Prior Authorization Information Pre-service approval is required for all inpatient services for all products. See below for situations where prior authorization may be required or may not be required. Yes indicates that prior authorization is required. No indicates that prior authorization is not required. N/A indicates that this service is primarily performed in an inpatient setting. Outpatien...

With nearly a quarter of the population enrolled in Health Maintenance Organizations (HMOs) the Mineapolis/St. Paul metropolitan area provides a unique opportunity for studies dealing with the effects of prepaid health plans on the health care marketplace. This study explores one aspect of that market; discounts obtained by HMOs for hospital inpatient service. Using information gathered from st...

AIMS AND OBJECTIVES To test the transportability and implementation of the Tobacco Tactics intervention using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, for inpatient units at the Jesse Brown Veterans Affairs Medical Center. BACKGROUND Smoking rates are high among veterans. While the Department of Veterans Affairs has standardised outpatient cessation clinic...

background increasing demand for limited healthcare resources raises questions about appropriate use of inpatient beds. in the first paediatric bed utilisation study at a regional university centre in ireland, we conducted a cross-sectional study to audit the utilisation of inpatient beds at the regional paediatric unit (rpu) in university hospital limerick (uhl), limerick, ireland and also exa...

BACKGROUND Hospital-based specialist palliative care services are common, yet existing evidence of inpatient generalist providers' perceptions of collaborating with hospital-based specialist palliative care teams has never been systematically assessed. AIM To assess the existing evidence of inpatient generalist palliative care providers' perceptions of what facilitates or hinders collaboratio...

BACKGROUND Monitoring the equity of government healthcare subsidies (GHS) is critical for evaluating the performance of health policy decisions. China's low-income population encounters barriers in accessing benefits from GHS. This paper focuses on the distribution of China's healthcare subsidies among different socio-economic populations and the factors that affect their equitable distribution...

M ore than 6 million Americans have heart failure (HF), and the prevalence continues to increase. In 2010, there were 1 million hospitalizations for acute decompensated HF, with most in patients aged ≥65 years. Accordingly, the healthcare costs associated with HF hospitalizations have been increasing exponentially. Total medical expenditure for HF was $20.9 billion in 2012 and is expected to ex...

background: optimal allocation of resources commensurate with performance improvement is the concerns of all countries including iran. estimation hospitals production function is important in the economic management of hospitals. objective: the aim of this study was to estimate the production function of iranian selected public hospitals as well as analyze the economic behavior in use of hospit...

introduction: one of the most important factors affecting the future survival of organizations is identifying and meeting the increasing needs and demands of patients in order to provide high quality health care services. the aim of this study was to identify factors affecting the selection of milad hospital, iran, by patients based on combined marketing factors. methods: the present analytical...