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W W Herr

Publications and source records attributed to W W Herr.

5 recordsLinked to original sources

Taking a deep breath over capital payments.

As the Congressional deadline nears for incorporating Medicare payment for capital investments into the prospective payment system, a number of healthcare groups are renewing their opposition to the initiative. They insist that a payment method cannot be constructed to equitably account for geographic influences, different capital cycles among healthcare facilities, and other factors. Opponents of the initiative say this failure will impose further stress on hospitals already burdened by less than adequate Medicare payments for operating expenses.

Capital Expenditures↗

New Medicare capital regulations: a capital idea?

Proposed regulations by the Health Care Financing Administration would add hospitals' capital costs to Medicare's prospective payment. The logic behind the move is flawed by a lack of empirical data regarding hospitals' capital spending decisions. And the proposal errs in not including leased equipment and facilities, post-transition assistance to capital-needy hospitals, and the cost of insurance, taxes, license, royalty fees, and related organizations' capital costs of depreciable assets not located on the hospital's premises. Since capital represents 10 percent of hospital spending, the government would be better off developing innovative approaches to solve cost problems.

Capital Expenditures↗