Medicare-medicaid Administrative and Reimbursement Reform Act: Hearings Before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-fifth Congress, First Session, on S. 1470 to Provide for the Reform of the Administrative and Reimbursement Procedures Currently Employed Under the Medicare and Medicaid Programs, and for Other Purposes, June 7, 8, 9, and 10, 1977U.S. Government Printing Office, 1977 - 638 pages |
From inside the book
Page 66
... ment 6 which is , directly or indirectly , determined , wholly or in 7 part as a percentage , fraction , or portion of the charge or 8 cost attributed to any health service ( other than the ele- 9 ment ) or any health service including ...
... ment 6 which is , directly or indirectly , determined , wholly or in 7 part as a percentage , fraction , or portion of the charge or 8 cost attributed to any health service ( other than the ele- 9 ment ) or any health service including ...
Page 80
... ment method has proven to be highly inflationary , because reimburse- ment simply covers rising hospital costs , however unnecessary or wasteful those costs may be . By reimbursing hospitals for most in- curred costs , this method ...
... ment method has proven to be highly inflationary , because reimburse- ment simply covers rising hospital costs , however unnecessary or wasteful those costs may be . By reimbursing hospitals for most in- curred costs , this method ...
Page 122
... ment over the current hospital reimbursement structure but should extend even further to reach all payers . The present piecemeal reimbursement structure is an inequitable and ineffec- tive approach to hospital cost containment , as ...
... ment over the current hospital reimbursement structure but should extend even further to reach all payers . The present piecemeal reimbursement structure is an inequitable and ineffec- tive approach to hospital cost containment , as ...
Page 153
... ment of incurred costs on the basis of erroneous economic forecasts . 6. We concur with the use of a uniform data base period , i.e. , Fiscal year 1979 , in establishing the target rate for Fiscal 1981. As you know , in projecting pay- ment ...
... ment of incurred costs on the basis of erroneous economic forecasts . 6. We concur with the use of a uniform data base period , i.e. , Fiscal year 1979 , in establishing the target rate for Fiscal 1981. As you know , in projecting pay- ment ...
Page 180
... ment is not restricted to 5 % of the average routine operating costs . Instead , hospitals whose costs are below the target should be reimbursed for actual costs plus one - half the difference between their costs and the average for ...
... ment is not restricted to 5 % of the average routine operating costs . Instead , hospitals whose costs are below the target should be reimbursed for actual costs plus one - half the difference between their costs and the average for ...
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agencies allow amended American American Hospital Association anesthesia anesthesiologists appropriate areas average basis beds believe benefits bill Blue Cross budget capital expenditures Chairman charge clinical Committee concern Congress cost containment determining effective eligibility employees established facilities Federal fiscal health care costs Health Care Financing health insurance health planning health services Hospital Association hospital costs implementation incentives increase industry inpatient institutions laboratory legislation limit long-term Medicaid programs Medicare and Medicaid ment million nurse anesthetists nursing homes outpatient participating pathologists pathology patients payment percent performed physi physicians problems procedures proposed psychiatric psychotherapy radiologists radiology reasonable cost recommend regulations reim relative value scales relative value schedules result revenues routine operating costs Secretary CALIFANO Senator DOLE Senator TALMADGE ServiceMaster skilled nursing Social Security Act Social Security Administration speech pathology staff statement Subcommittee tion utilization wage