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At least 343 records · Page 19Linked to original sources
PubMed1983

Pharmaceutical reimbursement and drug cost control: the MAC experience in Maryland.

The Maximum Allowable Cost (MAC) program was mandated by the federal government in 1976 in an effort to curb drug expenditures under Medicare and Medicaid by limiting reimbursements for prescription products dispensed to program beneficiaries. MAC performance is usually evaluated in terms of state compliance with federal guidelines. The present study broadens this approach to include other sources of variation in program effectiveness across states. In the case of Maryland, the MAC program offers encouraging signs of at least limited success in curbing Medicaid drug expenditures. The results of the study show a significant, but short-lived, decline in spending levels, suggesting the possibility of program-induced increases in wholesale prices or dispensing fees over time.

Cost Control↗
PubMed1979

Clear federal strategy is emerging for cost control.

The author states that the purpose of governmental cost containment initiatives is to gain control over hospital capital expenditures, utilization, payment and quality assurance. He suggests that the costs of hospital operation should be completely re-examined stating that the reform of the hospital payment system is emerging as the energizing factor which will stimulate proper allocation of capital resources and effective utilization and quality assurance. O'Hare outlines the potential of the federal strategy. Recent legislation (PL 93-641 and PL 95-142) has mandated that hospital financial and statistical data be made available to federal agencies. He concludes that a dominant federal role in cost containment strategy threatens to abolish individual differences between institutions and their ability to be responsive to local needs. The author urges hospital leadership to take a more active position in implementing a cost containment strategy.

Capital Expenditures↗
PubMed1987

Quality and cost control of home care services through coordinated funding.

The growing cost and demand for home care has resulted in increased concern over the quality and cost-effectiveness of care. In Tulsa, Oklahoma, local home care funders reduced the cost and enhanced the quality of home care through a system coordinating the funding and assessment of care. The foundation of this system was the funders' agreement on common definitions of services and service standards and their adoption of a uniform unit-cost reimbursement rate. Another aspect of the coordination was a joint Request for Proposals process that set out specified criteria for home care agencies seeking funds. A home care assessment team was established by Tulsa's local funders to perform ongoing monitoring and evaluation of the home care agency selected to receive funds. As a result of the coordinated funding and assessment system, the quality and efficiency of home care improved measurably, and community access to care increased.

Consumer Behavior↗