The Patient Protection and Affordable Care Act's provisions regarding medical loss ratios and quality: evidence from Texas [0.03%]
《患者保护与平价医疗法案》关于医疗损失率和质量规定的证据——来自德克萨斯州的证据
Troy Quast
Troy Quast
Objectives: The Patient Protection and Affordable Care Act (PPACA) includes a provision that penalizes insurance companies if their Medical Loss Ratio (MLR) falls below a specified threshold. The MLR is roughly measured a...
Indrani Gupta,Swadhin Mondal
Indrani Gupta
This article examines the availability of fiscal space in the context of health spending and the challenges and constraints in raising additional resources for health given the macroeconomic situations, in the ten countries of the South-Eas...
The fee-for-service shift to bundled payments: financial considerations for hospitals [0.03%]
从按服务收费向包干制支付转变：医院的财务考量因素
Keely Scamperle
Keely Scamperle
Skyrocketing health care costs are forcing payers to demand delivery efficiencies that preserve and promote quality care while reducing costs. Hospitals are challenged to meet the pressure from payers to deliver value and outcome-based heal...
Estimation of health care costs and cost recovery: the case of Rafidya Hospital in Palestine [0.03%]
约旦河西岸拉菲迪亚医院卫生保健费用的估算及其成本补偿问题研究
Mustafa Z Younis,Samer F K Jabr,Catherine Plante et al.
Mustafa Z Younis et al.
The purpose of this study is to develop an estimation model for health care costs and cost recovery, and evaluate service sustainability under an uncertain environment. The Palestinian National Authority's recent focus on improving financia...
Steven R Eastaugh
Steven R Eastaugh
We have overestimated the ability of electronic health records (EHR) systems to enhance efficiency by eliminating transcription and the need to physically pull charts. Hospital managers typically underestimate the costs of upgrade fees and ...
The law of unintended (financial) consequences: the expansion of HIPAA business associate liability [0.03%]
意想不到的(金融)连锁反应定律：HIPAA商务关联责任扩大化
Jonathan P Tomes
Jonathan P Tomes
The recent Omnibus Rule published by the Department of Health and Human Services greatly expanded liability for breaches of health information privacy and security under the HIPAA statute and regulations. This expansion could have dire fina...
Annemarie Kelly
Annemarie Kelly
Health care spending in both the governmental and private sectors skyrocketed over the last century. This article examines the rapid growth of health care expenditures by analyzing the extent of this financial boom as well some of the reaso...
Jeffrey P Harrison,Rachel M Barksdale
Jeffrey P Harrison
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) authorized a three-year demonstration program using recovery audit contractors (RACs) to identify and correct improper payments in the Medicare Fee-For-Service...
Microcap pharmaceutical firms: linking drug pipelines to market value [0.03%]
微盘股医药公司：药物研发管线与市场价值之间的联系
Robert Beach
Robert Beach
This article examines predictors of the future market value of microcap pharmaceutical companies. This is problematic since the large majority of these firms seldom report positive net income. Their value comes from the potential of a liqui...
Steven R Eastaugh
Steven R Eastaugh
Managers work to achieve the greatest output for the least input effort, better balancing all factors of delivery to achieve the most with the smallest resource effort. Documentation of actual health information technology (HIT) cost saving...