Hospital capital costs: the new Medicare reimbursement system.
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Biomedical subjects
Publications and source records attributed to J I Suldan.
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Continuing increases in Medicare expenditures for physicians' services, despite repeated attempts to control costs, have led to substantial pressure to reform the system by which Medicare pays physicians. This article summarizes the most recent changes to Medicare's methodology for physician payments. It then discusses more far-reaching reforms likely to be considered during the next several years. Finally, it suggests ways in which local physician groups, including hospital medical staffs, may be able to influence the outcome of the reform process.
Physicians who treat patients residing in SNFs and ICFs must be sensitive to a variety of legal issues that arise out of the unique characteristics of those patients and the manner in which their care is financed. Issues of particular interest to attending physicians which this article addresses include "level of care" certification requirements, review of hospital admissions by federally mandated peer review organizations, and decisions to discontinue life-sustaining treatment for terminally ill patients.