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One example is the prospective payment system (PPS), developed to provide "high-powered" incentives through fixed prices for hospital admissions for the US elderly. In fact, various features of the DRG system allow reimbursement to vary with actual treatment decisions during an admission, and so are not prospective.
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ideas.repec.org/a/bla/jemstr/v6y1997i1p91-128.html
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Although hospital care forms the largest expenditure under Medicare, long-term reforms in the basic reimbursement system should be approached cautiously. ... Although hospital care forms the largest expenditure under Medicare, long-term reforms in the basic reimbursement system should be approached cautiously.
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www.medscape.com/medline/abstract/6425720
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STUDY OBJECTIVE: Effective for 1997, health reform legislation in New York resulted in a change in hospital reimbursement for victims of motor vehicle crashes. ... STUDY OBJECTIVE: Effective for 1997, health reform legislation in New York resulted in a change in hospital reimbursement for victims of motor vehicle crashes.
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www.medscape.com/medline/abstract/10692196
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In essence, these hospitals simply couldn't squeeze under a reimbursement bar that was set so low. In light of this destructive trend, San Joaquin County residents are particularly fortunate to still have access to high-quality health care....
http://www.suttertracy.org/news/reinbursement_opinion.h...
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THE BUSINESS COMMUNITY LOOKS AT DRG-BASED HOSPITAL REIMBURSEMENT by Robert R. Henderson, M.D. and J. Joel May Prologue: One of the most promising developments in the health sphere to emerge from the 1970s was the more active participation of large corporations in decisions revolving around medical care.
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content.healthaffairs.org/cgi/reprint/2/1/38.pdf
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President Bush on Saturday signed into law a bill (HR 3668) that will revise a provision in a CMS rule related to Medicare inpatient hospital reimbursements,
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www.medicalnewstoday.com/articles/84241.php
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, 7/20). The "behavioral offset" provision of the rule, which would revise the Medicare inpatient hospital reimbursement system in FY 2008, addresses the expectation that hospitals will "upcode," or bill the program for services reimbursed at higher rates, in response to changes that would link payments with the...
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www.medicalnewstoday.com/articles/77632.php
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We measure how the potential changes in BBA-related reimbursement affect hospital nurse staffing decisions at urban short-term general hospitals.
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findarticles.com/p/articles/mi_m4149/is_3_41/ai_n164978...
findarticles.com/p/articles/mi_m4149/is_3_41/ai_n16497867/
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The purpose of this study is to explore the financial strain that the provision of care to AIDS patients placed on Georgetown University Hospital, a 535-bed teaching hospital in ... However, the use of DRGs for reimbursement may increase in the future as other third-party payors adopt prospective means of payment.
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www.aegis.com/law/journals/appj/1988/APPJ883101.html
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