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Besides the amount reimbursed, technical requirements for reimbursement need to be established, e.g. new codes for procedures in fee schedules [ 49].
Specific issues such as reimbursement need to be dealt with by the authorities, in order to ensure that this solution is a viable one.
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Fee-for-service reimbursement needs to be replaced by high-deductible insurance and health savings accounts.
Incentives need to be aligned and reimbursement needs to change to enable some of these new technologies to actually enter the clinic.
First, physicians' reimbursement needs to be aligned with outcomes (and thus the transition from fee-for-service to fee-for-value that is underway).
"The cool trick is that Tricount will simplify who owes to whom by minimising the number of reimbursements needed to get balanced accounts".
For the profession to have the evidence base needed to advocate for high-quality occupational therapy in the era of value-based reimbursement, we need not only to produce more research, but also to develop a critical mass of trained researchers who can evaluate the quality, access, timing, and utilization of occupational therapy services.
Despite this potential reimbursement, hospitals need incentives to change their prescription behaviour.
Since most surgeons are reluctant in charging patients for the procedure, reimbursement strategies need to be evaluated and adopted to the substantial time and effort associated with implant removal surgery.
In order to reduce the misalignment of costs and financial benefits in and outside the healthcare system and facilitate larger scale patient access, the payment and reimbursement structures need adjustment.
"The reimbursement structure needs to be rethought".
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CEO of Professional Science Editing for Scientists @ prosciediting.com