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Mr. Adler said yesterday that the assemblyman's financial records would clearly demonstrate that the check was a simple reimbursement for money Mr. Norman had spent from personal funds to pay for campaign workers who worked on the primary effort of Alan G. Hevesi's mayoral bid.
In principle, resolution of this conflict is simple: reimbursement systems should reward higher quality care.
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The complexity involved in apparently simple reimbursements has recently been noted for another Kenyan setting [ 32]: " Underneath the seeming obviousness of the concept of 'reimbursement' many other considerations were at play and informally negotiated.
One possible explanation of this finding is that individuals who simultaneously have illegal drug use problems and mood disorders seek treatment for their mood disorder, because of lesser stigma, easier access, and simpler reimbursement schemes [ 21].
Wouldn't a plain fine have been simpler, or retrospective reimbursement more fitting?The settlement also leaves unclear what price managers should pay for their mistakes.
A relatively simple estimation of potential reimbursement cost for effective intraoperative visualization is the (% occurrence of failure) x (the average costs of follow up e.g. repeat surgery).
Second, in fee-for-service payments for which reimbursements are simple discounts of charges, hospitals are incentivised to raise their charges in an effort to increase reimbursement.
This may also be helpful outside the German context, as future decisions may more frequently not be simple dichotomous yes-or-no reimbursement decisions but decisions based on a recommended price for a given benefit.
A missing tool is the electronic medical record, which could be readily used to identify individuals at high risk and could incorporate linked patient "portals" or proactive "e-visits," for which providers could be offered reimbursement, and either simple alerts or more complex decision-support tools to allow physician-directed interventions.
Why can't the United States implement a simple, fair, efficient and cost-saving reimbursement system?
We can thus ask the simple question of whether access to reimbursement is income dependent.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com