This system contributed to the high volume of services for patients who seemingly had minor or negligible histories of alcohol and drug abuse, investigators wrote.
As Medicare tries to find ways of moving beyond the current fee-for-service system, in which doctors and hospitals benefit by offering a high volume of services, there has been considerable debate over whether rewarding health systems based on their geography would be one way to encourage efficiency.
First, the law bolsters Medicare by changing its focus from high volume of services to high quality and value of care.
Conversely, persons who are diagnosed early and survive heart attacks are more likely to be prevalent cases of heart disease in surveys, and will likely use a high volume of services over many years.
Austria has a kind of capped fee-for-service system for 'contracted GPs', which results in high volumes of services and high turnover of patients.
The objective of this study was to ascertain unit costs and distribution of expenditures at contracted out RHCs in remote rural settings for the actual volumes of MNH services provided in year 2011, and for the estimated higher volumes of services needed by the catchment population.
We found that the correlation between the two was negative; that is, the sites with higher volumes of services per staff member tended to have lower unit costs (r = -0.49 and -0.68 for cost per successful exits and cost per patient-quarters of CM delivered, respectively).
Through its work under PEPFAR, USAID is committed to improving health systems that are able to deliver a high volume of VMMC services as well as services that are efficient, cost-effective and in high demand.
If you shop around on healthcare.gov, you will see a new website feature that will help you get an estimate of your total costs under different health plans, depending on whether you expect to use a low, medium or high volume of medical services.
