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A unit cost representative of diverse payers was established using fee schedules [ 25, 26] and published payer ratios [ 27], and applied to each CPT-4 code in the profiles.
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Once enrolled, practices were asked to fill out a practice survey that asked about practice demographics, payer mix, staffing ratios and office technology.
The payment-to-charge ratio for payer type j is the ratio of total payments to total charges across all stays at the hospital with that primary payer.
The continuing deficits caused considerable attention to be focused on operating efficiencies, including patient flow, staffing ratios, and payer mix.
The results illustrate the wide range of hospital payment-to-charge ratios by payer and the considerable variation in these ratios across states.
Multivariate Cox regression was used to simultaneously estimate the hazard of death (Hazard Ratio) of payer status and adjusted other factors.
Many of his picks have modest price-to-earnings ratios and are dividend payers, and Hill is fearless when it comes to buying stocks not listed on major U.S. exchanges.
The data enabled them to calculate hospital-level "price-to-charge" ratios (PCRs) for five types of payers: Medicare, Medicaid, private insurance, uninsured individuals, and other payers such as workers compensation programs.
MAIN OUTCOME MEASURES:Using a third-party payer's perspective, an incremental cost-effectiveness ratio (ICER) was computed as the cost per ischaemic event avoided over 6 months.
They estimated payment-to-charge ratios for five types of payers for each facility.
This means that a medicine with an incremental cost-effectiveness ratio below the threshold value is likely to be accepted by a health care payer and a medicine with an incremental cost-effectiveness ratio exceeding the threshold value is likely to be refused.
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