The humanitarian crisis significantly affects the provision of medical and pharmaceutical care to PWD, makes it difficult predict its availability affordability. It was established that despite military actions in Ukraine, reimbursement system is experiencing both negative positive trends. Negative trends are : an increase drug prices, amount patient co-payments, a decrease number glucose-lower...

Objectives The aim of this publication is to describe two reimbursement categories in Poland, chemotherapy drugs and drug programs, and to assess strengths and weaknesses of them from the payer’s and patients’ perspective. Policies targeted: The abstract presents evaluation of reimbursement categories which interface between outpatient and in-patient sectors, and influence of these reimbursemen...

STUDY DESIGN Structured key informant interviews with follow-up. OBJECTIVE The aim of the study was to describe innovative reimbursement models in spine care and gather perspectives on the future of spine care reimbursement. SUMMARY OF BACKGROUND DATA The United States spends $90 billion annually on medical expenses for low back pain. One approach to promoting high-quality, cost-effective c...

The companion paper on nursing home levels of care (Bishop, Plough and Willemain, 1980) recommended a "split-rate" approach to nursing home reimbursement that would distinguish between fixed and variable costs. This paper examines three alternative treatments of the variable cost component of the rate: a two-level system similar to the distinction between skilled and intermediate care facilitie...

BACKGROUND Though urinary incontinence (UI) is a bothersome condition for the individual patient, the patients tend not to inform their physician about UI and the physician tend not to ask the patient. Recently different initiatives have been established in Danish general practices to improve the management of UI. The aim of this study was to identify the handling of urinary incontinence (UI) i...

This paper analyzes the United States Medicare hospice reimbursement policy. The existing policy consists of a daily payment for each patient under care with a global cap of revenues accrued during the Medicare year, which increases for each newly admitted patient. We investigate the hospice’s expected profit and provide reasons for a spate of recent provider bankruptcies related to the reimbur...