National Health Insurance: Major Proposals : Hearings Before the Subcommittee on Health and the Environment of the Committee on Interstate and Foreign Commerce, House of Representatives, Ninety-fourth Congress, First [-second] Session ....U.S. Government Printing Office, 1976 |
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Page 821
... existing institution - based utilization review activities of the medicare and medicaid programs , served as prototypes for PSRO's . A second development resulted from the increasing number of studies which began to assess quality ...
... existing institution - based utilization review activities of the medicare and medicaid programs , served as prototypes for PSRO's . A second development resulted from the increasing number of studies which began to assess quality ...
Page 830
... existing review mechanisms were ineffective in controlling unnecessary utilization or assuring that quality care was delivered . The quality and cost concerns exist in even greater measure today as more documentary evidence be- comes ...
... existing review mechanisms were ineffective in controlling unnecessary utilization or assuring that quality care was delivered . The quality and cost concerns exist in even greater measure today as more documentary evidence be- comes ...
Page 831
... existing institution - based utilization review activities of the medicare and medicaid programs , served as prototypes for PSRO's . A second development resulted from the increasing number of studies which began to assess quality ...
... existing institution - based utilization review activities of the medicare and medicaid programs , served as prototypes for PSRO's . A second development resulted from the increasing number of studies which began to assess quality ...
Page 833
... existing continuing medical education or other means . Quality will be primarily assessed through retrospective medical care studies ; ap- propriate utilization will be monitored through concurrent review and profile analysis . This ...
... existing continuing medical education or other means . Quality will be primarily assessed through retrospective medical care studies ; ap- propriate utilization will be monitored through concurrent review and profile analysis . This ...
Page 837
... existing ones . Lack of experience dictated the need for the majority of organizations to go through a planning phase before initiating review as conditional PSRO's . The PSRO review system impacts on three existing Federal pro- grams ...
... existing ones . Lack of experience dictated the need for the majority of organizations to go through a planning phase before initiating review as conditional PSRO's . The PSRO review system impacts on three existing Federal pro- grams ...
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Common terms and phrases
administrative ambulatory American American Hospital Association areas audit average benefits bill billion Blue Cross budget carriers CARTER CFMC Chairman Rogers coinsurance Colorado committee concurrent review consumer copayments cost sharing coverage deductible developed dollars economic effective eligible employees estimates expenditures expenses FALK fee schedule financing fiscal funds going GORAN health insurance program health services hospital incentives income increase individual institutions legislation length of stay MAGUIRE mechanism medicaid medical audit medical staff Medicare medicare and medicaid ment national health insurance national health service nursing patient payment payroll tax peer review percent persons physicians poor population practitioners premium present private insurance problems professional proposal PSRO program PSRO review PSRO's quality assurance question reimbursement REINHARDT responsibility revenues SCHEUER sector Social Security Social Security Administration spending standards statement TERENZIO tion utilization review WAXMAN
Popular passages
Page 947 - For every child a home and that love and security which a home provides; and for that child who must receive foster care, the nearest substitute for his own home IV For every child full preparation for his birth, his mother receiving prenatal, natal, and postnatal care; and the establishment of such protective measures as will make childbearing safer...
Page 851 - If my staff can be of any further assistance, please do not hesitate to contact me Sincerely yours, THEODORE COOPER, MD, Assistant Secretary for Health.
Page 947 - For every child health protection from birth through adolescence, including: periodical health examinations and, where needed, care of specialists and hospital treatment; regular dental examinations and care of the teeth; protective and preventive measures against communicable diseases; the insuring of pure food, pure milk, and pure water VI.
Page 947 - For EVERY child these rights, regardless of race, or color, or situation, wherever he may live under the protection of the American flag.
Page 1467 - December 31, 1970, or (ii) the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during the last preceding calendar year elapsing prior to the start of the fiscal year in which the bill is submitted or the request for payment is made.
Page 1077 - The answer in brief is that the current type of costly medical care does not really correspond to what consumers or their physicians would regard as appropriate if their choices were not distorted by insurance. The effect of prepaying health care through insurance, both private and public, is to encourage hospitals to provide a more expensive product than the consumers actually wish to pay for.
Page 948 - Department of Maternal and Child Health, School of Public Health, University of North Carolina...
Page 954 - For every child from birth through adolescence, promotion of health, including health instruction and a health program, wholesome physical and mental recreation, with teachers and leaders adequately trained VII.
Page 874 - In 1951 the American College of Physicians, the American Hospital Association, the American Medical Association, and the Canadian Medical Association (which withdrew in 1959 to participate in its own national hospital accreditation program) joined with the American College of Surgeons to form the Joint Commission on Accreditation of Hospitals.
Page 919 - OF MATERNAL AND CHILD HEALTH, SCHOOL OF PUBLIC HEALTH, UNIVERSITY OF NORTH CAROLINA Ms.