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Results for “Insurance, Health, Reimbursement”

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 73 records · Page 4Linked to original sources
PubMed1979

Reimbursing hospice care: a Blue Cross and Blue Shield perspective.

The Associations' "Initial Statement on Hospice Care and Payment for Hospice Services" comprises three criteria and many recommendations. The statement can guide local Plans and other third party payers, wary of repeating past mistakes that increased costs without improving care.

Blue Cross Blue Shield Insurance Plans↗
PubMedDate not supplied

Reimbursed treatment, regulated in the national frame contract.

The investigation is an analysis of the main elements, included in the reimbursement system for the drug insurance. The aim is directly dependent on the valuation for the adequate service of the arise health needs of the citizens that are obligatory insured. The used methods are connected with an analysis of the regulations and of the statistical information. As result of the investigation are characterized the seize of the disease and of the drug nomenclature with a forecast reimburse therapy. The provide valuation of the objective state of the system shows that the criteria and rules are not clear and precise in respect of: the include of the drugs in the positive list, the determination of the level of reimbursement, the selection of the disease with the reimbursement treatment and especially of those with totally reimbursed therapy. The investigation shows that the accepted principles in this area are appropriate with the modern concepts and tendencies, but for their real realization are necessary additional attempts for overcoming of the negatives in the process of developments through adequate administrative decisions and approaches.

Fees, Pharmaceutical↗
PubMed1997

Unintended effects of a cost-containment policy: results of a natural experiment in Germany.

In this paper empirical evidence for substitution processes caused by the budget for drugs prescribed by office-based physicians is provided. Due to substitution processes in a natural experiment the number of referrals and hospital admissions increased significantly after the introduction of a drug budget in Germany. This leads to additional direct and indirect cost for the health care system.

Budgets↗
PubMed2004

EPSDT & billing.

Explore the source record for details and available documents.

Adolescent↗