Risk-adjustment system for the Medicare capitated ESRD program [0.03%]
以险调整系统在按人头付费的 medicare 尿毒症项目中的应用
Jesse M Levy,John Robst,Melvin J Ingber
Jesse M Levy
Medicare is the principal payer for medical services for those in the U.S. population suffering from end-stage renal disease (ESRD). By law, beneficiaries diagnosed with ESRD may not subsequently enroll in Medicare Advantage (MA) plans, how...
Janet M Bronstein,E Kathleen Adams,Curtis S Florence
Janet M Bronstein
This study explores the impact of program structure on children's use of care by comparing care use in State Children's Health Insurance Program (SCHIP) and Medicaid covered populations in a State where children share the same provider netw...
Comparative Study
Health care financing review. 2006 Summer;27(4):41-51. DOI: 2006
Randomized trial of stage-based interventions for informed Medicare choices [0.03%]
医保决策知情权的分期介入措施随机对照试验
Deborah A Levesque,Carol O Cummins,Janice M Prochaska et al.
Deborah A Levesque et al.
A randomized trial involving 1,351 new Medicare enrollees was conducted to assess the efficacy of a transtheoretical model (TTM) based manual and multimedia expert system program that delivered guidance and feedback matched to individual st...
Randomized Controlled Trial
Health care financing review. 2006 Summer;27(4):25-40. DOI: 2006
Medicare beneficiary knowledge: measurement implications from a qualitative study [0.03%]
医疗保险直接受益人相关知识的测量指标：一项定性研究的结果
Cayla R Teal,Debora A Paterniti,Christi L Murphy et al.
Cayla R Teal et al.
Medicare beneficiary knowledge about fee-for-service (FFS) Medicare versus managed care alternatives (MCA) has been studied extensively. However, these efforts might be compromised by lack of familiarity with common Medicare terminology. We...
Measures and predictors of Medicare knowledge: a review of the literature [0.03%]
关于医疗保险知识的测量及预测方法：文献综述
Leslie M Greenwald,Lauren A McCormack,Jennifer D Uhrig et al.
Leslie M Greenwald et al.
As the Medicare Program evolves, adding new insurance options like regional preferred provider organizations (PPOs) and prescription drug benefits, beneficiaries have an even greater need to understand the program. However, past research su...
Trends and current drug utilization patterns of Medicaid beneficiaries [0.03%]
医疗补助受益人群的用药趋势及当前用药情况分析
Terry R Lied,Julio Gonzalez,Wendy Taparanskas et al.
Terry R Lied et al.
This study used national Medicaid data from 1994-2003 to investigate trends in noninstitutional drug utilization and expenditures in the Medicaid Program. We found that there was a substantial increase in both drug utilization and expenditu...
Cost weight compression: impact of cost data precision and completeness [0.03%]
成本权重压缩：成本数据的精度与完整性的影响
Charles K Botz,Jason Sutherland,Jolyn Lawrenson
Charles K Botz
This study was designed to quantitatively assess the impact of deficiencies in completeness and precision of hospital case cost data on cost weight compression. For the nursing per diem model versus the nursing workload model the average co...
Medicare preferred provider organization demonstration: plan offerings and beneficiary enrollment [0.03%]
医疗保险优先供应商组织示范项目：保险计划和参保人登记情况
Gregory C Pope,Leslie Greenwald,John Kautter et al.
Gregory C Pope et al.
As preferred provider organizations (PPOs) become the dominant model of managed health care in the private sector, policymakers have increasingly viewed PPOs as an attractive option for Medicare. In part to understand how PPOs might operate...
Redesigning Medicare inpatient PPS to adjust payment for post-admission complications [0.03%]
改革医疗保险住院支付体系以调整入院后的并发症支付标准
Richard F Averill,James C Vertrees,Elizabeth C McCullough et al.
Richard F Averill et al.
Under the Medicare diagnosis-related group (DRG) based inpatient prospective payment system (IPPS), payments to hospitals can increase when a post-admission complication occurs. This article proposes a redesign of IPPS that reduces, but doe...
Identifying potentially preventable complications using a present on admission indicator [0.03%]
应用入院时并存疾病识别潜在可预防并发症
John S Hughes,Richard F Averill,Norbert I Goldfield et al.
John S Hughes et al.
This article describes the development of Potentially Preventable Complications (PPCs), a new method that uses a present on admission (POA) indicator to identify in-hospital complications among secondary diagnoses that arise after admission...