PURPOSE Continuity of care, equitable access, and quality and safety are major foci in health services management. The introduction of limited prescribing rights to pharmacists has the potential to reduce fragmentation within the health system, optimise medication management, improve continuity of patient care and improve patient access to medication. RESULTS Eight models for pharmacists' pre...

OBJECTIVE The effects of a 12-week treatment with modified-release prednisone (MR-pred) on the costs of drug treatment of RA were modelled. METHODS With the results of a recent randomized trial as source data, we expressed the effect of treatment (MR-pred vs placebo) on the decrease in the proportion of RA patients meeting disease activity thresholds for reimbursement of biologic treatment. ...

to successfully defend a single claim of malpractice would likely exceed the annual premium for liability insurance, and this fact alone makes malpractice insurance a sound business expense. Unfortunately, it’s one that growing numbers of physicians can’t afford. Physicians and patients in 20 states are facing a “full-blown medical liability crisis” (up from 12 states two years ago), and at lea...

We use linked administrative data from program and earnings records to summarize the 2007 employment rates of Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. The findings provide new information on the employment activities of beneficiaries that should be useful in assessing current agency policies and providing ben...

In "What Is the Problem With ThirdParty Prescription for School-Based Practice" (AjOT, Ocrober 1996, pp. 750-751), Royeen discusses the difficulties of third-party therapists involved in me evaluation of a child receiving school-based occupational therapy. I agree with the author that an evaluation void of the school environment is problematic. Frequently, third-party therapists have little awa...

IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT ® *), Centers for Medicare and Medicaid S...

OBJECTIVES To compare third-party payor reimbursement for patients evaluated in a university-based pediatric weight management clinic in central Kentucky. STUDY DESIGN Demographic and reimbursement data were reviewed for 120 patients evaluated January to December 2004. Statistical analysis included Kruskal-Wallis test and Friedman's test. RESULTS Overall, median reimbursement was 60%. For n...

The available information about BSC for patients with NSCLC of the four published studies result in annual therapy costs per patient of 17,365 – 50,882 € with median costs of 29,261 €. Due to specific characteristics of the different international health care systems, the cost calculation for some kinds of treatments had to be adjusted to fit into the german reimbursement system. In addition, t...

The reimbursement landscape for new and innovative diabetes devices in Europe is very heterogeneous and nontransparent, with each country employing different mechanisms, pathways, and requirements. This article provides an overview of how diabetes device reimbursement works in the outpatient setting in the five major European Union markets (France, Germany, Italy, Spain, and the United Kingdom;...

This paper describes the process of increasing reimbursement rates for physicians who provide services to Maryland Medicaid enrollees. It compares Maryland Medicaid reimbursement rates for physicians with Medicare fees in Maryland and Medicaid reimbursement rates of other states. It also provides an analysis of the impact of the increases in reimbursement rates on the participation of physician...