Developing integrated databases.
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Biomedical subjects
Publications and source records attributed to W Jollie.
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Mounting capitalization obstacles and growing competition require hospitals to explore nontraditional avenues in acquiring and offering services. This first of a two-article series outlines the reasons behind the increasing popularity of hospital-physician joint venture agreements for diagnostic imaging equipment, and the contributions radiology administrators should make in the formation of such enterprises.
Medicare's new DRG prospective reimbursement is based upon a methodology diametrically opposed to the incentives of its traditional retrospective, cost-based system. The agreement to a phase-in period for DRGs, with reimbursements based on both the cost-based and DRG-based methodologies for three years, creates a fundamental conflict and unique managerial challenge for radiology and other hospital administrators. It means they must know both what to cut under DRGs and when to cut them during and after the phase-in.
Medicare's three-year phase-in for its prospective reimbursement DRG system creates a special problem for radiology and hospital managers trying to manage under contradictory methodologies. One innovative way of coping with that problem is the development of a parallel planning process--one plan for cost-based services and another for DRG services. Such an approach provides radiology administrators with a set of familiar managerial tools to enter into the unknown territory of DRGs.