The Medicare hospice payment system: a consideration of potential refinements [0.03%]
美国医疗保险安宁疗护支付体系的潜在优化措施分析
Nancy Nicosia,Elaine Reardon,Karl Lorenz et al.
Nancy Nicosia et al.
The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare's per diem payment system for hospice. Visit-level resource utilization data were linked to patient-level...
Need for risk adjustment in adapting episode grouping software to Medicare data [0.03%]
风险调整在将病例分组软件改编以适应医疗保险数据中的应用必要性分析
Thomas MaCurdy,Jason Kerwin,Nick Theobald
Thomas MaCurdy
Episode grouper software offers a potential framework for developing important components of a pay-for-performance system for healthcare providers. If the costs for treating health conditions can be computed, then policymakers can in princi...
Estimating the costs of potentially preventable hospital acquired complications [0.03%]
估计可能本可避免的医院内并发症的成本
Richard L Fuller,Elizabeth C McCullough,Mona Z Bao et al.
Richard L Fuller et al.
California and Maryland hospital data are used to estimate the incremental cost associated with 64 categories of hospital acquired complications. The reason for admission, severity of illness at admission and the presence of hospital acquir...
Redesigning the Medicare inpatient PPS to reduce payments to hospitals with high readmission rates [0.03%]
改革医疗保险住院支付系统以减少向高重复住院率医院付款
Richard F Averill,Elizabeth C McCullough,John S Hughes et al.
Richard F Averill et al.
A redesign of the Medicare inpatient prospective payment system (IPPS) that reduces payments to hospitals that have high-risk adjusted readmission rates is proposed. The redesigned IPPS uses a readmission performance standard from best prac...
Medicare financial status, budget impact, and sustainability--which concept is which? [0.03%]
医疗财务状况、预算影响和可持续性——这些概念分别是什么？
Richard S Foster,M Kent Clemens
Richard S Foster
Medicare is continually undergoing change, as it must in order to reflect advances in medical technology, new health care delivery systems, financial pressures, and other developments. Modifications to the program are debated by policymaker...
Use and knowledge of the new enrollee "welcome to Medicare" physical examination benefit [0.03%]
关于新参保者利用和了解"欢迎使用Medicare"体格检查优惠项目的调查研究报告
Cara A Petroski,Joseph F Regan
Cara A Petroski
The Medicare Current Beneficiary Survey (MCBS) is a large survey utilizing a nationally representative sample of the Medicare population. The MCBS collects data on a whole host of topics including health status, health insurance coverage an...
George H Pink,George M Holmes,Rebecca T Slifkin et al.
George H Pink et al.
This study developed and applied benchmarks for five indicators included in the CAH Financial Indicators Report, an annual, hospital-specific report distributed to all critical access hospitals (CAHs). An online survey of Chief Executive Of...
Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences [0.03%]
评估医疗保险受益人处方药计划经历的工具的心理测量属性
Steven C Martino,Marc N Elliott,Paul D Cleary et al.
Steven C Martino et al.
Using data from 335,249 Medicare beneficiaries who responded to the 2007 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, along with data from 22 cognitive interviews, we investigated the reliability and vali...
Jessica Greene,Ellen Peters
Jessica Greene
In 2006, Florida's Medicaid reform required some Medicaid consumers to enroll in health plans that differed in terms of cost-sharing requirements and benefit limitations. In focus groups we found enthusiasm among Medicaid consumers for havi...
Austin B Frakt,Steven D Pizer,Roger Feldman
Austin B Frakt
Medicare private fee-for-service (PFFS) plans are paid like other Medicare Advantage (MA) plans but are exempt from many MA requirements. Recently, Congress set average payments well above the costs of traditional fee-for-service (FFS) Medi...