Results 21 to 30 of about 264,328 (264)

Effects of Medicare Payment Reform: Evidence from the Home Health Interim and Prospective Payment Systems [PDF]

open access: yes, 2012
Medicare continues to implement payment reforms that shift reimbursement from fee-for-service towards episode-based payment, affecting average and marginal reimbursement. We contrast the effects of two reforms for home health agencies.
Escarce, Jose J   +4 more
core   +1 more source

Variation in Payment Rates under Medicare's Inpatient Prospective Payment System [PDF]

open access: yesHealth Services Research, 2016
ObjectiveTo measure variation in payment rates under Medicare's Inpatient Prospective Payment System (IPPS) and identify the main payment adjustments that drive variation.Data Sources/Study SettingMedicare cost reports for all Medicare‐certified hospitals, 1987–2013, and Dartmouth Atlas geographic files.Study DesignWe measure the Medicare payment rate ...
Krinsky, Sam   +3 more
openaire   +3 more sources

How to build and evaluate an integrated health care system for chronic patients: study design of a clustered randomised controlled trial in rural China

open access: yesInternational Journal of Integrated Care, 2015
Background: While integrated health care system has been proved an effective way to help improving patient health and system efficiency, the exact behaviour model and motivation approach are not so clear in poor rural areas where health human resources ...
Wenxi Tang   +4 more
doaj   +3 more sources

The Effect of Medicare's Prospective Payment System on Discharge Outcomes of Skilled Nursing Facility Residents

open access: yesInquiry: The Journal of Health Care Organization, Provision, and Financing, 2004
In July 1998, the Centers for Medicare and Medicaid Services (CMS) changed the payment method for Medicare (Part A) skilled nursing facility (SNF) care from a cost-based system to a prospective payment system (PPS). Unlike the previous cost-based payment
Walter P. Wodchis   +2 more
doaj   +1 more source

Impact of the End Stage Renal Disease Prospective Payment System on the Use of Peritoneal Dialysis

open access: yesKidney International Reports, 2017
The End Stage Renal Disease (ESRD) Prospective Payment System (PPS), implemented by the Centers for Medicare and Medicaid Services in January 2011, encouraged use of peritoneal dialysis (PD) through various financial incentives. Our goal was to determine
Qian Zhang   +3 more
doaj   +1 more source

Identifying client characteristics to predict homecare use more accurately: a Delphi-study involving nurses and homecare purchasing specialists

open access: yesBMC Health Services Research, 2022
Background Case-mix based prospective payment of homecare is being implemented in several countries to work towards more efficient and client-centred homecare.
Anne O. E. van den Bulck   +8 more
doaj   +1 more source

Hospital-Based and Freestanding Skilled Nursing Facilities: Any Cause for Differential Medicare Payments?

open access: yesInquiry: The Journal of Health Care Organization, Provision, and Financing, 2003
Differential Medicare payments for hospital-based and freestanding skilled nursing facilities (SNFs) were eliminated by the SNF prospective payment system initiated in 1998.
Korbin Liu, Kirsten J. Black
doaj   +1 more source

Assessing the performance of a method for case-mix adjustment in the Korean Diagnosis-Related Groups (KDRG) system and its policy implications

open access: yesHealth Research Policy and Systems, 2021
Background To evaluate the performance of the patient clinical complexity level (PCCL) mechanism, which is the patient-level complexity adjustment factor within the Korean Diagnosis-Related Groups (KDRG) patient classification system, in explaining the ...
Sujeong Kim   +4 more
doaj   +1 more source

The Experience of the Home Health Prospective Payment System in the United States and Its Enlightenment for China [PDF]

open access: yesZhongguo quanke yixue
Based on literature analysis, the paper systematically summarizes the development history, grouping and payment mode of the Home Health Prospective Payment System (HHPPS) in the United States.
HU Yuhong, GUO Lijun, PENG Xiangdong, SUN Wei, BAO Yong
doaj   +1 more source

Development of a novel hospital payment system – Big data diagnosis & intervention Packet

open access: yesHealth Policy Open, 2022
The diagnosis related group (DRG) was the most commonly used prospective hospital payment platform in developed countries. One of the major limitations of the DRG system is that the DRG grouping is not sufficiently homogeneous in benchmarking underlying ...
Hua Xie   +5 more
doaj   +1 more source

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