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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 469 records · Page 26Linked to original sources
PubMed1990

Hospitals anticipate pitfalls of physician payment reform.

How will physician payment reform affect hospitals? The speculation on the law's effects is just beginning in earnest. But a number of health care experts predict that the physician payment reform law does not bode well for hospitals. In fact, some hospitals are already receiving requests from physicians to renegotiate contracts to make up for expected shortfalls in income, and others are examining revenue streams to determine the impact of the switch from high-tech and surgical procedures to more primary care-oriented procedures.

Fee Schedules↗
PubMed1989

Feasibility of case-based payment for inpatient radiology, anesthesia, and pathology services.

This paper evaluates a proposal to include inpatient radiology, anesthesia, and pathology (RAP) services in the Medicare PPS hospital payment rate. One hundred percent Medicare claims data from four states were used to simulate the potential redistributive effects of such a payment change on hospitals. The DRG classification system was found to explain more than half the variation in Part B charges for inpatient RAP services. Surgical cases caused most of the explained variation. Rural hospitals are the most likely to win, largely for three reasons: less seriously ill patients within-DRG; limited availability of less expensive technology; and greater use of nurse anesthetists in lieu of anesthesiologists. Teaching hospitals, on the other hand, would lose money, principally because of the cost of extra diagnostic testing for teaching purposes. Redistributive effects could be minimized by making outlier and indirect medical education adjustments.

Alabama↗
PubMed1989

MA hospitals suffer from physician fee limits.

Massachusetts laws restricting physician fees are creating problems for hospitals as well. The physician shortage that the restrictions have created is resulting in emergency department overloads and rising lengths of stay in hospitals outside the Boston metropolitan area.

Fees, Medical↗
PubMed1989

Sunday games.

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Aged↗
PubMed1989

OIG investigations and physicians' rights.

The Office of the Inspector General (OIG) was established to investigate the programs of the US Department of Health and Human Services (HHS). It recommends policy to promote economy and efficiency in the administration of HHS programs and also informs Congress about the problems and deficiencies of such programs (1). The President appoints the inspector general with the advice and consent of the Senate. While the inspector general is under the supervision of the secretary of HHS, he may be removed from office only by the President (2). The OIG's authority is wide ranging. It has a staff with specific responsibility for anti-fraud and abuse activities (3). The inspector general has access to all records that are available to HHS and which relate to programs the inspector general has the responsibility to police. It also may subpoena all records and evidence necessary for performance of its duties, which are enforceable by the order of any United States District Court (4). Of particular interest to physicians is the OIG's authority to take certain actions against physicians and against a hospital or other facility that has a contract to participate in Medicare or Medicaid.

Humans↗
PubMed1988

Waste in medicine.

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Fees, Medical↗