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Reimbursement Issues

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  • Topic: Reimbursement issues
  • Program: Enterprise Level
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  • Financial barriers to care (3)
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Saving Billions of Dollars--And Physicians' Time--By Streamlining Billing Practices

June 1, 2010 | Journal Article

The U.S. system of billing third parties for health care services is complex, expensive and inefficient. This study examines excessive administrative complexity from a focused and potentially practical perspective.

Paying Physicians For Medicare Services

December 2, 2010 | Issue Brief

Congress has repeatedly postponed cuts to physician fees under Medicare, but has reached no agreement on how to restrain growth in spending.

Deregulation Improves the Health of N.J. Hospitals' Bottom Lines

July 1, 2000 | Program Result Report

From 1994 to 1997, researchers at the Harvard University School of Public Health, Boston, studied the effects of deregulation on New Jersey hospitals.

Pay-for-Quality Concept Rewards Physicians, Hospitals for Providing Quality Health Care

October 1, 2004 | Program Result Report

Four organizations planned projects to demonstrate the use of financial incentives to reward providers for delivering high-quality health care.

Risk-Adjustment Approach to Compensating Health Care Plans More Appropriately for Serving Chronically Ill People

January 1, 2003 | Program Result Report

From 1997 to 2001, researchers at the Institute for Health Policy Studies at the University of California, San Francisco, conducted a two-phase study to test the hypothesis that risk adjustment could be improved by removing patients with high-cost chronic conditions from the general risk pool and assessing their risk by analysis of detailed clinical information.

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