Well, with all the arguing and gnashing of teeth regarding Obamacare and whether or not it should be repealed, replaced, re-hashed, reupped, and rejected, some of you out there may have forgotten that the beginning of July is Proposed Rules Season for the following calendar year. True to form, CMS (Can More Suck?) released the Proposed Physician Fee Schedule and the Hospital Outpatient Prospect...

Many health policy analysts envision provider payment reforms currently under development as replacements for the traditional fee-forservice payment system. Reforms include per episode bundled payment and elements of capitation, such as global payments or accountable care organizations. But even if these approaches succeed and are widely adopted, the core method of payment to many physicians fo...

Adjusted for differences in purchasing power and practice expenses, Canadian physician fees are, on average, 59 percent of Medicare fees. The general perception that Medicare fees are low is the result of comparison with U.S. private fees, not to the much lower Canadian fees. In the context of the current U.S. health care system, lowering Medicare fees to Canadian levels could jeopardize access...

Medicare's hospital outpatient prospective payment system (HOPPS) was initially developed in response to the rapid rise in Medicare's outpatient expenses between 1980 and 1991. The Balanced Budget Act of 1997 mandated HOPPS, with an implementation date of August 1, 2000. Unlike the Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) used hospital charge data to...

This article examines Medicare access, use, and satisfaction before and after implementation of the Medicare Fee Schedule (MFS), based on 3 years of data from the Medicare Current Beneficiary Survey (MCBS). Descriptive and multivariate analysis revealed that access has not deteriorated from 1991 to 1993; Medicare beneficiaries are reporting increased satisfaction--especially with the costs of c...

background a fall in plasma concentration of energy status related hormones (leptin, insulin-like growth factor-1 (igf-1) and insulin) and body energy expenditure occurs in response to short term fasting. nevertheless, the relations of the fasting-induced changes in energy related hormones and metabolites with fasting energy expenditure (fee) under extended fasting condition have received littl...

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This paper empirically explores the advantages of the collaboration between different parallel compute sites in a decentralized grid scenario. To this end, we assume independent users that submit their jobs to their local site installation. The sites are allowed to decline the local execution of jobs by offering them to a central job pool. In our analysis we evaluate the performance of three jo...

Background: Worldwide, the number of patients with allergic diseases is global increasing, especially in the industrialized nations. Experts estimate that only about 10 % of allergic patients are treated according to the latest guidelines. e aim of this study is to map the medical care situation of patients with allergic respiratory diseases under the German statutory health insurance system an...