Inappropriate request for health care services which are considered to be unnecessary for the patients has long been addressed by several writers. The hypothesis supplier induced demand refers to the induced demand initiated by the supplier who acts in his own economic self-interest rather than patient best interest. The purpose of the present qualitative study was to explore about induced dema...

the purposes of our study were to identify a drug entry process, collect, and prioritize criteria for selecting drugs for the list of basic health insurance commitments to prepare an “evidence based reimbursement eligibility plan” in iran.the 128 noticeable criteria were found when studying the health insurance systems of developed countries. four parts (involving criteria) formed the first que...

Genetic tests are an increasingly important tool for diagnosis and disease management. Correctly diagnosing a disease or determining which medication or dose to prescribe is essential to managing health and disease. Diagnostic data drive more than 70% of healthcare decision making but reimbursement from both public and private payers has emerged as the new crucible with increasing uncertainties...

Several federal bodies provide ongoing analyses of the Medicare DRG prospective hospital payment system. Many states are using DRG prospective "all payor systems" for hospital reimbursement (based on the federal model). In All Payor Systems, Medicare, Medicaid, Blue Cross and other commercial insurers pay by the DRG mode; New York State has been All Payor since 1/1/88. This study simulated DRG ...

Patients requiring transfusion medicine and hemotherapy in an inpatient setting are incorporated into the German Diagnosis Related Groups (G-DRG) system in multiple ways. Different DRGs exist in Major Diagnostic Category 16 for patients that have been admitted for the treatment of a condition from the field of transfusion medicine. However, the reimbursement might be not cost covering for many ...

The aim of our research was to collect comprehensive data about the public and physician awareness, acceptance and use of Personalized Medicine (PM), as well as their opinions on PM reimbursement and genetic privacy protection in the U.S. and Germany. In order to give a better overview, we compared our survey results with the results from other studies and discussed Personalized Medicine precon...

Abstract Introduction Significant challenges exist in access to high-quality care for insomnia disorder. After the recent publication of clinical practice guidelines on behavioral/psychological treatments adults, American Academy Sleep Medicine (AASM) hosted a virtual one-day summit September 2022 discuss improving patients with Methods Fifty attendees representing variety organizations (e.g., ...

OBJECTIVE The purpose of this article is to describe a model of chiropractic integration developed over a 10-year period within a private hospital system in Minnesota. METHODS Needs were assessed by surveying attitudes and behaviors related to chiropractic and complementary and alternative medicine (CAM) of physicians associated with the hospital. Analyzing referral and utilization patterns a...