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Biomedical subjects

M M Torchia

Publications and source records attributed to M M Torchia.

6 recordsLinked to original sources

Making health care work in rural communities.

Rural employees are experimenting with purchasing cooperatives to reward local providers for delivering cost effective care. Two rural communities share their attempts to improve and quality of local health care delivery.

Cost Control↗

Capital PPS 10-year transition up and running.

Hospital financial officers must prepare themselves for the long stretch, as the 10-year transition to Medicare's new capital prospective payment system (PPS) gets underway. Documentation related to capital assets and their financing must be assembled and preserved throughout the transition period; audit procedures must be understood; crucial deadlines must be met; and calculations by Medicare fiscal intermediaries (FIs) must be verified by reference to a hospital's records. Most important, lines of communication with FIs must be established and maintained because rates set this year will determine a substantial portion of Medicare payment for the next decade.

Capital Expenditures↗

Complexity, caution mark start of PPS for capital.

The Health Care Financing Administration's revised and highly complex method of paying for inpatient capital costs includes broadened provisions for old capital, a series of payment "floors" for especially vulnerable facilities, and other changes meant to address industry criticism. But a villain known as budget neutrality inevitably led to reductions in some areas. During the system's 10-year transition, one prominent concern will center on how the Federal rate will be set and adjusted.

Budgets↗