The history and evolution of hospital payment systems: how did we get here?
After many years of testing and experimentation, most insurance companies, managed care plans, and self-insured employers now have effective programs in place to manage their health care expenditures. More important, the recent efforts to balance the federal budget have led to a series of changes in...
| Publicado en: | Nursing Administration Quarterly Vol. 23; no. 4; pp. 1 - 16 |
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| Formato: | Journal Article |
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Lippincott Williams & Wilkins
Summer99
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| 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=107214871&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107214871 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03639568 0O7 jtl: Nursing Administration Quarterly issn: 03639568 maglogo: N pubinfo: dt: Summer99 vid: 23 iid: 4 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 107214871 1999068328 NLM10711138 107214871 ppf: 1 ppct: 15 formats: fmt: @attributes: type: P tig: atl: The history and evolution of hospital payment systems: how did we get here? aug: au: Whetsell GW affil: President, Whetsell & Associates, Pittsburgh, PA sug: subj: Insurance, Health, Reimbursement History Hospitals Economics Medicare History Medicaid History United States Prospective Payment System Diagnosis-Related Groups Tax Equity and Fiscal Responsibility Act Health Maintenance Organizations United States Centers for Medicare and Medicaid Services Budgets Legislation and Jurisprudence Legislation Health Facility Merger ab: After many years of testing and experimentation, most insurance companies, managed care plans, and self-insured employers now have effective programs in place to manage their health care expenditures. More important, the recent efforts to balance the federal budget have led to a series of changes in the payment systems for both Medicare and Medicaid that are designed to reduce the amount of money the federal government will spend on health care services in the future. It appears that all the loopholes have been closed. Many hospitals, as well as other types of providers, are now projecting flat revenue growth, while some are actually anticipating declines in revenues. To fully understand health care finance and be effective in reducing costs, hospital managers need to understand the history and evolution of the payment system and how they have influenced both cost measurement and cost control efforts. Copyright (c) 1999 by Aspen Publishers, Inc. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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