New Directions for Medicare Payment Systems
نویسندگان
چکیده
This overview discusses articles published in this issue of the Health Care Financing Review, entitled "Medicare Payment Systems: Moving Toward the Future." These articles focus on the ongoing development of Medicare payment methodologies, their adoption by non-Medicare payers, and issues to be addressed in the development of all-payer systems based on these methodologies.
منابع مشابه
Medicare Compensation Rates for Hand and Shoulder/ Elbow Surgery by Operative Time: A Comparative Analysis
Background: There is a high demand for shoulder/elbow experience among hand-fellowship trainees due to theperception that this exposure will improve their professional “marketability” in a subspecialty they perceive as havinghigher compensation.Methods: Using Medicare data, we investigated the most common surgeries from these fields and determinedwhich have the highest c...
متن کاملProspective Payment for Medicare Inpatient Psychiatric Care: Assessing the Alternatives
This article reports the findings of an empirical analysis of per case and per diem models of prospective payment for Medicare inpatient psychiatric care. Quantitative measures are presented that show the improvement of a per diem model over a per case model. The research supports the viability of per diem prospective payment and identifies directions for future research that would refine curre...
متن کاملDeveloping payment refinements and reforms under Medicare for excluded hospitals
Four classes of specialty hospitals (children's, psychiatric, rehabilitation, and long-term) and two types of distinct-part units in general hospitals (psychiatric and rehabilitation) have been excluded from the Medicare hospital prospective payment system since it was enacted by Congress in 1983. The number of these facilities and the Medicare dollars expended have more than doubled in less th...
متن کاملMedicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs. Final rule with comment period.
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates fo...
متن کاملHelping Medicare Keep Pace With Medical Technology
HIMA urges Congress to improve Medicare’s ability to keep its payment systems current with advances in medical technology. This can be done through adjustments in the often technical methods and systems that Medicare uses to adopt and pay for new products. Unless the problems plaguing these systems are corrected, Medicare patients will be denied access to needed treatments and continued innovat...
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عنوان ژورنال:
دوره 16 شماره
صفحات -
تاریخ انتشار 1994