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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.

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

October 1, 2004 | Program Result

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

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.

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

July 1, 2000 | Program Result

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

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