The Health Care Financing Administration (HCFA) implemented a swing-bed demonstration and evaluation program for rural communities in the 1970's. The demonstration substantiated the cost effectiveness of providing long-term care in small, rural, acute care hospitals. As a result, Section 904 of the Omnibus Reconciliation Act of 1980 (Public Law 96-499) authorized the national swing-bed program,...

background: informal payments in the health sector of many developing countries are considered as a major impediment to health care reforms. informal payments are a form of systemic fraud and have adverse effects on the performance of the health system. in this study, the frequency and extent of informal payments as well as the determinants of these payments were investigated in general hospita...

OBJECTIVE The purpose of this study was to determine whether multidisciplinary team-based care guided by the chronic care model can reduce medical payments and improve quality for Medicaid enrollees with diabetes. RESEARCH DESIGN AND METHODS This study was a difference-in-differences analysis comparing Medicaid patients with diabetes who received team-based care versus those who did not. Team...

several procedures have been employed to examine the impacts of subsidies on different indices in an economy. this paper proposes a new approach enabling one to compare direct and indirect payments on households. to this end, the impact of government payments is examined on gross regional products, employment, income distribution and inflation of golestan province in iran through a social accou...

The elimination of urban-rural differences in the Medicare prospective payment system (PPS) standard rates implies a need to re-examine all the PPS payment adjustments. Refinements for case mix, outliers, and the wage index can make a significant contribution to avoiding payment disparities in a single-rate system. However, changes in the adjustments for teaching and disproportionate-share (DSH...

titlan in the Valley of Mexico, that Aztec city was the capital of a far-flung tributary empire. The emperor Motecuhzoma sat atop a complex social and political hierarchy, and the Aztec populace owed allegiance and tribute to nobles at several levels. Below the emperor were the kings of subject city-states. The Aztec dominion employed a policy of indirect rule, and imperial authorities supporte...

ABSTRACT- According to article 44 of the I.R. of Iran Constitution, the Iranian economy consists of three sectors; the state, the cooperative, and the private sectors. The aim of this study was to present a hierarchy of criteria for selecting the best economic sector for agricultural development. Analytic Hierarchy Process (AHP) was used to calculate the relative importance of either criteria o...

Under the table or informal payments in several middle and low income countries is a serious impediment to health care reform. These payments are effectively a form of systemic corruption. This report shows the efforts of a patient who seek health care for his ankle while being requested to pay under the table in hospital and private clinic. The data were collected by interview and surveying pa...

This paper examines the dynamic efficiency of direct and indirect payments for habitat conservation, as well as the preferences of donors who make the payments. A direct (or performance) payment is an annual payment to a landowner based on the number of hectares of undisturbed habitat that the landowner has preserved. An indirect payment is an annual payment to a landowner that subsidizes the u...