Ads
related to: payer mix definition in healthcare policy analysis paper topics free
Search results
Results From The WOW.Com Content Network
All-payer rate setting is a price setting mechanism in which all third parties pay the same price for services at a given hospital. [1] It can be used to increase the market power of payers (such as private and/or public insurance companies) versus providers, such as hospital systems , in order to control costs.
The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
Researchers from the RAND Corporation estimated that "national health care spending could be reduced by 5.4% between 2010 and 2019" if the PROMETHEUS model for bundled payment for selected conditions and procedures were widely used. [50] This figure was higher than for seven other possible methods of reducing national health expenditures. [50]
Electronic referral, when a specialist evaluates medical data (such as laboratory tests or photos) to diagnose a patient instead of seeing the patient in person, would often improve health care quality and lower costs. However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier ...
Single-payer healthcare is a type of universal healthcare, [1] in which the costs of essential healthcare for all residents are covered by a single public system (hence "single-payer"). [ 2 ] [ 3 ] Single-payer systems may contract for healthcare services from private organizations (as is the case in Canada ) or may own and employ healthcare ...
Otto von Bismarck. The Bismarck model (also referred as "Social Health Insurance Model") is a health care system in which people pay a fee to a fund that in turn pays health care activities, that can be provided by State-owned institutions, other Government body-owned institutions, or a private institution. [1]
The summary of the National Health Care Act as proposed in the 111th Congress (2009–2010) includes the following elements, among others: [10] Expands the Medicare program to provide all individuals residing in the 50 states, Washington, D.C., and territories of the United States with tax-funded health care that includes all medically necessary care.
Advocates argue that shifting the U.S. to a single-payer health care system would provide universal coverage, give patients free choice of providers and hospitals, and guarantee comprehensive coverage and equal access for all medically necessary procedures, without increasing overall spending.