Making Capitation Work

Author : Gloria G. Mayer
Publisher : Delmar Pub
ISBN 13 : 9780834206779
Total Pages : pages
Book Rating : 4.73/5 ( download)

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Download or read book Making Capitation Work written by Gloria G. Mayer and published by Delmar Pub. This book was released on 1995 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This important resource helps health care providers understand capitation, the increasingly dominant reimbursement system within health care. It covers everything from management of medical utilization & costs to ongoing legal issues for integrated delivery systems, to managing capitation & risk contracting; & is an indispensable resource in this tumultuous health care environment.

Author : Philip Musgrove
Publisher : World Bank Publications
ISBN 13 : 9780821355701
Total Pages : 456 pages
Book Rating : 4.08/5 ( download)

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Download or read book Health Economics in Development written by Philip Musgrove and published by World Bank Publications. This book was released on 2004 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication contains a collection of papers which span 21 years of the author's thought and experiences regarding the subject on health economics, working at the Pan American Health Organization, the World Health Organization and the World Bank. The papers consider a range of topics including: the connection between public health and economics; the issue of equity in health; effectiveness and efficiency, particularly in relation to communicable diseases and malnutrition; health financing; how the burden of ill health is measured; the roles of the state and the market in health. The empirical material refers to a variety of specific health problems or interventions, including: smoking, polio, malaria, immunisation and various forms of malnutrition.

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309183618
Total Pages : 261 pages
Book Rating : 4.11/5 ( download)

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Download or read book Medicare Laboratory Payment Policy written by Institute of Medicine and published by National Academies Press. This book was released on 2000-12-04 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Author : National Academies of Sciences Engineering and Medicine
Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.60/5 ( download)

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Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309072808
Total Pages : 360 pages
Book Rating : 4.09/5 ( download)

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Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-08-19 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Author : Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 0763788678
Total Pages : 294 pages
Book Rating : 4.74/5 ( download)

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Download or read book Managed Care written by Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2008-09-19 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.

Author : Jack Langenbrunner
Publisher : World Bank Publications
ISBN 13 : 0821378244
Total Pages : 348 pages
Book Rating : 4.43/5 ( download)

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Download or read book Designing and Implementing Health Care Provider Payment Systems written by Jack Langenbrunner and published by World Bank Publications. This book was released on 2009-01-01 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264508864
Total Pages : 298 pages
Book Rating : 4.66/5 ( download)

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Download or read book Price Setting and Price Regulation in Health Care written by OECD and published by OECD Publishing. This book was released on 2019-06-26 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).

Author : United States. Bureau of Health Care Delivery and Assistance
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.03/5 ( download)

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Download or read book Dental Care Needs & Services written by United States. Bureau of Health Care Delivery and Assistance and published by . This book was released on 1988 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Jiuping Xu
Publisher : Springer
ISBN 13 : 364255122X
Total Pages : 782 pages
Book Rating : 4.22/5 ( download)

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Download or read book Proceedings of the Eighth International Conference on Management Science and Engineering Management written by Jiuping Xu and published by Springer. This book was released on 2014-05-06 with total page 782 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the Proceedings of the Eighth International Conference on Management Science and Engineering Management (ICMSEM) held from July 25 to 27, 2014 at Universidade Nova de Lisboa, Lisbon, Portugal and organized by International Society of Management Science and Engineering Management (ISMSEM), Sichuan University (Chengdu, China) and Universidade Nova de Lisboa (Lisbon, Portugal). The goals of the conference are to foster international research collaborations in Management Science and Engineering Management as well as to provide a forum to present current findings. A total number of 138 papers from 14 countries are selected for the proceedings by the conference scientific committee through rigorous referee review. The selected papers in the second volume are focused on Computing and Engineering Management covering areas of Computing Methodology, Project Management, Industrial Engineering and Information Technology.