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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 91 records · Page 5Linked to original sources
PubMed1995

Administrative issues for use of nurse practitioners.

As nurse administrators increasingly use nurse practitioners in healthcare delivery systems to provide high-quality, more cost-effective care, they must recognize and take action on key practice issues--autonomy, title protection, admitting privileges, physician back-up, and reimbursement. Careful attention and action directed to enhancing nurse practitioner usefulness will increase the flexibility of nurse practitioner utilization within specific institutions and across a diverse network of healthcare delivery sites structured to provide continuity of care.

Delivery of Health Care↗
PubMed1984

Third-party payment for nutrition care services.

This survey was undertaken and is presented here to document the current status of third-party reimbursement for nutrition care services and to emphasize to all ADA members the urgent necessity for education of insurers, physicians, clients, and administrators. Escalating health care costs and the fervor for containment of these costs may at first paint a dismal picture--but it need not. It is a time of uncertainty, reconsideration, and policy evaluation for the insurance industry. Nutrition care services are vital to the health care delivery system, and it is your responsibility to publicize and promote that fact. Each of you must work at the local level with the insurance companies covering your clients, your local Blue Cross/Blue Shield plan, and the commercial carriers operating in your area. You must anticipate some resistance, questions, and possible first-round rejection--but persist and be helpful so that all patients may profit from affordable, reimbursable nutrition care services.

Ambulatory Care↗
PubMed1978

Third-party payers: to pay or not to pay.

Insurance companies have traditionally been wary of providing coverage for mental illness for two reasons: 1) they fear that people would bring a mental illness on themselves or would use treatment for self-actualization, and 2) they fear the risk of providing never-ending treatment for "incurable" illness. The author states that the insurers' fears are groundless but suggests that psychiatrists research the utilization and costs of their treatments in insurance plans collaboratively with the actuaries who determine policy and premiums. Retrospective and prospective criteria for outcome and effectiveness of psychiatric treatment must be developed and applied.

Attitude of Health Personnel↗
PubMed1985

Reducing public expenditures for physician services: the price of paying less.

The purpose of this paper is to examine how physicians respond to changes in payment levels from government insurers. Our analysis focuses on two issues: controlling overall program expenditures, and assuring full access to care for program clients. We review evidence from natural experiments in which payment levels were increased, frozen, or decreased. These studies show that freezing or reducing payment levels is not effective in controlling program expenditures, because physicians responded by increasing the quantity and complexity of services provided. Furthermore, when government programs freeze or reduce their payment levels, physicians are less likely to treat the clients of these programs. We conclude that policymakers must seek alternative strategies for controlling program expenditures.

Cost Control↗
PubMed1980

Does psychotherapy really work? The government tries to find out.

The federal government has paid little attention to the growing list of psychotherapies even though it covers some of the costs through its medicare and medicaid programs. Now, however, it is beginning to assess some 250 different types of therapy to determine which of them actually work.

Humans↗