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Responding in January to a series in The Boston Globe that exposed how the state's most influential hospitals negotiate high reimbursement rates, Mr. Patrick announced that he would explore whether the state could regulate insurance premiums.
These included overstating a beneficiary's condition to get an improperly high reimbursement, billing for patients who were not homebound and thus not eligible for home health care, and making unnecessary visits.
Due to high reimbursement levels in most EU countries, cost-consciousness is often low.
One patient in the "Angiography only" group had an excessively high reimbursement compared to the mean of the group and was excluded from further analysis.
It's because Medicare and Medicaid set relatively high reimbursement rates for diagnostic tests but relatively low reimbursement rates for time spent talking with patients.
That's because dominant insurers in a local market often pay health care providers high reimbursement rates to discourage them from participating in rival insurance plans.
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But critics, say some of MammoSite's popularity is a result of the relatively high reimbursements paid by insurers.
The industry's warnings that without high reimbursements, the field of gene therapy will wither is "the classic story of the boy who cried wolf," Dr. Bach said.
And many doctors and other health care providers say that the high reimbursements for prescription drugs are justified because Medicare and Medicaid do not adequately cover the other costs of patient care.
Everywhere else, offering high reimbursements to sign up doctors and hospitals and low premiums to sign up customers is a formula for big losses.
The high reimbursements may be an additional incentive for performing such interventions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com