Medicare-medicaid Administrative and Reimbursement Reform Act: Hearing Before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-fifth Congress, First Session, on S. 1470 ...U.S. Government Printing Office, 1977 - 638 pages |
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Page 10
... and " ( ii ) for a hospital which has actual routine operating costs less than that hospital's adjusted per diem pay- ment rate for routine operating costs , an amount equal to ( I ) the amount of the hospital's actual routine op- ...
... and " ( ii ) for a hospital which has actual routine operating costs less than that hospital's adjusted per diem pay- ment rate for routine operating costs , an amount equal to ( I ) the amount of the hospital's actual routine op- ...
Page 12
8 11 " ( H ) Where the Secretary finds that a hospital has 9 manipulated its patient mix , or patient flow , or provides less 10 than the normal range and extent of patient service , or where an unusually large proportion of routine ...
8 11 " ( H ) Where the Secretary finds that a hospital has 9 manipulated its patient mix , or patient flow , or provides less 10 than the normal range and extent of patient service , or where an unusually large proportion of routine ...
Page 35
... unless the Secretary finds that , because 24 of the size of the hospital and the part - time nature of the 25 services or for some other reason acceptable to him , it would 34 1 be less efficient to have the services furnished 35.
... unless the Secretary finds that , because 24 of the size of the hospital and the part - time nature of the 25 services or for some other reason acceptable to him , it would 34 1 be less efficient to have the services furnished 35.
Page 36
34 1 be less efficient to have the services furnished by the hospital 2 ( or by others under arrangement with them made by the 3 hospital ) than to have them furnished by another party . " . 4 ( 2 ) Section 1842 ( b ) ( 3A ) of such Act ...
34 1 be less efficient to have the services furnished by the hospital 2 ( or by others under arrangement with them made by the 3 hospital ) than to have them furnished by another party . " . 4 ( 2 ) Section 1842 ( b ) ( 3A ) of such Act ...
Page 44
1 42 " ( 2 ) ( A ) The Secretary shall not enter into an agree 2 ment under this subsection with any hospital unless- 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 " ( i ) for a period specified by the Secretary ( not less than twelve months ) ...
1 42 " ( 2 ) ( A ) The Secretary shall not enter into an agree 2 ment under this subsection with any hospital unless- 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 " ( i ) for a period specified by the Secretary ( not less than twelve months ) ...
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accounting addition administration agency allow amended American amount anesthesiologists apply approach appropriate approval areas assistance Association average basis beds believe benefits bill capital Chairman changes charge clinical Committee concern considered containment continue determining direct effective efficient efforts established expenditures expenses facilities Federal Financing fiscal health care hospital costs improve incentives increase individual industry institutions legislation less limit major Medicare and Medicaid ment million nursing operating organization participating patients payment percent performed persons physicians planning practice present problems procedures proposed reasonable recognize recommend reform regulations reimbursement responsibility result routine Secretary Section Security Senator TALMADGE Social Social Security Administration specific staff statement Subcommittee suggest term tion utilization wage