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Results for “Rate Setting and Review”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 37 records · Page 2Linked to original sources
PubMed1997

Five Weekend National Family Medicine Fellowship. Program for faculty development.

PROBLEM ADDRESSEDMany faculty development programs are thought time-consuming and inaccessible to academic family physicians or physicians wanting to move into academic positions. This is largely due to difficulty in leaving their practices for extended periods. Canadian family medicine needs trained leaders who can work in teams and are well grounded in the principles of their discipline as they relate to education, management, research, and policy making.OBJECTIVE OF PROGRAMTo develop a team of leaders in family medicine.MAIN COMPONENTS OF PROGRAMThe Five Weekend National Family Medicine Fellowship Program focuses on the essentials of education, management, communication, critical appraisal skills, and the principles of family medicine to develop leadership and team-building skills for faculty and community-based family physicians entering academic careers. This unique 1-year program combines intensive weekend seminars with small-group projects between weekends. It emphasizes a broader set of skills than just teaching, has regional representation, and focuses on leadership and teamwork using a time-efficient format.CONCLUSIONThe program has graduated 34 Fellows over the last 3 years. More than 90% of the 35 projects developed through course work have been presented in national or provincial peer-reviewed settings. Quantitative ratings of program structure, course content, and course outcomes have been positive.

Canada↗
PubMed1984

The impact of hospital regulatory programs on per capita costs, utilization, and capital investment.

Regulatory programs are widely used to exert disciplinary force on rising health care costs. This study assessed the impact of three widely used regulatory schemes in the hospital sector between 1971 and 1977: prospective rate setting, certificate of need, and professional standards review organizations. Strong evidence was found that neither voluntary rate setting nor CON review exerted any constraining effect on costs per capita, utilization, and capital investment. A negative but statistically insignificant influence on costs was documented for mandatory rate setting. A substantial cost moderating effect was, however, documented for PSROs. Utilization review may thus be a useful mechanism to counterbalance the incentive of per case rate setting to increase admissions.

Capital Expenditures↗
PubMed1994

Use of the resource-based relative value scale for private insurers.

Medicare's resource-based relative value scale (RBRVS) was implemented 1 January 1992 for physician payment using a conversion factor of $31 for each relative value unit (RVU). We calculated a conversion factor of $42.24 for The Travelers Insurance Company's group health plan business using the RBRVS methodology and the calendar year 1990 Travelers Large Case Norms Extract of active employees. This DataWatch describes two important applications of the relative value scale for private insurers: for pricing and for analyzing claims expenditures.

Cost Control↗
PubMed1999

Capitation.

Explore the source record for details and available documents.

Capitation Fee↗
PubMed1982

Comparing classification methods: measurement of variations in charges, length of stay, and mortality.

We define and examine three alternative systems for categorizing hospital patients. The first system is based on discharge abstract data alone; the second system is based on discharge abstract data that has been reabstracted from charts for completeness and accuracy; the third system is based on a severity-of-illness index within a diagnostic group. Using acute myocardial infarction patients as an illustrative example, we examine the homogeneity of these categorization systems with respect to charges, length of stay and mortality rates. Our results indicate that a measure of patient severity of illness is essential to produce homogeneous categories to study hospital productivity for utilization review assessment by PSROs, for planning purposes by Health Systems Agencies, for hospital rate setting by cost review commissions and for internal hospital financial management and utilization review studies.

Abstracting and Indexing↗
PubMed1988

Factors affecting Medicaid patients' length of stay in psychiatric units.

The structure of the Medicaid program varies widely among the States. Examined in this article is the relationship between certain characteristics of the State Medicaid programs and the length of stay of patients who are discharged from psychiatric units in general hospitals. It has been found that setting limits on the number of reimbursable days leads to shorter lengths of stay and that, after controlling for region, length of stay is not influenced by utilization review or State rate setting.

Adolescent↗
PubMed1994

Radiofrequency catheter ablation in patients with Wolff-Parkinson-White syndrome.

OBJECTIVE: To report on the experience with radiofrequency catheter ablation of accessory atrioventricular pathways in patients with Wolff-Parkinson-White syndrome in terms of the duration of fluoroscopy exposure to the patient and the operator and the effect of accessory-pathway location and operator experience on the success rate. DESIGN: Retrospective review. SETTING: Tertiary care university hospital. PATIENTS: Two hundred consecutive patients with Wolff-Parkinson-White syndrome who underwent radiofrequency catheter ablation between September 1990 and June 1992. INTERVENTIONS: Electrophysiologic study and radiofrequency catheter ablation. MAIN OUTCOME MEASURES: Success rate, duration of fluoroscopy, complications and long-term follow-up. RESULTS: Of the 224 accessory pathways in the 200 patients 135 were left free wall, 47 posteroseptal, 32 right free wall and 10 anteroseptal. The overall success rate increased from 53% in the first 3 months of the study period to 96% in the last 3 months. The success rate depended on the location of the accessory pathway. The duration of fluoroscopic exposure decreased from 50 (standard deviation [SD] 21) minutes in the first 3 months to 40 (SD 15) minutes in the last 3 months (p < 0.05). Complications occurred in 3.5% of the patients; they included hemopericardium, cerebral embolism, perforation of the right atrial wall, air embolism in a coronary artery and hematoma at the arterial perforation site. None of the complications resulted in death. CONCLUSIONS: With experience, radiofrequency catheter ablation of accessory pathways can have an overall success rate of more than 95% and a complication rate of less than 4%. Such rates make this procedure suitable for first-line therapy for patients with Wolff-Parkinson-White syndrome.

Adolescent↗
PubMedDate not supplied

Effects of rate review on the financial viability of New York hospitals: a retrospective assessment.

This article reports the findings of a study analyzing the effects of rate setting on the financial condition of New York hospitals from 1974 to 1980. During this period, the New York rate review system was considered one of the most stringent--and successful--cost containment programs in the county. The conclusions of this study indicate that there may be serious long-term consequences of cost containment programs of this type.

Economics, Hospital↗