It could be argued that a higher correlation should be expected. After all, a 63-year-old patient with a hip fracture and private insurance would be expected to receive similar care as a 67-year-old patient with the same diagnosis and similar illness severity. In total, the three studies address common criticisms of prior research into regional variation in health care expenditures. Expenditures are the product of prices and utilization. Prices are the result of a hospital's costs of care and market forces. This dissertation contains the first known attempts to examine variation in hospital costs. I have shown there to be substantial unexplained variation in adjusted costs and LOS within and between hospitals, which suggests it should be possible for hospitals to reduce costs and LOS in the face of declining reimbursement while still maintain operating margins.
Download or read book Rural Hospitals and Medicare s Prospective Payment System written by and published by . This book was released on 1991 with total page 76 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 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Relationship of the Financial Condition of a Healthcare Organization and the Error Rate of Potentially Missed Coding billing of Select Outpatient Services written by Lauree E. Handlon and published by . This book was released on 2008 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Hospital outpatient claims data and financial statistics using Medicare public use files, HOPS and HCRIS, were investigated. Relationships in the financial health of hospitals using ROE, total margin, operating margin, and Medicare outpatient operating margin and error rate for non-chemotherapy drug administration, blood transfusion, and venipuncture were reviewed. The study also investigated relationships between average error rate and demographic variables of bed size, revenue size, geographic region, and teaching distinction. A low association was found between financial health and error rates for selected services. Five statistically significant relationships were found, which may be an artifact of the size of the population under study. Study results showed that hospitals with fewer beds experienced higher error rates for drug administration and transfusion services. Limited research in investigating relationships in financial health, error rate, and hospital type currently exists. This study will provide as a reference for future studies in this area.
Download or read book A Shared Destiny written by Institute of Medicine and published by National Academies Press. This book was released on 2003-03-05 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Shared Destiny is the fourth in a series of six reports on the problems of uninsurance in the United States. This report examines how the quality, quantity, and scope of community health services can be adversely affected by having a large or growing uninsured population. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the effects of community uninsurance on access to health care locally, and the potential spillover effects on a community's economy and the health of its citizens. The committee believes it is both mistaken and dangerous to assume that the persistence of a sizable uninsured population in the United States harms only those who are uninsured.
Download or read book The Economics of Health and Health Care written by Sherman Folland and published by Routledge. This book was released on 2016-05-23 with total page 858 pages. Available in PDF, EPUB and Kindle. Book excerpt: For courses in Health Economics, U.S. Health Policy/Systems, or Public Health, taken by health services students or practitioners, the text makes economic concepts the backbone of its health care coverage. Folland, Goodman and Stano's book is the bestselling Health Care Economics text that teaches through core economic themes, rather than concepts unique to the health care economy. This edition contains revised and updated data tables, where applicable. The advent of the Patient Protection and Affordable Care Act (PPACA) in 2010 has also led to changes in many chapters , most notably in the organization and focus of Chapter 16.
Download or read book Health Care Turning Point written by Roger M. Battistella and published by MIT Press. This book was released on 2012-02-10 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: An expert debunks popular misconceptions about health policy, including the merits of single-payer plans, and offers an alternative. In the battle over health care reform we can try to fashion new policies based on old ideas—or we can acknowledge today's demographic and economic realities. In Health Care Turning Point, health policy expert Roger Battistella argues that the conventional wisdom that dominates health policy debates is out of date. Battistella takes on popular misconceptions about the advantages of single-payer plans, the role of the market, and other health policy issues and outlines a pragmatic new approach. Few would disagree that the current system is broken. But, Battistella asserts provocatively, a government takeover of health insurance patterned after Medicare and Medicaid won't work either. Battistella argues that contrary to popular belief, single-payer coverage will not lower health spending but would encourage overconsumption and drive costs up. If consumers were responsible for buying their own health insurance (as they are for buying their own car and home insurance), he argues, they'd look for value and demand greater price and quality transparency from providers. The economic shibboleth that the principles of market competition don't apply to health care is nonsense, Battistella says. We won't achieve real health care reform until policy makers adjust to this reality and adopt a more pragmatic view.
