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"The reimbursement structure needs to be rethought".
That act changed the Medicare reimbursement structure for nursing homes, and ratcheted down payments.
"We did arrive at a reimbursement structure that they obviously feel comfortable with," Ms. Levin said.
Whether this need for in-person contact was legitimate or the byproduct of the reimbursement structure of fee-for-service health care was not clear.
"One of the major problems we have is the reimbursement structure we have in health care that has provided an incentive to hospitals to build high-tech cardiac, thoracic surgical units, and all the rest, where they make money," he said.
The other big providers were not able to manage the new reimbursement structure the act implemented.
Similar(35)
Many primary care physicians — who are responsible for directing the vast majority of health care costs — are forming A.C.O.s, and more private health plans are setting up these reimbursement structures as well.
The application of behavioral economics to healthcare settings parallels recent shifts in policy and reimbursement structures that hold providers accountable for outcomes that are dependent on patient behaviors.
For example, you can get a colonoscopy in three places, each location with very different cost reimbursement structures, but it is hard to ensure if the quality of care is necessary to account for three different levels of payment.
In this article, we outline the goals of the PMC, and the strategies it will take to foster communication, debate, and consensus on issues such as genetic discrimination, the reimbursement structures for pharmacogenomic drugs and diagnostics, regulation, physician training and medical school curricula, and public education.
While I've been preaching about the need for new care models (combined with different reimbursement structures) for a while, its time seems to have come.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com