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Refinement of the Medicare diagnosis-related groups to incorporate a measure of severity - Medicare Payment Systems: Moving Toward the Future This article presents a system under consideration by the Health Care Financing Administration (HCFA) for incorporating a measure of severity of illness ......(Continue Reading)Use of diagnosis-related groups by non-Medicare payers - Medicare Payment Systems: Moving Toward the Future Medicare's prospective payment system (PPS) for hospital cases is based on diagnosis-related groups (DRGs). A wide vaRiety of other third-party payers for hospital care have adapted elements of this s...(Continue Reading)Medicare hospital outpatient services and costs: implications for prospective payment Medicare expenditures of hospital outpatient department (HOPD) services are growing rapidly, prompting congressional interest in a prospective payment ......(Continue Reading)Retroactive reimbursement under HCFA's PPS for capital - Health Care Financing Administration's Prospective Payment System for capital reimbursement; reimbursement Hospitals which have decided to participate in the Health Care Financing Administration's Prospective Payment System (PPS) for capital reimbursement enjoy ......(Continue Reading)Capitated Payment Approaches for Medicaid-Financed Long-Term Care Services In the following analysis, the authors examine the capitated payment approaches for long-term care (LTC) services of five programs: the Program of All-Inclusive ......(Continue Reading) |