How much is enough? An evidence-based framework for setting Medicaid payment rates.
This article proposes an evidence-based framework for Medicaid programs to use in setting payment levels for any health care service. The purpose of payment is seen from the beneficiary's perspective, that is, enabling access to quality services. The approach is to measure access as directly as poss...
| Publicado en: | Inquiry (00469580) Vol. 44; no. 3; pp. 247 - 257 |
|---|---|
| Autor principal: | |
| Formato: | Journal Article |
| Publicado: |
Sage Publications Inc.
Fall2007
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105825235&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105825235 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: Fall2007 vid: 44 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 105825235 2009727908 NLM18038863 105825235 ppf: 247 ppct: 10 formats: fmt: @attributes: type: P tig: atl: How much is enough? An evidence-based framework for setting Medicaid payment rates. aug: au: Quinn K affil: ACS Government Healthcaer Solutions, 34 N Last Chance Gulch, Helena, MT 59601; kevin.quinn@acs-inc.com sug: subj: Medicaid Economics Medical Practice, Evidence-Based Rate Setting and Review Administration Reimbursement Mechanisms Health Services Accessibility Quality of Health Care Rate Setting and Review Standards United States ab: This article proposes an evidence-based framework for Medicaid programs to use in setting payment levels for any health care service. The purpose of payment is seen from the beneficiary's perspective, that is, enabling access to quality services. The approach is to measure access as directly as possible, to make findings about payment adequacy, and to take action in a way that maximizes the return (i.e., access to quality care) on Medicaid's investment. This approach differs from both the theoretical ideal and from much of the past practice in Medicaid rate setting. The paper offers examples of evidence, findings, and actions. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|