[Cost control in supply economy. A suggested solution for health care].
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Considering the legal conditions there is no question that with the health reform law (GSG) changes in hospital infrastructure have to be made by the surgeon and the administration cojointly. From our experience an efficient budget control needs a complete and correct data recording--employing an efficient software--as well as strict medical control of profits along with continuous communication between the surgeons themselves and with the administration.
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The triad of access, quality, and cost provides a useful framework for the discussion of health care reform. A quote from a recent review of the Oregon Health Plan illustrates the conflict between these three factors very well. "The administrators of the plan are realistic people; they once placed a sign on the wall: 'Cost, access, quality--pick any two."
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Although it is too early in their development to evaluate their effectiveness, business coalitions are attempting to play a part in holding down health care costs. Providers, third-party payers, business, and labor have pledged to support the potential contributions of voluntary coalitions and to participate with one another in them.
Electronic data processing in ward management increases cost and time efficiency. Nurses and doctors will have more time to concentrate their genuine rather than administrative duties. Therefore the presented model has gained high acceptance.
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This article introduces a new approach to the study of Medicaid policy and its role in state efforts to limit program costs. The approach is based upon recent work in the field of program evaluation, particularly in the areas of impact assessment and intervention modeling. To illustrate its use in evaluating program changes, the study focuses on policy reforms recently adopted by the state of Maryland as a means of cutting Medicaid expenditures for prescription drugs. Data on spending levels are taken from monthly claims reports filed with the federal government between January, 1974, and December, 1979. Preliminary findings indicate an abrupt decline in program costs following the introduction of new procedures for reimbursing drug providers and the automation of previous procedures for processing payment claims.