To clarify and validate the factors that influence hospital profitability in the United States of America, we used a cross-sectional design to examine data for 1998. Several changes and government regulations introduced in the early 1990s influenced hospital performance. We included those variables to give a better understanding of the hospital payment system. Among the explanatory variables co...

OBJECTIVE Medicare Part B physician payment indicates a cost to Medicare beneficiaries for a physician service and connotes physician clinical productivity. The objective of this study was to determine whether there was an association between practice arrangement and Medicare physician payment. STUDY DESIGN Cross-sectional study. SETTING Medicare provider utilization and payment data. SUB...

BACKGROUND In 2006, a new medical payment framework such as fixed-payment method was implemented in Turkey and then cancelled 5 months later. The aim of this study was to explore the effects of this payment method on the demand for imaging tests. METHODS Data were obtained retrospectively from electronic medical records. The main outcome measures were the number of imaging tests, the payment ...

it has been tried to compare the “price payment method” in iranian law with “principles of international commercial contracts” and “convention on contracts for international sale of goods vienna, 1980” in this study. different law regulations in various countries should be unified in order to extend rapid and insured trusted law relations among the nations and people all over the world because ...

Post-acute care for older adults often involves transfer to a skilled nursing facility (SNF) following hospital discharge. This transition is often poorly coordinated and leaves older adults at risk for poor health outcomes, but new payment models offer opportunities to align improved care practices with payments. There is a dearth of evidence regarding the role of nursing and its potential to ...

The inpatient psychiatric facility prospective payment system (IPF-PPS), provides per diem payments for psychiatric hospitals and units, including 17 comorbid condition payment adjustors that cover 11 percent of patients. This study identifies an alternative set of 16 adjustors identifying three times as many high-cost patients and evaluates the improved predictive power in log per diem cost re...

The Integrated Healthcare Association is coordinating an episode of care payment initiative involving prominent health plans, hospital systems, and physicians organizations in California. he fragmentation of payment methods undermines efficiency and quality of care due to its effects on both providers and consumers. This effect is especially pronounced when considering high-cost surgical proced...

The Medicare prospective payment system, which is based on the diagnosis-related group patient-classification system, identifies previously unrecognized redistributions of revenue among diagnosis-related groups and hospitals. The redistributions are caused by two artifacts. One artifact results from the use of labor market indexes to adjust costs for the different prices paid by hospitals in di...

When the Health Care Financing Administration implemented the Medicare prospective payment system (PPS), the payment rates for inpatient hospital operating costs were derived on an urban and rural basis within each region. The rates were also adjusted for area wage levels and other factors affecting hospital costs. The effect of PPS on rural hospitals is of widespread interest. This article pro...