This list contains codes identifying home infusion therapy products/services. 530 National Council for Prescription Drug ProgramsReject/Payment Codes SIMPLE DATA ELEMENT/CODE REFERENCES1270/RX, 1271 SOURCENational Council for Prescription Drug Programs Data Dictionary AVAILABLE FROMNCPDP4201 North 24th StreetSuite 365Phoenix, AZ 85016ABSTRACTA listing of ...

Patient mobility is a key issue in the EU who recently passed a new law on patients’ right to EU-wide provider choice. In this paper we use a Hotelling model with two regions that differ in technology to study the impact of patient mobility on health care quality, health care financing and welfare. We show that without patient mobility quality is too low (high) and too few (many) patients are t...

OBJECTIVES To evaluate the accuracy of the Minimum Data Set (MDS) in identifying hospitalization events and payment source among nursing home residents. RESEARCH DESIGN The 2003 MDS, Medicare Provider Analysis and Review File (MedPAR), Medicare denominator file, Medicaid Analytical Extract (MAX) long-term care file, and MAX personal summary file for 4 states (California, Ohio, New York, and T...

We consider a hierarchical network game with multiple links, a single service provider, and a large number of users with multiple classes, where different classes of users enter the network and exit it at different nodes. Each user is charged by the service provider a fixed price per unit of bandwidth used on each link in its route, and chooses the level of its flow by maximizing an objective f...

'Creaming' and 'parking' are endemic concerns within quasi-marketised welfare-to-work (WTW) systems internationally, and the UK's flagship Work Programme for the long-term unemployed is something of an international pioneer of WTW delivery, based on outsourcing, payment by results and provider flexibility. In the Work Programme design, providers' incentives to 'cream' and 'park' differently pos...

The Integrated Healthcare Association is coordinating an episode of care payment initiative involving prominent health plans, hospital systems, and physicians organizations in California. he fragmentation of payment methods undermines efficiency and quality of care due to its effects on both providers and consumers. This effect is especially pronounced when considering high-cost surgical proced...

The Philippine Health Insurance Corporation (PhilHealth) is a government owned and controlled corporation, established in 1995 and tasked to implement the National Health Insurance Program. Since its inception, PhilHealth has utilized the fee-for-service scheme for majority of inpatient benefits and case payment for selected, mostly outpatient benefits. In 2010, the country elected a new presid...

We consider a hierarchical network game with multiple links, a single service provider, and a large number of users with multiple classes, where different classes of users enter the network and exit it at different nodes. Each user is charged by the service provider a fixed price per unit of bandwidth used on each link in its route, and chooses the level of its flow by maximizing an objective f...