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...

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Publicado en:Nursing Administration Quarterly Vol. 23; no. 4; pp. 1 - 16
Autor principal: Whetsell GW
Formato: Journal Article
Publicado: Lippincott Williams & Wilkins Summer99
Acceso en línea:Ver este registro en EBSCOhost
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        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
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