A*******s
发帖数: 9638 | 1 The commission began by examining factors driving the high level of
expenditures in the U.S. health care system. It found that reliance on
technology and expensive care, higher payments for medical services
performed in hospital-owned facilities than in outpatient facilities, and a
high proportion of specialist physicians as compared with generalists were
all important cost drivers. But fee-for-service reimbursement stood out as
the most important cause of high health care expenditures
http://www.nejm.org/doi/full/10.1056/NEJMsb1302322?query=featur
Thoughts? |
V*****G
发帖数: 337 | 2 What is fee for service reimbursement?
a
【在 A*******s 的大作中提到】
: The commission began by examining factors driving the high level of
: expenditures in the U.S. health care system. It found that reliance on
: technology and expensive care, higher payments for medical services
: performed in hospital-owned facilities than in outpatient facilities, and a
: high proportion of specialist physicians as compared with generalists were
: all important cost drivers. But fee-for-service reimbursement stood out as
: the most important cause of high health care expenditures
: http://www.nejm.org/doi/full/10.1056/NEJMsb1302322?query=featur
: Thoughts?
|
A*******s
发帖数: 9638 | 3 http://en.wikipedia.org/wiki/Fee-for-service
【在 V*****G 的大作中提到】
: What is fee for service reimbursement?
:
: a
|
N*G
发帖数: 217 | 4 it will be harder for a small group to survive. for Non-fee-for-service,
group needs more healthy pts to pay for their sick pts' cost. |
A*******s
发帖数: 9638 | 5 You did not get it.
Instead of billing on quantity which is fee-for service, it will emphasize
the quality. So there are 2 components to be considered: Cost and
effectiveness.
You will get the best pay if patient A's care reaches a good outcome with a
low cost. Correspondingly, you get the lowest payment with a poor outcome
and a high cost.
Draw a scheme like this:
Cost low median high
Outcome
Best Bestpay
Good Average
Poor Worst pay
【在 N*G 的大作中提到】
: it will be harder for a small group to survive. for Non-fee-for-service,
: group needs more healthy pts to pay for their sick pts' cost.
|
f****b
发帖数: 2410 | 6 就是说不要蒙古大夫的高头大马存在，只要穿着白大褂满街乱窜，小粉还真象她说的是
生不缝时了
a
【在 A*******s 的大作中提到】
: You did not get it.
: Instead of billing on quantity which is fee-for service, it will emphasize
: the quality. So there are 2 components to be considered: Cost and
: effectiveness.
: You will get the best pay if patient A's care reaches a good outcome with a
: low cost. Correspondingly, you get the lowest payment with a poor outcome
: and a high cost.
: Draw a scheme like this:
: Cost low median high
: Outcome
|
b***u
发帖数: 746 | 7 isn't medicare/medicaid already refusing paying for patient who is re-
admitted within 30 days of previous discharge, no matter the reason (which
means even there's a totally different issue, such as a new stroke after
being treated and discharged for pneumonia)?
a
【在 A*******s 的大作中提到】
: You did not get it.
: Instead of billing on quantity which is fee-for service, it will emphasize
: the quality. So there are 2 components to be considered: Cost and
: effectiveness.
: You will get the best pay if patient A's care reaches a good outcome with a
: low cost. Correspondingly, you get the lowest payment with a poor outcome
: and a high cost.
: Draw a scheme like this:
: Cost low median high
: Outcome
|
A*******s
发帖数: 9638 | 8 I am not sure about that. Do you have a link?
It's definitely going to be a disaster to implement these measures for all
of us.
★ 发自iPhone App: ChineseWeb 7.8
【在 b***u 的大作中提到】
: isn't medicare/medicaid already refusing paying for patient who is re-
: admitted within 30 days of previous discharge, no matter the reason (which
: means even there's a totally different issue, such as a new stroke after
: being treated and discharged for pneumonia)?
:
: a
|
b***u
发帖数: 746 | |
A*******s
发帖数: 9638 | 10 Penalties are not no payment. 这个区别还是很大的。
另外如果同一个病人因为不同的病入院也不应该有penalty，相信medicare还是讲理的。
我本人支持penalty，经济杠杆比行政命令来的人性的多。
【在 b***u 的大作中提到】
: http://www.amednews.com/article/20120827/government/308279952/6
: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Ac
|
