Last edited by Felmaran
Tuesday, August 4, 2020 | History

5 edition of Global fees for episodes of care found in the catalog.

Global fees for episodes of care

new approaches to the purchasing of healthcare

  • 239 Want to read
  • 36 Currently reading

Published by McGraw Hill, Healthcare Financial Management Association in New York .
Written in English

    Subjects:
  • Managed care plans (Medical care) -- Economic aspects.,
  • Medical fees.,
  • Capitation fees (Medical care),
  • Managed Care Programs -- economics.,
  • Fees, Medical.,
  • Capitation Fee.

  • Edition Notes

    Includes bibliographical references.

    Statement[edited by] Douglas W. Emery.
    ContributionsEmery, Douglas W., Healthcare Financial Management Association (U.S.)
    Classifications
    LC ClassificationsRA413 .G55 1999
    The Physical Object
    Paginationxvii, 440 p. :
    Number of Pages440
    ID Numbers
    Open LibraryOL377817M
    ISBN 100070220573
    LC Control Number98039851
    OCLC/WorldCa39764036

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Global fees for episodes of care Download PDF EPUB FB2

Add tags for "Global fees for episodes of care: new approaches to the purchasing of healthcare". Be the first. Part 2 of this article will explore what this means and introduce the global theory of managed care as an alternative vision. Global theory lays a new foundation based on a more sound microeconomic model of risk, bifurcated markets, global fees for integrated episodes of care, and most important of all, patient/physician sovereignty.

• Comprehensive Care Payment (also called condition-adjusted capitation, or risk-adjusted global fees), i.e., paying a single price for all of the services needed by a specific group of people for a fixed period of time (e.g., all of the care neededFile Size: KB.

The concept of a bundled payment is hardly new: Diagnosis-related groups (DRGs) for inpatient care, comprehensive obstetrical care, and most surgical fees are well-known examples of bundled payment. The question is whether this approach can be applied to medical care (asthma, congestive heart failure, diabetes) or other situations in which a.

Since the advent of health user fees in low- and middle-income countries in the s, the discourse of global health actors (GHAs) has changed to the disadvantage of this type of healthcare financing mechanism.

The aim of the study was to identify and analyze the stance of GHAs in the debate on user fees. We conducted documentary research using public documents published by and officially Cited by: 10 Best Online Doctor & Medical Services for The healthcare industry changes all the time to accommodate new research findings and integrate new treatments.

Yet today’s medical industry is changing like never before in new and major ways, all thanks to the growth of the Internet and prevalence of devices like smartphones and tablets. Bundled payment is the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient) and capitation (in which providers are paid a "lump sum" per patient.

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This page contains billing and coding information including HIPPS codes, HHPPS Grouper Software and Documentation, HHPPS Pricer files and User manual, DMEPOS Codes that can be billed separately during an HH episode of care and HH Consolidated Billing Master Code list.

Title(s): Global fees for episodes of care: new approaches to the purchasing of healthcare/ [edited by] Douglas W. Emery. Country of Publication: United States Publisher: New York: McGraw Hill: Healthcare Financial Management Association, Educational Foundation, c   Purchasing a subscription gives you immediate access to the premium features of the site.

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Study setting and population. The study focused on clinical encounters that were outpatient ED encounters or hospital admissions, termed ED episodes of al encounters paid by flat-fee arrangements were excluded (n = 11) because the payments do not reflect the cost of the by: Medicare RBRVS Units with National Fees & Global Fee Periods; Thousands of CPT Coding & Billing Tips, Hints, Alerts, Warnings, and Traps; Fees for All U.S.

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Medicare and private insurers are looking to change the way doctors get paid. One possibility: Providing bundled payments for episodes of care.

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