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T Matson

Publications and source records attributed to T Matson.

12 recordsLinked to original sources
PubMed1999

Outpatient PPS will create hospitals' greatest challenge. Part I.

Medicare's Outpatient Perspective Payment System is scheduled for implementation on July 1, 2000, and most providers will experience a reduction in revenue as a result. Ted Matson and Jim Georgoulakis of Ambulatory Care Advisory Group, Inc. provide an overview of this new reimbursement system and what it will mean for hospitals.

Aged↗
PubMed1991

Ambulatory care to drive hospital services in 1990s.

Health care providers can expect a dramatic change in ambulatory care in the next decade. Driven by a variety of factors, including double digit growth in key outpatient areas, hospital administrators can expect a continuation of a trend that began in the 1980s. In the following article, the author details the changes that will focus on outpatient services.

Ambulatory Care↗
PubMed1991

Outpatient prospective payment.

In September of this year, the Health Care Financing Administration (HCFA) will present Congress with its recommendations for developing a prospective payment system for all Medicare outpatient services. Whichever plan is ultimately adopted, this system of payment will greatly impact the structure and management of outpatient services and, in particular, reimbursement for radiology services and use of technologies. While a system is perhaps at least two years away from full-scale implementation, providers are already witnessing diminishing reimbursement as a result of incremental payment changes since the early 1980's. With the across-the-board cuts of six percent for all hospital outpatient services, authorized for the first time last year by Congress, some providers are experiencing an escalation of payment short-falls. Further, if current experience with implementation of the inpatient prospective payment system is replicated in the outpatient arena, payments will not only be less but they will be dramatically different for various providers. Since implementation of DRGs, Medicare has achieved savings of $18 billion for inpatient care. While some hospitals have reported their best years financially, others are consolidating or closing. A prospective payment system for outpatients will also have such "winners and losers," but as a single policy initiative it will probably have a greater impact than both DRGs and the resource-based relative value scale (RBRVS) combined. Because fixed payments for inpatients have proliferated the push to outpatient care, a DRG-like system for outpatients will result in capping payments for the entire continuum of services provided in hospitals.(ABSTRACT TRUNCATED AT 250 WORDS)

Ambulatory Care↗