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To this extent, please note that the final reimbursement amount may be less than the grant funding amount awarded by OCP.
This is important as it is final reimbursement which drives incentives, rather than a DRG allocation.
He did not provide a final reimbursement tally for those six trips, saying he was waiting for the accounting.
In other words, with mandated discounts baked into the system, hospitals routinely overstate medical fees — often by tens of thousands of dollars — so their final reimbursement is closer to actual costs.
Final reimbursement ('yes') was granted in 59.4% and 42.9% of all decisions respectively.
Consequently, two or more decisions are made until a final reimbursement decision has been reached.
Similar(48)
14 Finally, reimbursement for the terminally ill assures that dying patients who choose to spend their final days outside a hospital are exempted from any medical expenses.
He acknowledged, though, that the policy Medicare ultimately approved was "a win for MiMedx and the industry because the final rule amount reimbursement increased over the proposed rule amount".
CVZ staff asked for an infrastructure to collect data about the use of pharmaceuticals in daily clinical practice to check the use of pharmaceuticals and to make final decisions about reimbursement, but they never used the data for these ends.
Levodopa/carbidopa's (duodopa(R)) path to final pricing and reimbursement in Sweden went through a temporary (five-year long) MAA which aimed at generating real-life evidence that would allow to reduce the value of ICER and uncertainty around it [ 6- 8].
European countries keep the process of assessment of scientific evidence structurally separate from its appraisal and from final decision-making on reimbursement status, reimbursement level, or price.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com