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Algorithms to Improve Fairness in Medicare Risk Adjustment.

open access: yesJAMA Health Forum
Reitsma MB, McGuire TG, Rose S.
europepmc   +1 more source
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Hospital Outpatient Prospective Payment System: A Maturing Prospective Payment System

Journal of the American College of Radiology, 2020
The Hospital Outpatient Prospective Payment System has matured into a complex diagnosis-related group-like payment system over the past 18 years and has continued to become more prospective in paying for services that are bundled, packaged, and grouped into episodes of care.
Pam, Kassing, Christina D, Berry
openaire   +2 more sources

New prospective payment system in Japan

American Journal of Health-System Pharmacy, 2005
The longevity of Japan’s population leads the world, a fact that may be due in part to the Japanese health care system, which provides both comprehensive personal medical care and public health services.
Kazuhiro, Ishikawa   +3 more
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Toward a Fairer Prospective Payment System

Archives of General Psychiatry, 1988
A fundamental assumption of categorical payment systems such as Medicare's diagnosis related groups (DRGs) is that one can identify characteristics of patients (eg, diagnosis) and of hospitals (eg, location) that predict costs, and, thereby, one can construct reasonable payment categories. However, the current DRGs for psychiatry are poor predictors of
S M, Essock, G S, Norquist
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The Medicare Prospective Payment System

The American Journal of Occupational Therapy, 1984
Abstract In 1983 Congress adopted the most significant change in the Medicare program since its inception in 1965. Along with measures to ensure the solvency of the Social Security System into the next century, Congress approved a system of prospective payment for hospital inpatient services, whereby hospitals are paid a fixed sum per ...
openaire   +2 more sources

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