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Medical costs (reimbursed amounts in 2006 US dollars) were estimated by multivariate linear regression.
All claims also include paid (i.e., reimbursed) amounts.
All claims include paid (i.e., reimbursed) amounts, including patient deductibles, copays, and/or coinsurance amounts.
In summarizing overall costs, we will include costs reported by participants via resource use questionnaires, in addition to the sum of estimated reimbursed amounts associated with care used.
The amount of costs (reimbursed amounts paid by health plans) for all services previously described were calculated on an annual per patient basis for each cohort.
Healthcare costs were estimated using paid (i.e., reimbursed) amounts, and were similarly characterized by component of care as well as on an overall basis.
Similar(43)
Even more contentious will be assessing which service provider is responsible when costs exceed the reimbursed amount.
The reimbursed amount was higher among elderly population, males, households educated above graduation, residing in the urban areas, and belonging to the others as caste group.
Under this new model, CMS will reimburse medical providers a fixed amount (estimates suggest around $25,000) for each knee or hip surgery, and medical providers are responsible for any costs that exceed the reimbursed amount.
But since there is no cap on the reimbursed amount, the French sometimes shop for doctors based on such things as office decor rather than prices, according to a study by David Green and Benedict Irvine, researchers at Civitas, a London-based think tank.
But it will also prohibit those services from billing consumers for balances beyond the reimbursed amount.
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