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Initially, managed care made large profits by decreasing payments to doctors and hospitals.
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But most community hospitals are in crisis, faced with decreased payments from insurers, weak management and inefficient technology.
He also wanted to decrease payments to the horse racing industry, increase earnings from out-of-state betting facilities and issue tax-free municipal bonds to pay to rebuild the few remaining gambling dens and make them look like the best wagering clubs in Paris.
This process, known as "risk adjustment," is intended to increase payments for enrollees who will cost more to take care of, and decrease payments for healthier enrollees.
Also, there was a trend toward decreased payments with more targets attained.
Increases in the number of targets attained among the laboratory targets were generally associated with decreased payments (Table 4).
Further, failure to successfully bill for procedures could result in decreased payments, and thus compromise resources available to provide quality care.
With the use of propensity score adjustment, decreased payments were seen with all individual targets, but without statistical significance (Table 4).
The trend of decreased payments with each additional target attained was also seen when all five targets were examined (Table 4), but statistical significance was borderline in the adjusted model.
companies and Medicare are decreasing their payments to doctors," said Dr. Ruth J. Schulze, an obstetrician and gynecologist in Ridgewood, N.J.
Introducing a national sales tax is more contractionary than is increasing personal income taxes or decreasing transfer payments.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com