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Adjust reimbursements to reflect ability to pay, and then re-evaluate the savings.
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The common aim is to adjust reimbursement rates to assumed differences in hospital costs between groups of patients.
In the United States, 30-day readmissions are considered an accountability measure and quality indicator, and the Centers for Medicare and Medicaid Services (CMS) adjusts reimbursements to hospitals according to readmission rates.
Medicare and Medicaid are adjusting reimbursement rates to penalize hospitals that do not work to prevent falls and pressure ulcers, and whose doctors and nurses do not wash their hands enough.
He proposed adjusting reimbursement rates to physicians and hospitals and requiring private plans in the Medicare Advantage category to submit competitive bids.
In contrast, the U.S. has a system that adjusts reimbursement rates for urban and rural areas, for a disproportionate share of poor patients, for regional wage levels, and for teaching [56, 57].
In an effort to promote better care and more rational use of resources in the final stages of dementia, consideration should be given to adjusting reimbursement policies [ 40].
The numerator for spending rates per capita was the 2007 price adjusted total reimbursement for this population.
Such information might elucidate the help-seeking behaviour of patients and the preferences of physicians in treating osteoarthritis of the knee, and could help to allocate medical resources in health policy-making by adjusting the reimbursement of this procedure in the NHI.
Managers used to raise organisational revenue by being paid fees for service by users, for example, find it hard to adjust to a fixed reimbursement per episode under exemption policies.
The bill does not, for example, adjust the discrimination in Medicare reimbursement rates that afflicts states like Oregon and Minnesota and Iowa.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com