Medicare continues to implement payment reforms that shift reimbursement from fee-for-service toward episode-based payment, affecting average and marginal payment. We contrast the effects of two reforms for home health agencies. The home health interim payment system in 1997 lowered both types of payment; our conceptual model predicts a decline in the likelihood of use and costs, both of which ...

Kandpal Deepa H. & Tinani Khimya S. Department of Statistics, Faculty of Science, The M.S. University of Baroda Vadodara-390002, Gujarat, India . ABSTRACT This paper develops a model to determine an optimal ordering policy for deteriorating items under permissible delay of payment and allowable shortage for future supply uncertainty for two suppliers. In this paper we have introduced the aspect...

Provider payment methods may be divided into eight basic methods, depending on the unit of payment.* Each method is characterized by a different division of risk between the payer and the provider (see chart below.) In increasing order of payer risk, the eight basic methods are: 1. Per dollar of charges. The provider is paid a percentage of its charges, usually less than 100 percent. This metho...

Background: Physiotherapy services constitute a principle part of health care systems, and interest in their use has increased in the recent decades.  This study was conducted to investigate the utilization and OOP payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran.    Methods: This cross-sectional study was c...

Uniformity testing and the more general identity testing are well studied problems in distributional property testing. Most previous work focuses on testing under L1-distance. However, when the support is very large or even continuous, testing under L1-distance may require a huge (even infinite) number of samples. Motivated by such issues, we consider the identity testing in Wasserstein distanc...

Recently, there has been a great effort to extract the phase of chaotic attractors and complex oscillators. As a consequence many phases have been introduced, as example the standard phase θ based on the rotation of the vector position, and the phase φ based on the rotation of the tangent vector. Despite of the large interest in the phase dynamics of coupled oscillators there is still a lack of...

PURPOSE Malpractice premiums have increased by up to 57% for urologists in the last 3 years, for which the reasons are not clearly reported. We sought to better understand factors contributing to the current medical malpractice crisis in urology. MATERIALS AND METHODS Working with the Medical Liability Mutual Insurance Company of New York State we evaluated malpractice claims in urology that ...

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...