Health Care Reimbursement Scholarly Articles
Listing Websites about Health Care Reimbursement Scholarly Articles
Healthcare Industry Articles Healthcare Insight for Experts
(6 days ago) WEBMethods. This systematic review was conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.11 A literature search was conducted to identify all English-language articles assessing the challenges and adverse outcomes of DRG-based reimbursement mechanisms published between …
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Healthcare Reimbursement and Quality Improvement: …
(3 days ago) WEBThe challenge in designing a reimbursement system lies not only in the selection of appropriate mechanisms but also in efficiently obtaining, processing, and utilizing the information required to ensure their most optimal functioning. Any reimbursement mechanism for healthcare should account for the quantity, complexity, …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4529047/
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Global Advances in Value-Based Payment and Their …
(3 days ago) WEBHow then should HCME programs adapt their instruction to such important changes in health care reimbursement? First, Health care Performance Improvement (Quality) courses must place greater emphasis on measurement and metrics. For example, as described earlier, the U.S. Centers for Medicare and Medicaid Services has instituted …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345717/
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Health Costs And Financing: Challenges And Strategies …
(Just Now) WEBAccording to the Health Care Payment Learning and Action Network, the share of health care payments administered via alternative payment models increased from 23 percent in 2015 to 36 percent in
https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.01560
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Capitated versus fee-for-service reimbursement and …
(8 days ago) WEBBackground Upcoming alternative payment models Primary Care First (PCF) and Kidney Care Choices (KCC) incorporate capitated payments for chronic disease management. Prior research on the effect of capitated payments on chronic disease management has shown mixed results. We assessed the patient, physician, and …
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-07313-3
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Improving the US hospital reimbursement: how patient
(1 days ago) WEBPurpose: The purpose of this paper is to examine whether patient readmission rates are associated with patient satisfaction and Medicare reimbursement rates in the US hospitals. Design/methodology/approach: The Hospital Compare database was obtained from the Centers for Medicare and Medicaid Services (CMS) in the US. A total of 2,711 …
https://pubmed.ncbi.nlm.nih.gov/32633907/
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Effects of fee-for-service, diagnosis-related-group, and …
(8 days ago) WEBProvider behavior under prospective reimbursement: cost sharing and supply. J Health Econ. 1986;5(2):129–51. Article CAS PubMed Google Scholar Ma CTA. Health care payment systems: cost and quality incentives. J Econ Manage Strat. 1994;3(1):93–112. Article Google Scholar
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08218-5
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The Impact Of Bundled Payment On Health Care …
(Just Now) WEBTwelve studies evaluated the impact of bundled payment on discharge to postacute care facilities (including skilled nursing facilities, inpatient rehabilitation facilities, and long-term acute
https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.00784
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A Systemic Approach to Containing Health Care Spending
(1 days ago) WEBVOL. 367 NO. 10. In this election year, U.S. national spending on health care will reach $2.8 trillion, or about 18% of total spending on all goods and services. This high level of spending
https://www.nejm.org/doi/full/10.1056/NEJMsb1205901
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Frontiers The Linkages Between Reimbursement and Prevention: …
(Just Now) WEBThe Linkages Between Reimbursement and Prevention: A Mixed-Methods Approach. Background: The benefits of prevention are widely recognized; ranging from avoiding disease onset to substantially reducing disease burden, which is especially relevant considering the increasing prevalence of chronic diseases. However, its …
https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.750122/full
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The Challenge of Understanding Health Care Costs and Charges
(6 days ago) WEBSpeaking the Same Language: Health Care Cost Terms. The first step in understanding health care costs is to be able to distinguish between terms such as “cost,” “charge,” “price,” and “reimbursement” (table 1). These terms have specific meanings, but their interpretation often depends on whose perspective is being considered.
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Preparing for the Transition to Value-Based Reimbursement
(1 days ago) WEBIn fact, as of the writing of this article, lawmakers are continuing the debate on healthcare legislation. This article reviews the basics of the transition from volume-based to value-based reimbursement, summarizes the latest government healthcare programs under the Affordable Care Act, and explores what providers need to know to navigate the
https://pubmed.ncbi.nlm.nih.gov/30047701/
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Adjusting Hospital Reimbursement to Account for Social …
(8 days ago) WEBIn the case of children’s hospitals that provide care to large numbers of patients with Medicaid coverage, such reimbursement often falls short of covering the hospitals’ care-delivery costs. 2 This shortfall is the rationale for the Medicaid Disproportionate Share Hospital (DSH) payment policy, which enables states to work …
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753242
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The impact of reimbursement systems on equity in access and …
(3 days ago) WEBThe impact of fee-for-service and capitation on health care inequalities has not been previously reviewed. Despite this knowledge gap, reimbursement to health care providers has been modified to serve policy purposes. In 2010, a nationwide choice reform in primary care was introduced by county councils and regions in Sweden.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5050924/
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Health care managers' and administrators' roles, functions, and
(1 days ago) WEBAbstract. Health care managers and administrators are increasingly assuming leadership and management responsibilities for multiple units and departments. To determine key roles, functions, and responsibilities of nursing and other health care managers and administrators, a survey was conducted to identify the perceived importance and amount …
https://pubmed.ncbi.nlm.nih.gov/10363017/
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The impact of reimbursement systems on equity in access and …
(7 days ago) WEBReimbursement systems provide incentives to health care providers and may drive physician behaviour. This review assesses the impact of reimbursement system on socioeconomic and racial inequalities in access, utilization and quality of primary care. A systematic search was performed in Web of Science and PubMed for English language …
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1805-8
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Arthroscopy: The Journal of Arthroscopic & Related Surgery Vol …
(2 days ago) WEBselect article Ambulatory Surgery Centers Reduce Patient Out-of-Pocket Expenditures for Isolated Arthroscopic Rotator Cuff Repair, but Patient Out-of-Pocket Expenditures Are Increasing at a Faster Rate Than Total Healthcare Utilization Reimbursement From Payers
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Representation of Women in the Leadership Structure of the US …
(8 days ago) WEBThe US health care system serves a heterogeneous population with varied health care needs, 1 which underscores the importance of diverse perspectives in health care leadership. However, few contemporary studies have assessed gender diversity in the leadership structure of organizations (health systems and health insurance groups) that …
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2786684
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Trends in the geographic inequality of advanced practice nursing
(4 days ago) WEBCancer was ranked as the second leading cause of global mortality in 2019, with an increasing incidence. An adequate workforce of healthcare professionals with special skills and knowledge in cancer care is vital for addressing the disparities in cancer prognosis. This study aimed to elucidate the trends in the advanced practice nursing …
https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-024-00922-z
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Professional beliefs of physicians and allied health professionals …
(3 days ago) WEBPrimary care professionals could play a key role in health promotion implementation. A fundamental aspect that might affect the willingness of primary care professionals to strengthen health promotion, and about which we do not yet know much, are professional beliefs. Therefore, we conducted a quantitative survey to (1) compare …
https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-024-02412-6
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Patients’ satisfaction with cancer pain treatment at adult oncologic
(1 days ago) WEBPain is defined as an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage [].The prevalence of pain in cancer patients is 44.5-66%. with the prevalence of moderate to severe pain ranging from 30 to 38%, and it can persist in 5-10% of cancer survivors [].Using the …
https://bmccancer.biomedcentral.com/articles/10.1186/s12885-024-12359-7
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Association between characteristics of employing healthcare …
(8 days ago) WEBThe COVID-19 pandemic added a major stressor to the already overtaxed healthcare system in the United States. Existing trends toward health system consolidation and from independent practice were exacerbated by the financial impact of the pandemic [1,2,3].Prior work has demonstrated a consistent impact of healthcare facility …
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-11109-6
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Registered Nurse Staffing, Workload, and Nursing Care Left
(1 days ago) WEBPatient safety is an important foundation of high-quality care. Yet little is known regarding the effects of nursing indicators on patient safety in dialysis units. The purpose of this study was to examine interrelationships among registered nurse (RN) staffing, workload, nursing care left undone, a …
https://pubmed.ncbi.nlm.nih.gov/32343087/
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Electronic Health Records (EHR) American Medical Association
(1 days ago) WEBAn electronic health record (EHR) digitizes a patient’s paper chart. It collects the patient’s history of conditions, tests and treatments and can be used to create a more holistic view of the patient’s care. A medical EHR also improves upon paper by making the patient’s information available instantly and securely to an authorized user. But for all …
https://www.ama-assn.org/topics/electronic-health-records-ehr
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A Zip Code Analysis of Social Gaps and Their Impact on …
(4 days ago) WEBthe general health status and disparity of outcomes of a given population. Health status can vary based on a number of variables.23 Despite efforts by policy makers, care providers, and individuals themselves, health status can vary significantly due to the presence of physical, emotional, environmental, socio-economic, and geographic factors.
https://www.njha.com/media/578105/CHART-NJ-Most-Vulnerable-Communities.pdf
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Correlation between hospital finances and quality and safety of …
(3 days ago) WEBAmong the 108 New York State acute care facilities for which data were available, there is a clear relationship between hospital financial performance and hospital quality/safety performance score (standardized correlation coefficient 0.34, p<0.001). The composite financial performance score is also positively associated with the CMS Value
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697357/
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Custom Care & Coverage Just For You Kaiser Permanente
(7 days ago) WEBHealth and wellness. Take charge of your heart. This Stroke Awareness Month, partner with Kaiser Permanente for a healthier heart. With our top-notch cardiac care and resources, we help keep your heart beating strong. Learn more about our services and start your journey to better heart health. Health and wellness.
https://healthy.kaiserpermanente.org/front-door
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AHA Statement to House Budget Committee on the Value of …
(Just Now) WEBCommittee on the Budget. of the. U.S. House of Representatives. “Breaking Up Health Care Monopolies: Examining the Budgetary Effects of Health Care Consolidation”. May 23, 2024. On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including more …
https://www.aha.org/testimony/2024-05-23-aha-statement-house-budget-committee-value-hospital-systems
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A field guide to U.S. healthcare reform: The evolution to
(3 days ago) WEB1. INTRODUCTION. In the United States (U.S.) between 1960 and 2019, healthcare spending as a percentage of U.S. Gross Domestic Product (GDP) grew from 5% to 17.7%, reaching $3.8 trillion dollars in 2019 (Figure 1). 1 Payment reform models have emerged to both control this growing expense and realign how quality, as a return …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223464/
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Walmart Health lays off 74 virtual care employees in Phoenix
(6 days ago) WEBWalmart announced April 30 it was closing down Walmart Health due to a challenging reimbursement environment and escalating operating costs that made the business unsustainable — a sharp
https://www.modernhealthcare.com/providers/walmart-health-layoffs-virtual-care-phoenix
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MOLST End-of-Life and Palliative Care Planning, MOLST for New …
(3 days ago) WEBMOLST Form. The MOLST form is a set of medical orders for patients with advanced illness who might die within 1-2 years; require long-term care services; or wish to avoid and/or receive specific life-sustaining treatments now. Best practice is to offer MOLST. Completion of MOLST is voluntary. The physician, nurse practitioner (NP) or …
https://molst.org/how-to-complete-a-molst/molst-form/
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