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Example: A link to the 2011 spreadsheet of the CMI for all US providers is located here. [5] An analysis of that file shows that there are 3619 hospital records. The number of cases for the hospitals ranges from a low of 1 to a high of 36,282 cases at Florida Hospital in Orlando, FL (Medicare ID 100007). That hospital has a Case Mix Index of 1.57.
The Irish healthcare system is often described as being "two-tier" or having a "public–private mix." [ 179 ] [ 180 ] [ 181 ] A proposed reform, known as Sláintecare , is being planned; it would provide universal healthcare on the model of the British NHS or other European systems.
Case mix, also casemix and patient mix, is a term used within epidemiology as a synonym for cohort; essentially, a case mix groups statistically related patients. [1] An example case mix might be male patients under the age of 50, who present with a myocardial infarction and also undergo emergency coronary artery bypass surgery.
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 ...
One example is the convergence of preferred provider organization (PPO) plans offered by Blues and commercial insurers and the point of service plans offered by HMOs. Historically, commercial insurers, Blue Cross and Blue Shield plans, and HMOs might be subject to different regulatory oversight in a state (e.g., the Department of Insurance for ...
Single-payer" thus describes only the funding mechanism and refers to health care financed by a single public body from a single fund and does not specify the type of delivery or for whom doctors work. Although the fund holder is usually the state, some forms of single-payer use a mixed public-private system. [citation needed]
This graph contrasts total health care spending with public spending, in US dollars adjusted for purchasing power parity in Switzerland.. Two-tier healthcare is a situation in which a basic government-provided healthcare system provides basic care, and a secondary tier of care exists for those who can pay for additional, better quality or faster access.
It is the dominant healthcare payment method in the United States. In the Japanese health care system, FFS is mixed with a nationwide price setting mechanism (all-payer rate setting) to control costs. [6]