Medicare S Payments To Physicians
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Medicare Physician Payment
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Author : United States. Physician Payment Review Commission
language : en
Publisher:
Release Date : 1987
Medicare Physician Payment written by United States. Physician Payment Review Commission and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Medical fees categories.
Payments Of Physicians By The Medicare Program
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Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
language : en
Publisher:
Release Date : 1989
Payments Of Physicians By The Medicare Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1989 with Medical fees categories.
Medicare Physician Payments
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Author : James C. Cosgrove
language : en
Publisher: DIANE Publishing
Release Date : 2010-02
Medicare Physician Payments written by James C. Cosgrove and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-02 with Health & Fitness categories.
Medicare¿s physician fees may not always reflect efficiencies that occur when a physician performs multiple services for the same patient on the same day, and some resources required for these services do not need to be duplicated. This report examined: (1) the Centers for Medicare and Medicaid Services¿ (CMS) efforts to set appropriate fees for services furnished together; and (2) additional opportunities for CMS to avoid excessive payments when services are furnished together. The report examined relevant policies, laws, and regulations; interviewed CMS officials and others; and analyzed claims data to identify opportunities for further savings. Includes recommendations. Charts and tables.
Changes Needed In Medicare Payments To Physicians Under The End Stage Renal Disease Program
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1985
Changes Needed In Medicare Payments To Physicians Under The End Stage Renal Disease Program written by United States. General Accounting Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Medical fees categories.
Medicare S Payments To Physicians Options For Changing The Sustainable Growth Rate
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Author : Peter R. Orszag
language : en
Publisher: DIANE Publishing
Release Date : 2007
Medicare S Payments To Physicians Options For Changing The Sustainable Growth Rate written by Peter R. Orszag and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Health insurance categories.
The Anatomy Of Physician Payments
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Author : Jeffrey Clemens
language : en
Publisher:
Release Date : 2015
The Anatomy Of Physician Payments written by Jeffrey Clemens and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with Health insurance categories.
The reimbursement rates that private insurers pay to physicians are closely linked to those set by Medicare, despite the well-known limitations of Medicare's fee schedule. We ask to what extent this relationship reflects the use of Medicare's relative price menu as a benchmark, in order to reduce transaction costs in an otherwise complex pricing environment. We analyze 71 million claims from a large private insurer, which represent $6.3 billion in spending over three years. Using two empirical approaches, we estimate that 75 percent of services, accounting for 65 percent of dollars, are benchmarked to Medicare's relative prices. The Medicare-benchmarked share is higher for services provided by small physician groups. It is lower for capital-intensive treatment categories, for which Medicare's average-cost reimbursements deviate most from marginal cost pricing. When the insurer deviates from Medicare's relative prices, these deviations are consistent with adjusting towards the marginal costs of treatment. Our results suggest that providers and private insurers coordinate around Medicare's menu of relative payments for simplicity, but innovate when the value of doing so is likely highest.
Medicare Payment Policies To Physicians
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Author : Katherine V. Bergen
language : en
Publisher: Nova Science Publishers
Release Date : 2009
Medicare Payment Policies To Physicians written by Katherine V. Bergen and has been published by Nova Science Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Medicare categories.
This book explores Medicare spending for physician services that has climbed more than 9 percent per year, since 2000. Slowing the increase in Medicare outlays is important; in fact, it is becoming urgent. Medicare's rising costs, particularly when coupled with the projected growth in the number of beneficiaries, threaten the sustainability of the program. As discussed in this book, the Medicare Trustees' warn that even their unrealistically constrained estimate of Part B spending growth will still significantly out pace growth in the U.S. economy. Thus, Part B and total Medicare spending growth will continue to put pressure on the federal budget. However, that pressure puts other national priorities, such as homeland security and education, at risk. This book examines the Medicare law that specifies a formula for calculating the annual update in payments for physicians' services. The concern of many members regarding the impact of potential payment reductions on patients' access to services is looked at as well.
Geographic Adjustment In Medicare Payment
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2012-05-23
Geographic Adjustment In Medicare Payment written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-05-23 with Medical categories.
Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location. At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment. Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.
Medicare Physician Payment
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Author : United States. Physician Payment Review Commission
language : en
Publisher:
Release Date : 1987
Medicare Physician Payment written by United States. Physician Payment Review Commission and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Home care services categories.
Geographic Adjustment In Medicare Payment
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2012-04-23
Geographic Adjustment In Medicare Payment written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-04-23 with Medical categories.
Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location. At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment. Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.