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Results for “Reimbursement, Incentive”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 631 records · Page 35Linked to original sources
PubMed1998

Defining teaching hospitals' GME strategy in response to new financial and market challenges.

The authors present an overview of current graduate medical education (GME) issues, particularly the financial challenges to teaching hospitals resulting from the Balanced Budget and Tax Payer Relief Acts of 1997 and other recent market-driven factors. They describe in detail the nature of Medicare GME payments before and after the 1997 legislation, with specific examples, and explain the negative financial impact of the legislation and aspects of the legislation that are designed to alleviate that impact. Other factors influencing GME program size and composition are also discussed, including oversupplies or shortages of physicians, the concern that teaching hospitals are using public funds to train international medical graduates, changing training requirements, etc. The authors also describe a recent consulting assignment during which they assisted a major teaching hospital to develop a GME strategy that was responsive to the organization's mission and patients and that took into account future GME financing challenges. Detailed explanations are given of how the consultants analyzed the hospital's GME programs and finances, developed and ranked key institution-specific program criteria (strategic, organizational and operational, and financial), and, in consultation with all key stakeholders, formulated a GME strategy specific to the institution's needs. The authors conclude by cautioning that each institution's GME strategy will be different, but that it is important for institutions to develop such strategies to better face future challenges.

Budgets↗
PubMed1984

The nature of hospital-HMO affiliations.

Understanding the nature of hospital-HMO affiliations has implications for health care managers. A national survey of hospitals examined this nature, analyzing the extent of discounting , the relations between hospitals and HMOs and the payment mechanisms employed.

Bed Occupancy↗
PubMed1985

Hospital strategies for the eighties: a mid-decade look.

At the beginning of the 1980s, a variety of sources predicted turbulent times for the hospital industry. The past few years have brought many changes in the expectations, structure, and behavior of hospitals, and key questions face this health care industry as it enters the second half of the decade.

Computers↗
PubMed1986

Prospective payment for hospital capital by Medicare: issues and options.

After this year, Medicare will no longer reimburse capital-related expenses. Instead, a new approach may be implemented. Should the new capital payment scheme be prospective? Should Medicare continue to recognize return on equity? What will be the relationship between Medicare payment and health care planning? These and other questions should be asked since the answers will directly affect the health care setting.

Aged↗
PubMed2001

How using social work can save money under PPS.

PPS calls for every employee to work efficiently together to assure success. This article outlines the various ways social work services can be used to benefit patient care and agency financial and organizational goals. It is a "must read" for clinicians, managers, and administrators to learn more about how social workers can play an increasingly important role in all aspects of the organization.

Cost Savings↗
PubMed2002

It's management not payment that we should focus on: comments on Welch.

This comment discussed the ideas put forward by Peter Welch in his article on federal policy pertaining to managed care. Specifically, we assert that it is important to have as wide a data set as possible if one is to maximize the benefits of capitation. These benefits largely revolve around creating a tool that primarily represents a language that can facilitate communication between the financial and clinical sides of managed care.

Aged↗
PubMed2002

Outpatient encounter data for risk adjustment--a view from Europe: comments on Welch.

This article comments from a European perspective on W. Pete Welch's article, which examines the use of outpatient encounter data for risk adjustment. Although diverse, Western European health care systems all seek to provide a comprehensive package of care, financed by premiums unrelated to health status. Some form of risk adjustment is therefore required as a basis for funding insurers in all systems. Two objectives have dominated: to secure equity between patients covered by different insurers and to ensure that (where implemented) competitive insurer markets operate efficiently. The commentary concludes that, although risk adjustment research of this type is important, the most fundamental requirement is to develop a more active purchasing function on the part of insurers.

Ambulatory Care↗
PubMed1984

Grading DRGs.

Explore the source record for details and available documents.

Costs and Cost Analysis↗
PubMed1998

Impact of an all-inclusive diagnosis-related group payment system on inpatient utilization.

OBJECTIVES: Although case-based payment is one of the main reimbursement mechanisms for hospitals, little is known about its effects in the general population. Prior studies have focused on Medicare or on all-payer systems in particular states. This study estimates the effect of a prospective payment system based on diagnosis-related groups (DRGs) nationwide in the Department of Veterans Affairs. METHODS: Multiple regression analysis was used to estimate the effect of Department of Veterans Affairs's diagnosis-related group system separately for 22 diagnoses. The dependent variables were length of stay, inpatient days per patient, and discharges per patient. Covariates included patient, hospital, and area characteristics. RESULTS: Department of Veterans Affairs's diagnosis-related group system reduced lengths of stay and inpatient days per patient. The largest impacts were for the psychiatric diagnoses and several surgical procedures. The magnitudes of the effects were generally moderate. Department of Veterans Affairs's case-based system had a negligible effect on discharges per patient. CONCLUSIONS: Per case reimbursement is a potentially useful tool for improving the efficiency of inpatient care for all types of diagnoses and age groups. The effect may be larger than estimated here because of institutional barriers and caps on financial impact.

Aged↗
PubMed1997

Health care changes from a public health perspective: implications for optometry-ophthalmology relations.

BACKGROUND: Within the past 20 years, the professional scope, predominant mode of practice, and methods of reimbursement for optometric services have evolved due to technological and professional growth, and external factors. METHODS: Public health constructs are used to discuss several influential external factors affecting optometry's evolution and future. RESULTS: The public health perspective provides insights on why certain changes in health care delivery have occurred, and are used to predict the structure of future eye and vision care in America. CONCLUSIONS: The public health perspective underscores the need for proactive, collaborative involvement by optometrists and ophthalmologists to ensure some semblance of rational change in eye care delivery in the current hyperturbulent health reform environment.

Delivery of Health Care↗