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At least 19 recordsLinked to original sources
PubMed1988

Fee controls as cost control: tales from the frozen North.

Uniform and binding fee schedules for physicians have been advanced as a cost-control strategy that can also improve patient access to care, as well as spread costs more equitably. Counter-arguments, however, predict very different effects on utilization and costs. Empirical evidence to challenge economic theories of physician behavior may be drawn from Canada. The experience of innovative policies of two provinces--within a national framework--emphasizes a multipronged approach to fees, practice patterns, and numbers of physicians; political will and ongoing negotiations are necessary.

British Columbia↗
PubMedDate not supplied

Cost control, quality begin with information at point-of-care.

Controlling costs under managed care usually means making existing procedures less expensive. This approach takes too isolated a view and starts too late. Effective cost control--that maintains or improves quality--begins from a comprehensive view of the totality of the health care process. Some procedures may be unnecessary all together. Some prescription drugs may seem too expensive at first, but in the long run, they so improve patient's health, they save money. In the end, decisions about cost control revert to the classic clinical-ethical question: "Are the services about to be presented necessary, appropriate and the best choice for this particular patient?"

Cost Control↗
PubMed2001

Providing behavioral incentives for improved health in aging and Medicare cost control: a policy proposal for Universal Medical Savings Accounts.

This paper examines policy options for addressing health care challenges posed by the aging of the baby boom generation. Universal Medical Savings Accounts (UMSAs) are proposed. UMSAs are defined-contribution vouchers coupled with medical savings accounts. The proposal includes significant equity protections for those with low income/wealth, including balance billing limits and stop-loss protections, together with subsidies for risk-adjustment. The policy would control costs while promoting quality, accessible, and affordable health care. UMSAs provide new behavioral incentives, both for cost-conscious health care decision-making and for healthy lifestyle choices.

Aged↗
PubMed1993

Managed care: controlling costs and changing practice.

The emergence of cost control and managed care stem from economic realities. While managed care is built on economic principles, it promises to change the way Americans consume health services. As one of the largest single groups providing services to acutely and chronically-ill adults, medical-surgical nurses must understand the key aspects of managed care and how its implementation may change practice.

Cost Control↗
PubMed1985

Energy conservation: a powerful tool for hospital cost control.

As cost control becomes increasingly important, managers are looking for ways to save money. One often overlooked area is energy conservation. Energy costs can constitute 3 to 10 percent of a hospital's budget, but with energy conservation, that amount can be reduced 20 to 40 percent. Furthermore, with an energy conservation performance contract, both the technical and financial risks of energy efficiency improvements can be assumed by a third party. In return, the third party is paid only out of the resulting energy savings.

Conservation of Energy Resources↗
PubMed1978

One strategy for controlling costs in university teaching hospitals.

Major teaching hospitals, because they treat a more complex mix of patients than do nonteaching hospitals, usually show higher costs per patient day or per case. As a result, teaching hospitals are particularly vulnerable to the decisions of those cost control and planning agencies that are unable or unwilling to treat the problem of case mix. Research at Yale University reported here demonstrates the effect of case mix on costs. A methodology is outlined that can be used by teaching hospitals in determining their costs of treating patients with a complex mix of diagnoses. It is not held that case mix alone explains all of the cost differences between teaching and nonteaching hospitals; but until that factor is isolated and identified, the other contributors to cost variation cannot be examined.

Costs and Cost Analysis↗
PubMed1988

"Cadillac care": advances in technology raise cost-control questions.

With the advancement of medical technology, hospitals are facing a serious problem--providing patients with the most advanced technology available, while at the same time, controlling costs. Trading off between quality and cost Is a difficult decision, and whoever makes that decision--physicians, or the hospital--needs to evaluate all available data to make informed choices. Hospitals that can provide this needed data will better ensure their financial viability while providing patients with the best quality of care.

Capital Expenditures↗