Author: Medicare Payment Advisory Commission (U.S.)
Publisher:
Published: 1998
Total Pages: 200
ISBN-13:
DOWNLOAD EBOOK →Author: Institute of Medicine
Publisher: National Academies Press
Published: 2000-12-04
Total Pages: 261
ISBN-13: 0309183618
DOWNLOAD EBOOK →Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2001-08-19
Total Pages: 360
ISBN-13: 0309072808
DOWNLOAD EBOOK →Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author: Rick Mayes
Publisher: JHU Press
Published: 2006-12-20
Total Pages: 274
ISBN-13: 0801888875
DOWNLOAD EBOOK →This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
Published: 1999
Total Pages: 120
ISBN-13:
DOWNLOAD EBOOK →Author: United States. Congress. Senate. Committee on Finance
Publisher:
Published: 1997
Total Pages: 176
ISBN-13:
DOWNLOAD EBOOK →Author: Alexander D. Hoffmann
Publisher: Nova Science Publishers
Published: 2011
Total Pages: 0
ISBN-13: 9781611228960
DOWNLOAD EBOOK →Payment policies for certain medical services, such as physician services and the most durable medical equipment are based on fee schedules. This book provides an overview of Medicare payment rules by type of service, outlines current payment policies and summarises the basic rules for program updates.