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Findings brief : health care financing & organization最新文献

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What is the effect of pay for performance on hospitals that serve poor patients? 对服务贫困病人的医院来说，按绩效付费有什么影响?
Findings brief : health care financing & organization Pub Date : 2010-12-01
Sarah Katz
{"title":"What is the effect of pay for performance on hospitals that serve poor patients?","authors":"Sarah Katz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Key findings: </strong>(1) After three years of participation in a CMS pay-for-performance initiative, hospitals that served a high number of poor patients realized gains in quality improvement measures on certain clinical conditions. (2) The gains among these hospitals were greater than gains among other hospitals, allowing them to close the gaps seen prior to the onset of pay for performance. (3) Hospitals that served a high number of poor patients started with lower baseline quality performance than other hospitals.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"13 7","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29873283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in emergency department access between 2001 and 2005 among general and vulnerable populations. 2001年至2005年，普通人群和弱势人群急诊就诊情况的变化。
Findings brief : health care financing & organization Pub Date : 2010-11-01
Christina Zimmerman
{"title":"Changes in emergency department access between 2001 and 2005 among general and vulnerable populations.","authors":"Christina Zimmerman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Key findings: </strong>(1) 11.4 million people faced some degree of deterioration in geographic access to emergency care between 2001 and 2005. (2) Residents in rural communities have poorer access to emergency depart­ments at baseline and experienced a greater decline in emergency depart­ment access than those living in urban communities between 2001 and 2005. (3) Deteriorating access to emergency departments is more likely to occur in communities with economic hard­ship and high shares of Hispanic populations, as well as in rural areas that are part of a designated health professional shortage area.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"13 6","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29873897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Medicaid managed care market penetration impact provider participation, costs, utilization, and access? 医疗补助管理式医疗市场渗透是否会影响提供者的参与、成本、利用率和可及性?
Findings brief : health care financing & organization Pub Date : 2010-09-01
Jenny Minott
{"title":"Does Medicaid managed care market penetration impact provider participation, costs, utilization, and access?","authors":"Jenny Minott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Key findings. (1) An increase in commercial plan penetration increased the liklihood [sic] that a physician would accept new Medicaid patients, but this did not significantly impact enrollee costs. (2) An increase in Medicaid-dominant HMO market penetration increased the probability that individuals reported using the ED as their primary source of care.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"13 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29508449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the impact of Part D on nursing home residents. 检视D部对养老院居民的影响。
Findings brief : health care financing & organization Pub Date : 2010-05-01
Nicole Hudson
{"title":"Examining the impact of Part D on nursing home residents.","authors":"Nicole Hudson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Key findings. (1) Even though 81 percent of eligible nursing home residents enrolled in Part D within the first year, they demonstrated no evidence of expanded drug coverage. (2) Medicare Part D lowered the out-of-pocket drug costs of nursing home residents by less than the amount in the community setting. (3) Nursing home residents who did not enroll in Part D exhibited characteristics of vulnerability: oldest-old, highest disease burden, and no previous drug coverage. (4) Disruptions in prescription drug use occurred after implementation of Part D.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"13 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29504485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Major illness and financial disaster: how close is the connection? 大病与经济灾难:关系有多密切?
Findings brief : health care financing & organization Pub Date : 2010-04-01
Bonnie J Auston
{"title":"Major illness and financial disaster: how close is the connection?","authors":"Bonnie J Auston","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"13 3","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29193894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What are the costs to physicians of administrative complexity in their interactions with payers? 在与付款人的互动中，医生的管理复杂性成本是多少?
Findings brief : health care financing & organization Pub Date : 2010-03-01
Jenny Minott
{"title":"What are the costs to physicians of administrative complexity in their interactions with payers?","authors":"Jenny Minott","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Key findings: </strong>(1) Primary care physicians spent significantly more time on administrative tasks than did medical specialists or surgical specialists. (2) All staff in physician practices with one or two physicians spent more time on administrative tasks than did physicians and staff in practices with more than 10 physicians. (3) More than 75 percent of physicians and administrators reported that the administrative burden of interacting with a health plan increased significantly or increased slightly in the past two years. (4) On average, physician practices spent $68,274 per physician per year interacting with health plans. When this average is multiplied by the number of physicians practicing in the United States, the total cost of physicians' interactions with health plans is $31.0 billion.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"13 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28909018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rehospitalization from skilled nursing facilities: implications for policy. 从熟练护理机构再住院:对政策的影响。
Findings brief : health care financing & organization Pub Date : 2010-02-01
Bonnie J Austin
{"title":"Rehospitalization from skilled nursing facilities: implications for policy.","authors":"Bonnie J Austin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Between 2000 and 2006, rehospitalizations within 30 days following discharge to a skilled nursing facility increased by 29 percent. (2) Initial site of residence prior to a hospitalization affects the likelihood of a rehospitalization. (3) There is a significant variation across states in the rate of rehospitalizations following discharge to a skilled nursing facility.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 9","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2010-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28771244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health risk appraisal: how sharp is this tool in shaping employee behavior? 健康风险评估:这个工具在塑造员工行为方面有多锐利?
Findings brief : health care financing & organization Pub Date : 2009-12-01
Jessica Bachler
{"title":"Health risk appraisal: how sharp is this tool in shaping employee behavior?","authors":"Jessica Bachler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Voluntary HRA participants are more likely to be women, enrolled in consumer-driven health plans, and have fewer chronic conditions. (2) Employees who participate in HRAs experience increased utilization and spending n health services (office visits and prescription drugs) relative to those not offered an HRA through their health plan. (3) Though HRAs have been show to increase use of medical services, they are unlikely the sole solution to engaging consumers in their health.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 8","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28747087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Financing American Indian health care: impacts and options for improving access and quality. 资助美洲印第安人的医疗保健:改善机会和质量的影响和选择。
Findings brief : health care financing & organization Pub Date : 2009-10-01
Kathryn Langwell, Cheryl Anagnopoulos, Frank Ryan, Jacob Melson, Sandor Iron Rope
{"title":"Financing American Indian health care: impacts and options for improving access and quality.","authors":"Kathryn Langwell,&nbsp;Cheryl Anagnopoulos,&nbsp;Frank Ryan,&nbsp;Jacob Melson,&nbsp;Sandor Iron Rope","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Indian Health Service (HIS) per patient funding is less than half of national per capita health spending, and declined further between 2003 and 2006. (2) Under-funding of the IHS system has led to explicit rationing of services to American Indian and Alaska Native patients, with many specialized services provided only for \"life or limb threatening\" conditions. (3) IHS patients report experiencing access barriers and rate the quality of care process substantially lower than do Medicaid beneficiaries, but most indicate they prefer to use IHS for their health care. (4) Options to increase the funding for American Indian and Alaska Native health care exist, but would impose higher costs on federal and state budgets and are unlikely to be feasible in the current economic environment. However, IHS might be able to make certain organizational changes that would increase efficiency and its ability to extend existing funding to cover more services.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 7","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28454212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The provision and reporting of community benefits by hospitals: lessons from Maryland. 医院提供和报告社区福利:马里兰州的经验教训。
Findings brief : health care financing & organization Pub Date : 2009-09-01
Nicole Hudson
{"title":"The provision and reporting of community benefits by hospitals: lessons from Maryland.","authors":"Nicole Hudson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>(1) Most Maryland hospitals experienced a difficult learning curve in 2004 when they were required to begin filing annual reports on community benefit expenditures, but hospital leaders now generally see the reporting requirements to have been beneficial for hospitals. (2) Charity care and health professional education each account for about one-third of community benefit expenditures in Maryland hospitals, and mission-related services around 20 percent. (3) Community benefit accounts for more that [sic] 7.2 percent of hospitals' expenditures on average, with the range from less than two percent to more than 14 percent. Charity care averages 2.1 percent of expenditures, with the range from less than 1 percent to more than 6 percent of expenses.</p>","PeriodicalId":83710,"journal":{"name":"Findings brief : health care financing & organization","volume":"12 6","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28477842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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