Ad
related to: payer mix definition in healthcare policy analysis framework pdf format
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.
An independent commission establishes the rate structure for each hospital. The system eliminated hospital cost shifting across payers and more equitably spread the costs of uncompensated care and medical education and limited cost growth, but per capita Medicare hospital costs are among the country's highest. [1]
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 ...
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]
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 ...
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).
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.
Publicly funded healthcare is a form of health care financing designed to meet the cost of all or most healthcare needs from a publicly managed fund. Usually this is under some form of democratic accountability , the right of access to which are set down in rules applying to the whole population contributing to the fund or receiving benefits ...