Case Mix
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Case Mix
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Author : Francis H. Roger France
language : en
Publisher: IOS Press
Release Date : 2001
Case Mix written by Francis H. Roger France and has been published by IOS Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Cross-cultural studies categories.
The case mix concept has been introduced in the USA more than twenty years ago in order to measure hospital productivity and to promote quality of care. The DRGs were selected by HCFA in 1983 as the case mix classification system for the MEDICARE prospective payment system (PPS). Many other countries have adopted the case mix concept after long periods of testing and accepting, but with large variations in data collection, information standards, grouping tools, financing methods and quality of care developments all over the world. Each country has developed a local clinical and political culture about case mix tools. The present book is intended to update the case mix situation, country by country.
Development Of Pharmacy Service Weights In The Implementation Of Casemix System For Provider Payment
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Author : Dr Syed M. Aljunid
language : en
Publisher: Partridge Publishing Singapore
Release Date : 2017-09-19
Development Of Pharmacy Service Weights In The Implementation Of Casemix System For Provider Payment written by Dr Syed M. Aljunid and has been published by Partridge Publishing Singapore this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-19 with Medical categories.
This book outlines the use of the casemix system as a provider payment tool in the health system with special focus on cost of pharmacy services of in-patient care. Casemix system, which is traditionally called Diagnosis Related Groups or DRG in more advanced economies, is now being implemented in many developing countries that plan to or have embarked on social health insurance programs as a source of the health funding. Extensive research has been carried out by the authors involving 13,673 patients that were prescribed with 111,794 items of drugs and admitted to one of the premier teaching hospital in Malaysia. Data from this research was vigorously analysed to impute the pharmacy service weights of all relevant casemix groups. This book provides the best reference for pharmacy service weights that can be used as a guide for effective implementation of the casemix system in any country in the world that plans to use the system.
Casemix For All
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Author : Hugh Sanderson
language : en
Publisher: CRC Press
Release Date : 2018-04-19
Casemix For All written by Hugh Sanderson and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-04-19 with Medical categories.
This book is vital for health service managers and clinicians, in both purchaser and provider organizations, in community and hospital settings. It helps the reader understand the principles and purposes of casemix and provides practical examples of using casemix groupings to manage services better. Its lessons are not just for acute services, but provide a way of understanding the complete spectrum of services required for a wide range of conditions, from individuals at risk to those with irreversible and progressive disease. The book explains why casemix groups are useful and the reasons for grouping and analysing patient records. It focuses on the difference between groupings of patients with conditions, and groupings of intervention episodes. Using both enables better identification of the services required to meet the needs of the population, and better communication between purchasers and providers. It has potential for managing the whole healthcare system from a population based perspective.
Using Casemix System For Hospital Reimbursement In Social Health Insurance Programme
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Author : Syed Aljunid
language : en
Publisher: Partridge Publishing Singapore
Release Date : 2020-11-26
Using Casemix System For Hospital Reimbursement In Social Health Insurance Programme written by Syed Aljunid and has been published by Partridge Publishing Singapore this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-26 with Health & Fitness categories.
Social Health Insurance (SHI) is one of the vehicles in achieving Universal Health Coverage. However, in many low- and middle-income countries, implementation of SHI failed to provide efficient and effective coverage due to poor provider payment method. Indonesia has introduced social health insurance in 2014. With the population of more than 270 million, Indonesia is the biggest country in the world that implemented SHI with casemix system (INA-CBG) as the prospective provider payment method. In this book, we presented an outcome of a study implemented in the largest hospital in Jakarta, Indonesia that compared the impact of using casemix system as provider payment method with fee-for-service. A total 32,227 outpatients and 8,270 inpatients medical records were reviewed and included in the study. In addition, a survey was also conducted among billing administrators to assess the cost of the billing process and their perceptions on the two reimbursement methods. The total hospital charges, length of stay of inpatients, rate of unnecessary admissions and cost of billing process were among the indicators of efficiency compared in the study between the two provider payment methods. The book provides comprehensive evidence to confirm the advantages of casemix system as an efficient provider payment method in SHI programme.
Implementation Of Casemix System As Prospective Provider Payment Method In Social Health Insurance A Case Study Of Acheh Provincial Health Insurance
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Author : Prof Dr Syed Mohamed Aljunid
language : en
Publisher: Partridge Publishing Singapore
Release Date : 2022-11-20
Implementation Of Casemix System As Prospective Provider Payment Method In Social Health Insurance A Case Study Of Acheh Provincial Health Insurance written by Prof Dr Syed Mohamed Aljunid and has been published by Partridge Publishing Singapore this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-11-20 with Business & Economics categories.
The Government of Aceh Province in Indonesia has established the Social Health Insurance (SHI) called Jaminan Kesehatan Aceh (JKA) in 2006 that provide health coverage to all 4.6 million population of the province. Fee-for-service was initially used as the provider payment method in the programme until 2013. In 2014, in line with the National Health Insurance of Indonesia (Jaminan Kesehatan Nasional JKN), INA-CBG (Indonesia Case-Based Group) casemix system was adopted by JKA to replace the Fee-for-Service method. This book presents outcome of the evaluation done using a combination of qualitative and quantitative methods on the implementation of JKA programme. The quantitative study was conducted to assess income of three selected hospitals (Type B, C and D) reimbursed using INA-CBG groups covering more than 17,000 cases. Quantitative data analysis revealed that overall, the hospitals received 32.4% higher income when reimbursed with casemix system (INA-CBG) as compared to fee-for-service. Type D hospital is the biggest gainer with 81.0% increase in income. In conclusion, the use of Casemix (INA-CBG) as a prospective payment method has benefitted the hospitals a lot. It is hope that additional resources gained through this programme will allow the hospitals to provide optimum care to the population.
Health Care Financing Review
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Author :
language : en
Publisher:
Release Date : 1994
Health Care Financing Review written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical care categories.
Primary Care Research
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Author :
language : en
Publisher:
Release Date : 1991
Primary Care Research written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Medical care categories.
Federal Register
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Author :
language : en
Publisher:
Release Date : 1997-08-27
Federal Register written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-08-27 with Administrative law categories.
Case Mix Classification Systems
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Author : Marilyn Peacock Plomann
language : en
Publisher: Hospital Research & Education
Release Date : 1982
Case Mix Classification Systems written by Marilyn Peacock Plomann and has been published by Hospital Research & Education this book supported file pdf, txt, epub, kindle and other format this book has been release on 1982 with Diagnosis related groups categories.
Report And Recommendations To The Secretary U S Department Of Health And Human Services
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Author : United States. Prospective Payment Assessment Commission
language : en
Publisher:
Release Date : 1988
Report And Recommendations To The Secretary U S Department Of Health And Human Services written by United States. Prospective Payment Assessment Commission and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with Diagnosis related groups categories.