New NHS payment system 'is no panacea'
The new NHS payment system has already run into problems and requires ...ral countries have introduced case mix prospective payment systems, with varying results, say the authors. However, the payment by results system is no panacea...RelayHealth selected by Columbia University to link doctors and patients online
... membership. Eligible providers will receive a $20 payment from Empire and a $5 co-payment from members who are covered by employer groups participating in the pilot. Select CPPN specialists and primary care physicians/providers will be the first to roll out the RelayHealth service to their patients. The gro...Patient protection laws don't favor health providers
...re, including "gate-keeping," or denying insurance payment for medically necessary treatment and restricting patients' choice of physicians Critics of the laws, however, say they actually provide protection to providers. Hall's research was designed to assess the validity of these claims by evaluating the la...Moving admitted ER patients into inpatient beds faster could significantly increase hospital revenue
...tential lost revenue, researchers used the average payment collected for each emergency patient treated in an urban emergency department--about 30 cents to the dollar--as opposed to the average amount billed. They found hospitals are potentially losing in excess of $168,000 in potential revenue because admit...CIGNA settlement favorable to psychologists
...ssing of transactions for claims as well as prompt payment for services. The changes were part of CIGNA's recent announcement of a settlement of a lawsuit filed by a class of non-physician health care providers, including psychologists. "We're glad that CIGNA has been working to correct policies and proced...Blacks and poor more likely to donate than receive many types of transplant organs
...th organ failure never receive transplants. While payment to donors of any kind is currently illegal in the United States, periodic efforts are made to allow financial incentives as a way to encourage donation. This study raises concerns about efforts to offer financial incentives since minorities and the p...Some hospitals face financial upheaval under new NHS payment system
... sizeable changes to their incomes under a new NHS payment system, say researchers at Dr Foster in this week's BMJ. The "payment by results" system is essentially a way of paying health care providers a fixed price for each individual case treated. Under the new system, providers are paid for the actual acti...Length of stay for inpatient medical rehab decreasing, efficiency increasing; death rate on the rise
...rtant in view of the introduction of a prospective payment system for inpatient medical rehabilitation by Centers for Medicare & Medicaid Services in January 2002. Our findings provide a baseline with which to compare future LOS, effectiveness, efficiency, mortality, and other outcomes important to health c...Older patients with chronic kidney disease are costly as they transition to dialysis
...may require a reevaluation of the current Medicare payment system," the researchers wrote....Medical database agreement to enhance ACG risk adjustment system
...future high-cost cases and develop innovative plan payment and financial risk-sharing arrangements by more than 175 healthcare organizations worldwide."With our ability to access PharMetrics' anonymous patient-centric data, we are able to make a more significant contribution toward improving the quality, as ...Despite legislation, prompt payment for radiology services 'elusive goal' in New Jersey
...oviders in New Jersey are continuing to experience payment delays even after the state has implemented prompt payment laws, a situation that could have relevance across the U.S., says a new study published in the July ...Extra Medicare payments for private health plans to total $2.75 billion in 2004
...ealth Fund note that while the objective of higher payment rates to private plans in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) is to save Medicare money in the long term, the payments will add to Medicare's costs in 2004. The total extra payments are calculated based on...Clerks control healthcare access for uninsured patients, study finds
...ion of caring for those in need, but also securing payment -- goals that clearly conflict when the patient is...are responsible for controlling costs and ensuring payment and who have less patient contact) said they had at times denied access to care, doing so for pragma...Prudent-layperson laws help get insurance coverage for emergency room visits
...naged care patient protection laws, usually prompt payment laws, and some of these fines have amounted to several hundred thousand dollars," the study found. After the study was complete, in December 2003, North Carolina insurance regulators fined Blue Cross and Blue Shield of North Carolina $1.8 million, a...Physicians, patients must work together on new electronic relationships
...he American College of Physicians are looking for payment methods, whether by the message, the episode of illness, or through an annual per-patient or global practice fee. But that, they say, is only one piece of the solution. Equally important is a joint effort between patients and health care professional...A non-invasive treatment for angina does not lead to enhanced athletic performance
...In 1999, Medicare recognized and began reimbursing payment for EECP as a treatment alternative for patients with functional class III or IV angina and whose disease is not amenable to bypass surgery or angioplasty. As treatment centers opened and practitioners gained experience in treating patients with EECP...Annals of Internal Medicine, tip sheet, April 20, 2004
... be abandoned, reformed or restructured to include payment for services provided outside traditional face-to-face office visits. Six accompanying editorials respond to some of the recommendations. Respondents include an internal medicine subspecialist (a cardiologist); a professor of family medicine, the oth...Home-based program effective in treating minor depression in chronically ill older adults
..., to the changing of social policy and health care payment and delivery systems. The well-being of an aging society demands meeting these challenges." (JAMA. 2004;291:1626-1628. Available post-embargo at JAMA.com )...The future of drug development
...consequence of a business model that uses a single payment to cover both the costs of manufacture, marketing and sales of a drug and the cost of the research and development (R&D) carried out by manufacturers to discover it. The current system is supported by a vigorously-enforced intellectual property regi......ays, it would mean that under the current Medicare payment system there is an economic incentive for hospital...a, for example -- a hospital will receive the same payment for a 95-year-old Medicare patient who is an inpatient for eight days, as for a 72-year-old who is a...