Sentence examples for setting reimbursement from inspiring English sources

Another pharmaceutical company, Sepracor, has for years challenged the government's authority to use the "least costly alternative" as a basis for setting reimbursement rates for Xopenex, prescribed for asthma and chronic obstructive pulmonary disease.

MAGGIE MAHAR reports on how Maryland has bent down the curve on healthcare inflation.In 1977, Maryland decided that, rather than leaving prices to the vagaries of a marketplace where insurers and hospitals negotiate behind closed doors, it would delegate the task of setting reimbursement rates for acute-care hospitals to an independent agency, the Maryland Health Services Cost Review Commission.

This cozy deal ended in 2005, when a 2003 federal law took effect setting reimbursement rates on drugs administered in doctors' offices much closer to the price that doctors paid.

This cozy deal ended in 2005, when a 2003 U.S. law took effect setting reimbursement rates on drugs administered in doctors' offices much closer to the price that doctors paid.

By setting reimbursement rates for given procedures and drugs, he wrote in 2013, "IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them".

Information on costs of surgical services can be used for monitoring the efficiency of service delivery, making resource allocation decisions involving surgery, and setting reimbursement rates to providers.

Apligraf's commerical success has been challenged recently by reimbursement changes announced by the Center for Medicare and Medicaid Services (CMS), the federal agency that sets reimbursement levels for federally funded heatlh care and guides reimbursment decisions made by private insurers, in 2013 and implemented in 2014 [ 43].

Congress sets reimbursement rates.

Medicare should also be allowed to use the results of comparative effectiveness research to set reimbursement policies favoring the best treatments.

But, he said, Medicare does not want to overpay for the medicines and believes that hospital data is the most accurate way to set reimbursement.

And some private plans have thrived in competition with Medicare, despite its lower administrative costs and ability to set reimbursement rates for medical providers.