BACKGROUND The simultaneous improvement of the security capability of China Health Insurance System and its development in the last decade remains uncertain. This study measures the status and trends of reimbursement levels of the China Health Insurance System, as well as to offer policy advice to subsequent insurance reforms. METHODS The National Reimbursement Ratio was created to determine ...

OBJECTIVE To identify, categorize and examine performance-based health outcomes reimbursement schemes for medical technology. METHODS We performed a review of performance-based health outcomes reimbursement schemes over the past 10 years (7/98-010/09) using publicly available databases, web and grey literature searches, and input from healthcare reimbursement experts. We developed a taxonomy ...

Reimbursement lists: A. Generics/other less expensive drugs with good cost-effectiveness: 90% reimbursement B. Essential but more expensive drugs: 50% reimbursement C. Specified conditions, prescribed by specialists: C1: Ambulatory care medicines for severe/ chronic diseases C2: Hospital only C3: A+B plus additional OTC products limited to persons <18 years old, students, pregnant women and you...

OBJECTIVES The objective of this study was to assess the frequency of utilization and reimbursement of the common diagnostic tests and treatment modalities used in testicular cancer care. METHODS LifeLink™ (IMS Health, Danbury, CT, USA) Claims Database was used. We identified 877 subjects with a primary diagnosis of testicular cancer (ICD 186.9) between 2007 and 2012. Median reimbursement and...

Telemedicine has garnered significant attention over the past decade as a solution to cost and access challenges facing healthcare. Yet, utilization rates have not reached their full potential. One major barrier to the adoption of telemedicine cited in the literature is the lack of universal reimbursement from private payers. The purpose of this investigation was to capture a current picture of...

In 1935, when the Social Security Act was passed, little was known about the economic position of the Nation’s older men and women. Today, through surveys of insurance bene$ciaries conducted by the Bureau of Old-Age and Survivors Insurance, much more is known. The evaluation of the economic situation of aged beneficiaries that is presented in the following pages is based on the national benefic...

BACKGROUND Drug formularies have been created by third party payers to control prescription drug usage and manage costs. Physicians try to provide the best care for their patients. This research examines family physicians' attitudes regarding prescription reimbursement criteria, prescribing and advocacy for patients experiencing reimbursement barriers. METHODS Focus groups were used to collec...