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Biomedical subjects

J D Bentley

Publications and source records attributed to J D Bentley.

27 records · Page 2Linked to original sources
PubMed1981

Patient case mix: it's not too early to become involved.

The number and types of patients treated by a hospital is referred to as the patient case mix. One classification approach--Diagnosis Related Groups--is being used in New Jersey and Maryland to determine hospital reimbursement rates. In this article, the authors define the concept of the patient case mix, describe DRGs, and forecast the impact they may have on hospital laboratory operations.

Diagnosis↗
PubMed1981

HCFA case mix index: implications for hospitals.

Since DRGs have stimulated payer interest in per admission, case mix adjusted payment systems, hospitals must begin to anticipate the impact of case mix on payment incentives, data quality, and hospital operations.

Diagnosis↗
PubMed1980

Today's teaching hospitals: old stereotypes and new realities.

Two decades ago teaching hospitals were a relatively small number of large, urban facilities. They were located near medical schools; were recipients of substantial support from local government appropriations and philanthropic donations; were providers of a large volume of ambulatory care to the indigent population; and were the centers for advancing medical research and technology. Since 1960, changes in medical education and the socioeconomic environment have resulted in a dramatic increase in the number and types of hospitals that formally participate in medical education. The traditional characterization of teaching hospitals still applies to some institutions, but hospitals newly affiliated with medical schools have very diverse characteristics. Unfortunately, third parties, regulators, and hospitals often attach the term "teaching hospital" to all of these hospitals as if they were a homogeneous set of institutions. Additional discussion and documentation of similarities and differences among teaching hospitals could benefit both hospitals and regulators when health policies are being formulated.

Costs and Cost Analysis↗
PubMedDate not supplied

The evolution of support for safety-net hospitals.

The federal government, mostly through the Medicare and Medicaid programs, has created and maintained a set of structural mechanisms to support uncompensated care and clinical education: disproportionate-share hospital payments and direct and indirect graduate medical education payments. This paper provides a history of how these traditional supports have evolved. We note that the need to reduce federal and state spending threatens the level of these payments, while changes in the health care delivery system highlight a range of design and technical inadequacies in the current support mechanisms.

Cost Control↗