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Estimates of physician productivity: an evaluation. 医生工作效率的估计:一种评估。
Health Care Financing Review Pub Date : 2007-12-01
Joseph P Newhouse, Anna D Sinaiko
{"title":"Estimates of physician productivity: an evaluation.","authors":"Joseph P Newhouse,&nbsp;Anna D Sinaiko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fisher (2007-2008) has carried out an analysis of physician productivity that is the most thorough to date. Because of limitations in the data, however, he is forced to make many assumptions to arrive at his estimates. This evaluation describes six assumptions to which the results are likely to be relatively sensitive as well as a number of other assumptions to which the results are likely to be less sensitive.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"33-9"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital multifactor productivity: a presentation and analysis of two methodologies. 医院多因素生产力:两种方法的介绍和分析。
Health Care Financing Review Pub Date : 2007-12-01
Jonathan D Cylus, Bridget A Dickensheets
{"title":"Hospital multifactor productivity: a presentation and analysis of two methodologies.","authors":"Jonathan D Cylus,&nbsp;Bridget A Dickensheets","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In response to recent discussions regarding the ability of hospitals to achieve gains in productivity, we present two methodologies that attempt to measure multifactor productivity (MFP) in the hospital sector. We analyze each method and conclude that the inconsistencies in their outcomes make it difficult to estimate a precise level of MFP that hospitals have historically achieved. Our goal in developing two methodologies is to inform the debate surrounding the ability of hospitals to achieve gains in MFP, as well as to highlight some of the challenges that exist in measuring hospital MFP.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"49-64"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes in the Medicare aged population, 2004. 老年医疗保险人口中的糖尿病，2004。
Health Care Financing Review Pub Date : 2007-12-01
Gerald S Adler
{"title":"Diabetes in the Medicare aged population, 2004.","authors":"Gerald S Adler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare Current Beneficiary Survey (MCBS) contains a wealth of information on the health status of Medicare beneficiaries. In particular, the 2004 MCBS included a series of questions about diabetes care for those who reported they had the condition, and diabetes screening for those who said they did not. This highlight reviews some of the characteristics of the diabetic population compared to the non-diabetic population.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"91-101"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Productivity adjustment in the Medicare physician fee schedule update. 生产力调整在医疗保险医生收费时间表更新。
Health Care Financing Review Pub Date : 2007-12-01
Joseph P Newhouse, Anna D Sinaiko
{"title":"Productivity adjustment in the Medicare physician fee schedule update.","authors":"Joseph P Newhouse,&nbsp;Anna D Sinaiko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article reviews the history of the productivity adjustment in the fee schedule and the literature on measuring productivity in health care. Measuring physician-specific productivity is challenging, a principal reason why the actual update formula uses an economywide measure of productivity change. A number of the challenges, including adjusting for quality, the use of administered prices, and the steady addition of new codes is described. This article also shows productivity changes varied widely across manufacturing industries, so that the use of an average across the economy or even across service industries could have substantial error for physician services.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discussing Medicare physician productivity and the exploratory analysis. 医保医师生产力探讨及探索性分析。
Health Care Financing Review Pub Date : 2007-12-01
Zachary Dyckman, Michael Harper, Peter McMenamin
{"title":"Discussing Medicare physician productivity and the exploratory analysis.","authors":"Zachary Dyckman,&nbsp;Michael Harper,&nbsp;Peter McMenamin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article provides comments of three conference panel members on the analyses of the productivity adjustment used in the Medicare Economic Index (MEI), and on exploratory estimates of physician-specific productivity measures. Each has a different background and perspective.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"41-7"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multifactor productivity in health care. 保健领域的多因素生产力。
Health Care Financing Review Pub Date : 2007-12-01
John A Poisal
{"title":"Multifactor productivity in health care.","authors":"John A Poisal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following overview introduces a series of articles that focuses on multifactor productivity (MFP) growth in health care. This edition of the Health Care Financing Review begins with a theoretical discussion of the Medicare Economic Index (MEI) and the conceptual reasons for the MFP adjustment incorporated into the Medicare physician fee schedule (MPFS). The issue then moves on to an exploratory data-driven analysis of MFP growth in physicians' offices, and an evaluation of that exploration. Finally, the edition concludes with an empirically-based analysis of MFP growth in the hospital sector, as well as a study related to Medicare physician payment that looks at the individual contributors to recent growth in relative value units (RVUs).</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multifactor productivity in physicians' offices: an exploratory analysis. 医生办公室的多因素生产力：探索性分析。
Health Care Financing Review Pub Date : 2007-12-01
Charles Fisher
{"title":"Multifactor productivity in physicians' offices: an exploratory analysis.","authors":"Charles Fisher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article constructs measures of multifactor productivity (MFP) for physicians' offices using a variation of the productivity methodology developed by the U.S. Bureau of Labor Statistics (BLS) for other industries. Two alternatives measures are presented and both yield positive gains in physicians' office MFP over the study period. These increases lie below MFP rates for the general economy (private non-farm business sector). During 1983-1992, physicians' office MFP growth exceeded general economy MFP. For 1993-2000, physicians' office MFP growth was both negative and below general economy rates. For the most recent period analyzed, 2001-2004, physician's office MFP grew nearly as quickly as the general economy.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"15-32"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repricing specialty hospital outpatient services using ambulatory surgery center prices. 利用门诊手术中心的价格重新定价专科医院门诊服务。
Health Care Financing Review Pub Date : 2007-12-01
Deborah Healy, Jerry Cromwell, Frederick G Thomas
{"title":"Repricing specialty hospital outpatient services using ambulatory surgery center prices.","authors":"Deborah Healy,&nbsp;Jerry Cromwell,&nbsp;Frederick G Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article explores whether Medicare pays more for the same outpatient services provided in an acute specialty hospital than in an ambulatory surgery center (ASC). How financially dependent a specialty hospital is on ASC-eligible services is also investigated. Medicare outpatient claims in 43 orthopedic and 12 surgical specialty hospitals in 2004 were repriced using ASC pricing software. Payments for the same surgical procedure were 43 and 64 percent higher in specialty surgical and orthopedic outpatient departments, respectively, compared with simulated ASC payments. Non-ASC-eligible outpatient services were 18-35 percent of all Medicare outpatient payments varying by type of specialty hospital.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 2","pages":"81-90"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27402882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prescription drug coverage among Medicare beneficiaries. 医疗保险受益人的处方药覆盖率。
Health Care Financing Review Pub Date : 2007-01-01
Joseph F Regan, Cara A Petroski
{"title":"Prescription drug coverage among Medicare beneficiaries.","authors":"Joseph F Regan,&nbsp;Cara A Petroski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare Current Beneficiary Survey (MCBS) is a longitudinal survey of a nationally-representative sample of Medicare enrollees. The survey collects information on a variety of topics, including beneficiaries' health status; health care use and financing; and social, economic, and demographic characteristics. Medicare administrative data is regularly coupled with the information collected through the survey for validation purposes.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 1","pages":"119-25"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27531609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Medicaid payment on rehabilitation care for nursing home residents. 医疗补助支付对养老院居民康复护理的影响。
Health Care Financing Review Pub Date : 2007-01-01
Walter P Wodchis, Richard A Hirth, Brant E Fries
{"title":"Effect of Medicaid payment on rehabilitation care for nursing home residents.","authors":"Walter P Wodchis,&nbsp;Richard A Hirth,&nbsp;Brant E Fries","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is considerable interest in examining how Medicaid payment affects nursing home care. This study examines the effect of Medicaid payment methods and reimbursement rates on the delivery of rehabilitation therapy to Medicaid nursing home residents in six States from 1992-1995. In States that changed payment from prospective facility-specific to prospective case-mix adjusted payment methods, Medicaid residents received more rehabilitation therapy after the change. While residents in States using case-mix adjusted payment rates for Medicaid payment were more likely to receive rehabilitation than residents in States using prospective facility-specific Medicaid payment, the differences were general and not specific to Medicaid residents. Retrospective payment for Medicaid resident care was associated with greater use of therapy for Medicaid residents.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"28 3","pages":"117-29"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26843707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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