نتایج جستجو برای: cost fee for service ffs

تعداد نتایج: 10512727  

ژورنال: دانشور پزشکی 2016
بابارحیم, علیرضا, کاظمیان, محمود,

Background and Objectives: Payment methods of fee-for-service and per capita affect financial incentives of service providers differently, and hence, can produce excess or shortage of healthcare services and expenses for the health insurance organization and the insured. This study assessed expenses of healthcare services for households in the Iranian provinces regarding the payment methods of ...

2002
Robert Town Su Liu

In this paper we estimate the welfare associated with the Medicare HMO program, now known as Medicare+Choice. We find that the Medicare HMO program contributed over $5.8 billion (1998 dollars) to consumer and producer surplus from 1993 to 1998. We estimate that the HMO program generates positive net societal welfare as long as the cost of treating HMO enrollees in the Medicare fee-for-service (...

2000
Melvin J. Ingber

The Health Care Financing Administration (HCFA) implemented risk adjustment for Medicare capitated organizations January 2000. The risk adjustment system used, the Principal Inpatient Diagnostic Cost Group (PIPDCG) method, had to be incorporated into the payment structure mandated by the Balanced Budget Act of 1997 (BBA). This article describes how risk adjustment was integrated into the paymen...

Journal: :Journal of health economics 2008
Etienne Dumont Bernard Fortin Nicolas Jacquemet Bruce Shearer

We analyse how physicians respond to contractual changes and incentives within a multitasking environment. In 1999 the Quebec government (Canada) introduced an optional mixed compensation (MC) system, combining a fixed per diem with a partial (relative to the traditional fee-for-service (FFS) system) fee for services provided. We combine panel survey and administrative data on Quebec physicians...

2007
Cynthia R. Schuster Jean M. Mitchell Darrell J. Gaskin

Little research has examined whether Medicaid managed care plans (MCPs) that incorporate case management are effective in coordinating services for children with special health care needs (CSHCN). This study evaluates the effects of enrollment of special needs children into a partially capitated MCP (with ongoing case management) versus the fee-for-service (FFS) option on use of therapeutic ser...

2017
Gunnel Hänsel Petersson Svante Twetman

BACKGROUND To a) compare risk categories in patients selecting a capitation payment (CP) model with those in fee-for-service (FFS), b) determine the 3-year caries increment in the two groups, and c) compare the amount of delivered preventive care in the two groups. METHODS A comprehensive risk assessment was carried out in 1295 young adults attending eight Public Dental Clinics in the Scania ...

2013
Claudia Keser Claude Montmarquette Martin Schmidt Cornelius Schnitzler

Tous droits réservés. All rights reserved. Reproduction partielle permise avec citation du document source, incluant la notice ©. Short sections may be quoted without explicit permission, if full credit, including © notice, is given to the source. Le CIRANO collabore avec de nombreux centres et chaires de recherche universitaires dont on peut consulter la liste sur son site web. Les cahiers de ...

Journal: :Pediatrics 2015
Kelly J Kelleher Jennifer Cooper Katherine Deans Pam Carr Richard J Brilli Steven Allen William Gardner

BACKGROUND AND OBJECTIVES Accountable care organizations (ACOs) are responsible for costs and quality across a defined population. To succeed, the ACO must improve value by reducing costs while either maintaining or improving the quality of care. We examined changes from 2008 through 2013 in the cost and quality of care for Partners for Kids (PFK), a pediatric ACO serving an Ohio Medicaid popul...

Journal: :Healthcare 2021

The aim of this review was to assess relevant global literature on capped-fee (CF) and fee-for-service (FFS) payment models as used by public dental services. Research data were assessed through the PRISMA check list sourced from MEDLINE, PubMed, ProQuest, Cochrane Library, other methods. inclusion criteria peer reviewed articles published between 2004 2020 (i) countries’ health systems that ev...

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