reimbursement mechanisms

Summary

Summary: Processes or methods of reimbursement for services rendered or equipment.

Top Publications

  1. ncbi Recommendations to improve end-of-life care through regulatory change in U.S. health care financing
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92103 1407, USA
    J Palliat Med 5:35-41. 2002
  2. ncbi Comparing patient access to pharmaceuticals in the UK and US
    Joshua Cohen
    Tufts Center for the Study of Drug Development, Tufts University School of Medicine, Boston, Massachusetts 02111, USA
    Appl Health Econ Health Policy 5:177-87. 2006
  3. ncbi Home care for the high-risk neonate: success or failure depends on home health nurse funding and availability
    Anita J Catlin
    Sonoma State University, 1801 East Cotati Avenue, Rohnert Park, CA 94928, USA
    Home Healthc Nurse 25:131-5. 2007
  4. ncbi Long-term care insurance in Japan: implications for U.S. long-term care policy
    Susan Crocker Houde
    University of Massachusetts Lowell, Department of Nursing Lowell, MA 01854, USA
    J Gerontol Nurs 33:7-13. 2007
  5. ncbi Colorectal cancer: complexities and challenges in managed care
    Neil B Minkoff
    Network Services and Pharmacy, Harvard Pilgrim Health Care, Wellesley, Massachusetts 02481, USA
    J Manag Care Pharm 13:S27-9. 2007
  6. pmc Risk sharing arrangements for pharmaceuticals: potential considerations and recommendations for European payers
    Jakub Adamski
    Ministry of Health, Warsaw, Poland
    BMC Health Serv Res 10:153. 2010
  7. pmc Inclusion of cost effectiveness in licensing requirements of new drugs: the fourth hurdle
    R S Taylor
    Department of Public Health and Epidemiology, University of Birmingham, Birmingham B15 2TT
    BMJ 329:972-5. 2004
  8. ncbi Methods to determine reimbursement rates for diagnosis related groups (DRG): a comparison of nine European countries
    Jonas Schreyögg
    Department of Health Care Management, Berlin University of Technology, 10623 Berlin, Germany
    Health Care Manag Sci 9:215-23. 2006
  9. ncbi Funding the unfundable: mechanisms for managing uncertainty in decisions on the introduction of new and innovative technologies into healthcare systems
    Tania Stafinski
    Department of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada
    Pharmacoeconomics 28:113-42. 2010
  10. ncbi Framework for describing and classifying decision-making systems using technology assessment to determine the reimbursement of health technologies (fourth hurdle systems)
    John Hutton
    Department of Health Sciences, University of York, Heslington, UK
    Int J Technol Assess Health Care 22:10-8. 2006

Research Grants

Detail Information

Publications229 found, 100 shown here

  1. ncbi Recommendations to improve end-of-life care through regulatory change in U.S. health care financing
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92103 1407, USA
    J Palliat Med 5:35-41. 2002
    ....
  2. ncbi Comparing patient access to pharmaceuticals in the UK and US
    Joshua Cohen
    Tufts Center for the Study of Drug Development, Tufts University School of Medicine, Boston, Massachusetts 02111, USA
    Appl Health Econ Health Policy 5:177-87. 2006
    ..Additional barriers have since been identified. These pertain to reimbursement and pricing of approved drugs, the so-called fourth and fifth hurdles...
  3. ncbi Home care for the high-risk neonate: success or failure depends on home health nurse funding and availability
    Anita J Catlin
    Sonoma State University, 1801 East Cotati Avenue, Rohnert Park, CA 94928, USA
    Home Healthc Nurse 25:131-5. 2007
  4. ncbi Long-term care insurance in Japan: implications for U.S. long-term care policy
    Susan Crocker Houde
    University of Massachusetts Lowell, Department of Nursing Lowell, MA 01854, USA
    J Gerontol Nurs 33:7-13. 2007
    ..Revisions to the Japanese system and implications for U.S. long-term care policy are discussed...
  5. ncbi Colorectal cancer: complexities and challenges in managed care
    Neil B Minkoff
    Network Services and Pharmacy, Harvard Pilgrim Health Care, Wellesley, Massachusetts 02481, USA
    J Manag Care Pharm 13:S27-9. 2007
    ..Managed care weighs advances and associated costs to determine whether the combination of longer life at sometimes significantly increased cost represents value. The price of treatment is only 1 factor...
  6. pmc Risk sharing arrangements for pharmaceuticals: potential considerations and recommendations for European payers
    Jakub Adamski
    Ministry of Health, Warsaw, Poland
    BMC Health Serv Res 10:153. 2010
    ..There is though confusion surrounding the terminology as well as concerns with existing schemes...
  7. pmc Inclusion of cost effectiveness in licensing requirements of new drugs: the fourth hurdle
    R S Taylor
    Department of Public Health and Epidemiology, University of Birmingham, Birmingham B15 2TT
    BMJ 329:972-5. 2004
  8. ncbi Methods to determine reimbursement rates for diagnosis related groups (DRG): a comparison of nine European countries
    Jonas Schreyögg
    Department of Health Care Management, Berlin University of Technology, 10623 Berlin, Germany
    Health Care Manag Sci 9:215-23. 2006
    ..use of trimming methods and plausibility checks and 3.) definition of prices. It concludes with a discussion on the typical development path of DRG systems and the role of additional reimbursement components in this context...
  9. ncbi Funding the unfundable: mechanisms for managing uncertainty in decisions on the introduction of new and innovative technologies into healthcare systems
    Tania Stafinski
    Department of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada
    Pharmacoeconomics 28:113-42. 2010
    ..This article outlines challenges related to AED schemes and issues that remain unresolved...
  10. ncbi Framework for describing and classifying decision-making systems using technology assessment to determine the reimbursement of health technologies (fourth hurdle systems)
    John Hutton
    Department of Health Sciences, University of York, Heslington, UK
    Int J Technol Assess Health Care 22:10-8. 2006
    ..To achieve a better understanding of the potential for use of HTA in this context, an analytical framework was developed to describe and classify existing fourth hurdle systems...
  11. ncbi The Common Drug Review: a NICE start for Canada?
    Meghan McMahon
    Centre for Health Services and Policy Research, University of British Columbia, 429 2194 Health Sciences Mall, Vancouver, BC, Canada V6T 1Z3
    Health Policy 77:339-51. 2006
    ..These include the selection of drugs for review, centralized versus decentralized decision-making, receptor capacity at local decision making levels, and public participation...
  12. pmc Appendectomy and diagnosis-related groups (DRGs): patient classification and hospital reimbursement in 11 European countries
    Wilm Quentin
    Department of Health Care Management, Technische Universitat Berlin, Straße des 17, Juni 135, H80, 10623, Berlin, Germany
    Langenbecks Arch Surg 397:317-26. 2012
    ..The study aims to assist surgeons and national authorities to optimize their DRG systems...
  13. ncbi Access with evidence development schemes: a framework for description and evaluation
    Christopher J McCabe
    Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
    Pharmacoeconomics 28:143-52. 2010
    ..We propose a framework for evaluating current schemes and informing the design of future schemes. We examine the value of the framework using the UK Multiple Sclerosis Risk-Sharing Scheme as a case study...
  14. ncbi The impact of micro health insurance on Rwandan health centre costs
    Pia Schneider
    London School of Hygiene and Tropical Medicine, UK
    Health Policy Plan 22:40-8. 2007
    ..For both payment types there are important short-run economies of scale, which could be exploited through more intensive use of idle resources in health centres...
  15. ncbi Consumers' views on generic medicines: a review of the literature
    Mohamed A A Hassali
    School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Minden, Penang, Malaysia
    Int J Pharm Pract 17:79-88. 2009
    ..To review the literature on consumers' knowledge, attitudes and opinions of the use of generic medicines...
  16. ncbi Louisiana dentists' attitudes toward the dental Medicaid program
    J D Shulman
    Department of Public Health Sciences, Baylor College of Dentistry, USA
    Pediatr Dent 23:395-400. 2001
    ..This study was performed to determine factors associated with Louisiana dentists' participation in the Dental Medicaid Program...
  17. pmc Redesigning Medicare inpatient PPS to adjust payment for post-admission complications
    Richard F Averill
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 27:83-93. 2006
    ..Based on the redesigned IPPS, the increase in Medicare payments due to post-admission complications was reduced by more than one billion dollars annually...
  18. ncbi Evidence-based decision making: when should we wait for more information?
    Kalipso Chalkidou
    Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, USA
    Health Aff (Millwood) 27:1642-53. 2008
    ..We conclude that there is a need for better integration of health care decision-making processes with research policies...
  19. ncbi Market and patient access to new oncology products in Europe: a current, multidisciplinary perspective
    C McCabe
    Leeds Institute of Health Sciences, Leeds, UK
    Ann Oncol 20:403-12. 2009
    ....
  20. ncbi Incorporating economic evaluations into decision-making: the Ontario experience
    Andreas Laupacis
    Institute for Clinical Evaluative Sciences, Division of General Internal Medicine, Sunnybrook and Women s Health Sciences Centre, and the Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
    Med Care 43:15-9. 2005
    ..Issues associated with these committees such as potential biases associated with pharmaceutical company submissions, transparency, restricted access programs, conditional listing, and price negotiation are discussed...
  21. doi Tier 4 drugs and the fraying of the social compact
    Thomas H Lee
    Partners HealthCare System, Boston, USA
    N Engl J Med 359:333-5. 2008
  22. pmc Coding response to a case-mix measurement system based on multiple diagnoses
    Colin Preyra
    Department of Health Policy, Management and Evaluation, University of Toronto, Canada
    Health Serv Res 39:1027-45. 2004
    ..To examine the hospital coding response to a payment model using a case-mix measurement system based on multiple diagnoses and the resulting impact on a hospital cost model...
  23. pmc "HRG drift" and payment by results
    Raquel Rogers
    Dr Foster Unit at Imperial College
    BMJ 330:563. 2005
  24. ncbi How the reimbursement system may influence physicians' decisions results from focus groups interviews in France
    C Huttin
    University of Paris 10, Thema, Nanterre, France
    Health Policy 54:67-86. 2000
    ..Overall, we also found that French physicians put higher priorities on the cost to society than on the cost to the patient in their treatment decisions...
  25. ncbi The effect of capitation on GPs' referral decisions
    T Iversen
    Center for Health Administration, University of Oslo, Norway
    Health Econ 9:199-210. 2000
    ..This hypothesis is supported by an exploratory empirical study with data from a sample of GPs participating in the experiment...
  26. ncbi Access with evidence development in the UK: past experience, current initiatives and future potential
    Andrew Briggs
    Public Health and Health Policy, Division of Community Based Sciences, Faculty of Medicine, University of Glasgow, Glasgow, UK
    Pharmacoeconomics 28:163-70. 2010
    ..We consider past experience with these approaches and current initiatives that are exploring their potential, and speculate as to how these schemes might develop in the future...
  27. ncbi Impact of a criteria-based reimbursement policy on the use of respiratory drugs delivered by nebulizer and health care services utilization in Nova Scotia, Canada
    George Kephart
    Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada
    Pharmacotherapy 25:1248-57. 2005
    ..Policy implementation coincided with multifaceted interventions to assist patients and providers with the change...
  28. ncbi Hospital case payment systems in Europe
    Reinhard Busse
    Health Care Manag Sci 9:211-3. 2006
    ..The editorial sets the policy scene, and argues that DRG systems must be seen both as a technical reimbursement method and as a fundamental incentive mechanism within the health system...
  29. ncbi A rational framework for decision making by the National Institute For Clinical Excellence (NICE)
    Karl Claxton
    Department of Economics and Related Studies, University of York, Heslington, York, UK
    Lancet 360:711-5. 2002
    ..Additionally, the analysis can be used to aid the efficient design of research. We discuss the implications of adoption of this new framework for regulatory and reimbursement decisions...
  30. ncbi Effective financing of maternal health services: a review of the literature
    Tim Ensor
    Dugald Baird Centre for Research on Women s Health, University of Aberdeen, Aberdeen, Scotland, UK
    Health Policy 75:49-58. 2005
    ..While the limited experience of demand-side mechanisms for improving access to maternal health services more evaluation is required...
  31. ncbi Reimbursement decisions in health policy--extending our understanding of the elements of decision-making
    Veronika Wirtz
    Department of Practice and Policy, School of Pharmacy, University of London, UK
    Health Policy 73:330-8. 2005
    ..Complementing the analysis of decision-making about reimbursement by incorporating these factors could increase our understanding and potentially improve decision-making...
  32. ncbi Satisfaction guaranteed--"payment by results" for biologic agents
    Alan M Garber
    Center for Health Care Evaluation at the Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
    N Engl J Med 357:1575-7. 2007
  33. ncbi Perceptions of Saskatchewan community pharmacists regarding a prior-authorization program
    Jason Perepelkin
    College of Pharmacy and Nutirtion, University of Saskatchewan, Canada
    J Manag Care Pharm 13:589-97. 2007
    ..A pharmacist who submits an EDS request must obtain a patient diagnosis from the physician or agent of the physician; a diagnosis presented by the patient is insufficient...
  34. ncbi State Medicaid nursing home reimbursement rates: adjusting for ancillaries
    J Swan
    Department of Public Health Sciences, Wichita State University, Kansas 67260 0152, USA
    Gerontologist 41:597-604. 2001
    ..The purpose of this study is to adjust for inclusion of ancillaries when comparing Medicaid rates across states...
  35. ncbi The effect of certificate of need and moratoria policy on change in nursing home beds in the United States
    C Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, USA
    Med Care 35:574-88. 1997
    ..This study examined the effects of state certificate of need and/or moratorium requirements on the change in nursing home bed growth in states over a 13-year period...
  36. pmc Economic implications of potential changes to regulatory and reimbursement policies for medical devices
    Shelby D Reed
    Center for Clinical and Genetic Economics, Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715, USA
    J Gen Intern Med 23:50-6. 2008
    ..To evaluate the impact of regulatory scenarios on the financial viability of medical device companies...
  37. ncbi Guidelines accompanied by changes in reimbursement rules. Effects on lipid-lowering drug prescribing
    L Bjerrum
    Research Unit of General Practice, University of Southern Denmark, Odense
    Scand J Prim Health Care 19:158-62. 2001
    ..To analyse the effect of guidelines accompanied by changes in reimbursement rules for the prescription of lipid-lowering drugs (LLDs)...
  38. ncbi A new cost allocation method for hospital-based clinical laboratories and transfusion services: implications for transfusion medicine
    Aaron Liberman
    Graduate Program in Health Services Administration, College of Health and Public Affairs, University of Central Florida, Orlando, Florida 32816, USA
    Transfusion 45:1684-8. 2005
  39. ncbi The media's perspectives of health care fraud and abuse--an objective assessment
    T J Falen
    Department of Health Professions, University of Central Florida, Orlando, Florida, USA
    Health Care Manag (Frederick) 19:51-7. 2001
    ..However, this discussion serves to divert attention from key health care issues--the many Americans who are uninsured, underinsured, or lack access to care and the system's administrative complexities...
  40. ncbi Financing and reimbursement of elders' oral health care: lessons from the present, opportunities for the future
    Judith A Jones
    Department of General Dentistry, Boston University School of Dental Medicine, 100 East Newton St, Boston, MA 02118, USA
    J Dent Educ 69:1022-31. 2005
    ....
  41. ncbi Can we revitalize the ESRD program?
    Tim McFeeley
    Nephrol News Issues 18:42-3, 47, 87. 2004
  42. ncbi Medicare and cost-effectiveness analysis
    Peter J Neumann
    Department of Health Policy and Management and the Center for Risk Analysis, Harvard School of Public Health, Boston, USA
    N Engl J Med 353:1516-22. 2005
  43. ncbi A long-term Medicare cure
    Bill Leaver
    Hosp Health Netw 82:8. 2008
  44. ncbi Rural health. The MMA giveth... Changes to Medicare are boosting payments to rural hospitals, but some provisions of the law might prove to be troublesome
    Joseph Mantone
    Mod Healthc 35:32-3. 2005
  45. ncbi Addressing rising health care costs--a view from the Congressional Budget Office
    Peter R Orszag
    N Engl J Med 357:1885-7. 2007
  46. doi The partisan divide--the McCain and Obama plans for U.S. health care reform
    Jonathan Oberlander
    University of North Carolina, Chapel Hill, USA
    N Engl J Med 359:781-4. 2008
  47. ncbi Medicare payment system for wound care drugs
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, Fla, USA
    Ostomy Wound Manage 51:20. 2005
  48. ncbi Pleasing payers not the priority
    Gwenmarie Hilleary
    Hosp Health Netw 79:10, 12. 2005
  49. ncbi Hospitals adjust to life with MS-DRGs, but impact on bottom line still unclear
    Jennifer Lubell
    Mod Healthc 38:32-3. 2008
  50. ncbi The influences of postdischarge management by nurse practitioners on hospital readmission for heart failure
    Patricia Delgado-Passler
    Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida, USA
    J Am Acad Nurse Pract 18:154-60. 2006
    ..The primary purpose of this literature review is to examine advanced practice nurse (APN)-directed versus registered nurse (RN)-directed telemanagement programs for heart failure patients...
  51. ncbi 5 nuances of Medicare billing
    Billy K Richburg
    Accuro Healthcare Solutions, Dallas, USA
    Healthc Financ Manage 62:72-6. 2008
    ..When FIs and MACs bundle procedures that are not performed at the same time, all such payments should be appealed...
  52. ncbi "In the know" with centers for Medicare and Medicaid services changes
    Robin J Trupp
    Comprehensive CV Consulting LLC, Dublin, OH, USA
    Prog Cardiovasc Nurs 22:227-9. 2007
  53. ncbi The use of ambulatory patient groups for regulation of hospital ambulatory surgery revenue in Maryland
    Graham Atkinson
    J Ambul Care Manage 31:17-23. 2008
    ..This article describes the policy rationale for this system, the analysis that was performed, and the methods that will be used to control the revenue per case and compare the relative charges of the hospitals...
  54. ncbi Long-term acute care: a review of the literature
    Manuel A Eskildsen
    Division of Geriatric Medicine and Gerontology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
    J Am Geriatr Soc 55:775-9. 2007
    ..This article analyzes studies of LTAC that are currently available, discusses some of the public policy issues surrounding this level of care, and suggests a research agenda, including a role for the field of geriatrics...
  55. ncbi How Medicare changes will affect your cardiovascular service line
    Nancy A Lyle
    Triad Consulting Group, Inc, Portland, OR, USA
    Healthc Financ Manage 61:86-94, 96. 2007
    ..Suggested methodologies include: Evaluating the impact of changes to DRG weights and payment. Evaluating the impact of cost-based payment. Evaluating product offerings using a portfolio model...
  56. ncbi Complexities in transplant revenue management
    Barry Marshall
    Methodist University Hospital Transplant Institute, Memphis, TN, USA
    Prog Transplant 17:94-8. 2007
    ..A transplant program must have a thorough understanding of all available payment schemes and reimbursement optimizing strategies to facilitate the realization of a strong financial outlook...
  57. pmc Effect of Medicaid payment on rehabilitation care for nursing home residents
    Walter P Wodchis
    Department of Health Policy, Management and Evaluation, University of Toronto, Ontario
    Health Care Financ Rev 28:117-29. 2007
    ..Retrospective payment for Medicaid resident care was associated with greater use of therapy for Medicaid residents...
  58. pmc Restructuring in response to case mix reimbursement in nursing homes: a contingency approach
    Jacqueline Zinn
    Department of Risk, Insurance and Healthcare Management, Temple University, Philadelphia, PA, USA
    Health Care Manage Rev 33:113-23. 2008
    ..In addition, as of 2004, 35 state Medicaid programs had implemented some form of case mix reimbursement...
  59. ncbi Insurer policies create barriers to health care access and consumer choice
    Tine Hansen-Turton
    National Nursing Centers Consortium, Philadelphia, PA, USA
    Nurs Econ 24:204-11, 175. 2006
    ....
  60. ncbi Testing an inpatient nursing intensity billing model
    John M Welton
    College of Nursing, Medical University of South Carolina, Charleston, SC, USA
    Policy Polit Nurs Pract 9:103-11. 2008
    ..4387 vs. .4798) compared to unadjusted days. This article discusses unbundling inpatient nursing care intensity and charges from room and board and recommends implementing this billing process at all U.S. hospitals...
  61. ncbi Defining a future for fee-for-service Medicare
    Susan Bartlett Foote
    Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, USA
    Health Aff (Millwood) 25:864-8. 2006
    ....
  62. ncbi Barriers to nurse practitioner reimbursement
    Michelle Ashby
    District 16 Board of Directors, PA State Nurses Association, USA
    Pa Nurse 61:19. 2006
  63. ncbi The role of physicians and medical organizations in the development, analysis, and implementation of health care policy
    David C Beyer
    Arizona Oncology Services, Scottsdale, AZ 85260, USA
    Semin Radiat Oncol 18:186-93. 2008
    ..Much of the discussion revolves around reimbursement because reimbursement often determines the availability and use of procedures and technology for our patients...
  64. ncbi VHA studying errors' financial hit
    Jean DerGurahian
    Mod Healthc 38:10. 2008
  65. pmc The effect of state medicaid case-mix payment on nursing home resident acuity
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, 2 Stimson Avenue, Providence, RI 02912, USA
    Health Serv Res 41:1317-36. 2006
    ..To examine the relationship between Medicaid case-mix payment and nursing home resident acuity...
  66. ncbi The $6 million question: can process improvement ensure appropriate hospitalizations?
    Yishih J Chang
    Primaris, Columbia, MO, USA
    J Healthc Qual 30:15-24. 2008
    ..01). An estimated 1,396 1-day stays were prevented or denied payment, resulting in an annual savings of $6 million for Medicare's Hospital Insurance Trust Fund...
  67. ncbi CMS releases inpatient payment rule for fiscal year 2007
    Kate Traynor
    Am J Health Syst Pharm 63:1678-81. 2006
  68. ncbi Reimbursement for preventive services: can we construct an equitable system?
    K Davis
    Department of Health Policy and Management, Johns Hopkins University School of Public Health, Baltimore, MD 21205
    J Gen Intern Med 5:S93-8. 1990
    ....
  69. ncbi Clinical documentation improvement: it can make you look good!
    Esther Courtright
    Case Manager 15:46-9. 2004
  70. ncbi Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management
    John S Hughes
    Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Med Care 42:81-90. 2004
    ....
  71. ncbi Components of Medicare reimbursement
    William Malatestinic
    U S Medical Division, Eli Lilly and Company, Indianapolis, IN 46285, USA
    Am J Health Syst Pharm 60:S3-7. 2003
    ..Medicare is one of the largest health insurance providers in the United States. A basic understanding of the Medicare system will provide valuable insights into Medicare reimbursement and the influence it has on a hospital's bottom line...
  72. ncbi The ongoing debate over Medicare: understanding the philosophical and policy divides
    Susan Adler Channick
    California Western School of Law, USA
    J Health Law 36:59-106. 2003
    ....
  73. ncbi AWP reimbursement scrutinized by several states
    John Carroll
    Manag Care 12:11-2. 2003
  74. ncbi 2003 OIG Work Plan highlights aberrant coding patterns. Plan puts new spin on 2002 work plans, introduces new projects
    Sue Prophet-Bowman
    J AHIMA 74:76-9. 2003
  75. ncbi From managed care to "financed care"
    Jonathan Pierpont Warner
    JP Warner Associates, Inc, Wayne, Pennsylvania, USA
    Empl Benefits J 27:23-6. 2002
    ..Paying for health care in the new millennium may require fundamental restructuring of how costs are managed to avoid rationing and a government takeover...
  76. ncbi Critical access hospitals
    Dagmara Scalise
    Hosp Health Netw 78:51, 53-6. 2004
    ..What hospitals are eligible to become CAHs, what are the benefits to converting and what should hospital leaders consider before taking the plunge?..
  77. ncbi 'Real change' in system won't come overnight. Interview by Patrick Mullen
    Thomas Scully
    Manag Care 11:36, 39-42. 2002
  78. ncbi Predicting closure of private substance abuse treatment facilities
    J Aaron Johnson
    Institute for Behavioral Research, 101 Barrow Hall, University of Georgia, Athens, Georgia 30602 2401, USA
    J Behav Health Serv Res 29:115-25. 2002
    ..Significant predictors included center capacity, being a freestanding facility, the percentage of clients covered by Medicaid, and the ratio of patients to full-time equivalents...
  79. ncbi Health care reform and the pharmaceutical industry: crucial decisions are expected
    Aaron Liberman
    Department of Health Professions, University of Central Florida Orlando, USA
    Health Care Manag (Frederick) 20:22-32. 2002
    ..This extra expense is leaving many senior citizens across the country struggling to support their ongoing medical needs...
  80. ncbi Cost-minimization analysis of alternative diagnostic approaches in a modeled patient with non-small cell lung cancer and subcarinal lymphadenopathy
    Gavin C Harewood
    Division of Gastroenterology and Hepatology and Internal Medicine, Mayo Clinic, Rochester, Minn 55905, USA
    Mayo Clin Proc 77:155-64. 2002
    ..To evaluate the costs of alternative diagnostic evaluations of enlarged subcarinal lymph nodes (SLNs) in modeled patients with non-small cell lung cancer (NSCLC)...
  81. ncbi DRG system
    William G Plested
    J Am Coll Surg 194:101-3. 2002
  82. ncbi Medicare: the good, the bad, and the ugly
    Robert D Doug Sowell
    J Am Podiatr Med Assoc 92:65. 2002
  83. ncbi The Payment Error Prevention Program (PEPP): reducing Medicare payment errors in prospective payment system hospitals
    D A Bitonte
    Payment Error Prevention Program, Ohio KePRO, Seven Hills, Ohio, USA
    Top Health Inf Manage 21:50-62. 2001
    ....
  84. ncbi Paradigm shifts in cardiovascular medicine
    David R Holmes
    Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    J Am Coll Cardiol 43:507-12. 2004
    ..replacement of major surgical procedures with less invasive approaches; and 2). redistribution of costs, with a decrease in hospital profits but potentially lower costs of health care delivery for society as a whole...
  85. ncbi First-dollar coverage: an idea whose time has passed
    Jeanne Schulte Scott
    Healthc Financ Manage 58:32-4. 2004
  86. ncbi M0150--current payment sources for home care: including the impact of recent OASIS suspension for private pay patients
    Linda Krulish
    Home Therapy Services, Redmond, WA 98073, USA
    Home Healthc Nurse 22:374-5. 2004
  87. ncbi Dividing a trillion-dollar pie
    Kevin Quinn
    Healthc Financ Manage 58:60-6, 68. 2004
    ..Growing experimentation with paying for quality, especially in the hospital sector An uneven pace of change, reflecting shifts in bargaining power and technical challenges in designing and implementing new methods...
  88. ncbi Reference pricing of pharmaceuticals for Medicare: evidence from Germany, The Netherlands, and New Zealand
    Patricia M Danzon
    University of Pennsylvania, USA
    Front Health Policy Res 7:1-54. 2004
    ..S. generic market, and on research and development (R&D) and the future supply of new drugs, because of the much larger U.S. share of global pharmaceutical sales...
  89. ncbi Re-engineering the ESRD Program amid Medicare reform
    Mark E Neumann
    Nephrol News Issues 19:40-1. 2005
  90. ncbi New directions in Medicare managed care
    Thomas A Scully
    Alston and Bird LLP, Washington, DC, USA
    Healthc Financ Manage 58:64-8. 2004
    ..They also receive the same kind of private health insurance options that have been available to the nation's work force...
  91. ncbi The value of neurosurgery
    Mark N Hadley
    Division of Neurological Surgery, University of Alabama School of Medicine, 510 20th Street South, FOT 1030, Birmingham, AL 35294 3410, USA
    Neurosurgery 54:777-82. 2004
  92. ncbi Maximizing reimbursement from trauma response fees (UB-92: 68X) - lessons learned from a hospital comparison
    John B Fortune
    Southern Illinois Trauma Center, Springfield, Illinois, USA
    J Trauma 58:482-6. 2005
    ..This study compares two trauma centers' performance in collecting this fee help define methodologies that can enhance reimbursement...
  93. ncbi Medicare cost containment strategy targets several oncology drugs
    Renee Twombly
    J Natl Cancer Inst 96:1268-70. 2004
  94. ncbi A comprehensive immunization strategy to eliminate transmission of hepatitis B virus infection in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP) Part II: immunization of adults
    Eric E Mast
    Division of Viral Hepatitis, National Center for HIV AIDS, Viral Hepatitis, STD, and TB Prevention proposed, Atlanta, GA 30333, USA
    MMWR Recomm Rep 55:1-33; quiz CE1-4. 2006
    ..as part of routine clinical services, not require acknowledgment of an HBV infection risk factor for adults to receive vaccine, and use available reimbursement mechanisms to remove financial barriers to hepatitis B vaccination.
  95. ncbi The ethics of measuring and modulating consciousness: the imperative of minding time
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, NY, USA
    Prog Brain Res 177:371-82. 2009
    ..These time stamps have profound implications for systems of care and reimbursement mechanisms, which often mistakenly conflates futility with chronicity...
  96. ncbi Impact of an all-inclusive diagnosis-related group payment system on inpatient utilization
    T J Menke
    Center for Quality of Care and Utilization Studies, Veterans Affairs Medical Center, Houston, TX 77030, USA
    Med Care 36:1126-37. 1998
    Although case-based payment is one of the main reimbursement mechanisms for hospitals, little is known about its effects in the general population. Prior studies have focused on Medicare or on all-payer systems in particular states...
  97. ncbi Basic terminology in obtaining reimbursement for pharmacists' cognitive services
    Edith A Nutescu
    Department of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, IL 60612, USA
    Am J Health Syst Pharm 64:186-92. 2007
    ..A basic overview and definitions of commonly used billing and reimbursement terminology that pharmacists will need to know to obtain reimbursement for cognitive services are provided...
  98. ncbi Tobacco and oral health: attitudes and opinions of European dentists; a report of the EU working group on tobacco and oral health
    R H Allard
    Medical Teaching Hospital, Free University ACTA, Department of Oral Maxillofacial Surgery Pathology, Amsterdam, The Netherlands
    Int Dent J 50:99-102. 2000
    ..To discover whether dentists are prepared to advise their patients to stop smoking...
  99. ncbi The Arkansas aging initiative: an innovative approach for addressing the health of older rural Arkansans
    Claudia J Beverly
    Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
    Gerontologist 47:235-43. 2007
    ..and programs crucial to maximizing their limited resources and identifying opportunities to change reimbursement mechanisms for care provided to the growing number of older adults...
  100. ncbi Reimbursement mechanisms for glycoprotein IIb/IIIa-receptor inhibitors
    Robert J DiDomenico
    University of Illinois Medical Center, Department of Pharmacy Practice M C 886, College of Pharmacy, University of Illinois, 833 South Wood Street, Chicago, IL 60612, USA
    Am J Health Syst Pharm 59:S37-42. 2002
    ..Recent public policy decisions now provide appropriate reimbursement mechanisms for the outpatient use of GP IIb/IIIa-receptor inhibitors...
  101. ncbi Hospital outpatient prospective payment under Medicare: understanding the system and its implications
    John J Smith
    Department of Radiology, Massachusetts General Hospital, Harvard School of Medicine, 55 Fruit St, Boston, MA 02114, USA
    Radiology 225:13-9. 2002
    ..The new system is complex, however, with several discrete reimbursement mechanisms possible for the same service...

Research Grants74

  1. Association between hospital costs and outcomes of coro*
    Shadi Saleh; Fiscal Year: 2005
    ..If the first scenario was proven to be true, that may have a significant impact on the health care reimbursement mechanisms. Public and private payers may choose to selectively contract with low-cost hospitals without fear of ..
  2. MULTIFACETED HOME CARE DEPRESSION PROGRAM
    Kathleen Ell; Fiscal Year: 2003
    ..The direct cost of detection and treatment under MHCDP is covered through existing reimbursement mechanisms and MHCDP is fully integrated within standard home care practices...
  3. Analyzing Vaccine Programs/Policies in Western Europe
    Gary Freed; Fiscal Year: 2004
    ..abstract_text> ..
  4. Barriers to Enrolling the Elderly in Cancer Trials
    Cary Gross; Fiscal Year: 2004
    ..It is our hope that this work will facilitate the development of targeted and novel approaches to overcoming these barriers. ..
  5. The Impact of Comorbidity on Older Cancer Patients
    Cary Gross; Fiscal Year: 2007
    ....
  6. Palliative Care Curriculum for 3rd-Year Medical Students
    Charles von Gunten; Fiscal Year: 2007
    ..Data will be compared with residents who have not been through the course as well as with residents and faculty participating in another study of education. ..
  7. Eliciting Truly Informed Consent
    William Hendee; Fiscal Year: 2003
    ..abstract_text> ..
  8. Academic Palliative Care
    Charles von Gunten; Fiscal Year: 2008
    ..All reentered investigators are seeking NCI funding and have the potential to become independent investigators. ..
  9. Youth Alcohol, Tobacco and Marijuana Use: Effects of Hours of Work and Wages
    Robert Kaestner; Fiscal Year: 2009
    ..The proposed research will identify the importance of employment and earned income on youth substance use and produce information that can be used to design effective public health policy to address this problem. ..
  10. Selection and the Quality Impact of Nursing Home Ownership
    David C Grabowski; Fiscal Year: 2010
    ..By examining this relationship using a novel empirical strategy, this study provides an opportunity to improve the quality of care for the millions of Americans receiving care in the nursing home setting. ..
  11. Ethics and Clinical Trials in Advanced Cancer Care
    Christopher Daugherty; Fiscal Year: 2009
    ....
  12. Impact of Medicaid Policy on cardiovascular drug use and clinical outcomes
    Michael A Fischer; Fiscal Year: 2010
    ....
  13. Leveraging Medicare Payment & Reporting Policies to Improve Nursing Home Quality
    David C Grabowski; Fiscal Year: 2010
    ..Thus, the information derived from this study has the potential to make important research and policy-relevant contributions aimed at improving the quality of care for all nursing home residents. ..
  14. Welfare Reform, Fertility and Reproductive Behavior
    Robert Kaestner; Fiscal Year: 2003
    ....
  15. Financial incentives for smoking cessation
    Kevin Volpp; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  16. Association of PPAR gamma ligands & colonic neoplasia
    James Lewis; Fiscal Year: 2006
    ..Our results will allow us to translate the existing in vitro and in vivo observations to the intact human colon and could lead to further chemoprevention strategies. ..
  17. SAFEHAVEN: Decision Support for Nursing Home Resident Disaster Evacuations
    Vincent Mor; Fiscal Year: 2010
    ..Using existing nursing home data from multiple sources, this study seeks to understand the consequences of hurricanes and evacuation decisions, providing the first evidence base to inform the creation of evacuation guidelines. ..
  18. Genomic Assessment of Clinical Variability in OGS
    Michael Yaszemski; Fiscal Year: 2006
    ..abstract_text> ..
  19. A Genetic Screening Policy Model for Colorectal Cancer
    Scott Ramsey; Fiscal Year: 2006
    ..The model will incorporate QOL information from Aim 2, along with family history, clinical, and screening information from the Seattle CFR. ..
  20. Colorectal Cancer Screening - Primary Care Strategies
    David Weller; Fiscal Year: 2006
    ..unreadable] [unreadable]..
  21. In-Depth Examination of Disparities in Cancer Outcomes
    Cathy Bradley; Fiscal Year: 2007
    ..abstract_text> ..
  22. Wage Mandate, Labor Turnover, and NH Quality
    Vincent Mor; Fiscal Year: 2007
    ..5) Use the theoretical model to assess the relative merits of alternative minimum nurse staffing and wage policies in terms of their relative cost and effectiveness. ..
  23. Conditioned Placebo Effects & Treatment of Hypertension
    Thomas Pickering; Fiscal Year: 2005
    ..The demonstration of a conditioned placebo effect that produces a sustained reduction of BP could result in more economical treatment with fewer side effects. ..
  24. Capacity Building in Organizational Research
    A Orzano; Fiscal Year: 2007
    ..abstract_text> ..
  25. The Impact of Public Reporting on the Quality of Post-Acute Care
    RACHEL WERNER; Fiscal Year: 2008
    ..This will be the first rigorous analysis to inform the policy debate on the benefits and risks of public reporting in the post-acute care sector. [unreadable] [unreadable] [unreadable] [unreadable]..
  26. Effects of Mental Parity on High-Cost and Severely-Ill Individuals
    Haiden A Huskamp; Fiscal Year: 2011
    ..We will estimate a combination of two-part random-effects models for longitudinal data, latent class random-effects models, logistic regression models, Poisson regression models, and hazard models to address these aims. ..
  27. Multidisciplinary Clinical Research Career Development (RMI)
    Neil Powe; Fiscal Year: 2007
    ..unreadable] [unreadable]..
  28. Is Cerebral Malaria a Risk Factor for Epilepsy?
    Gretchen Birbeck; Fiscal Year: 2008
    ..Terrie Taylor resides. ..
  29. Economic Consequences of Alcohol Use Disorders
    Michael French; Fiscal Year: 2008
    ..Finally, the research significance is high because few studies have used contemporary research methods and data to estimate the economic effects of alcohol use and abuse. ..
  30. Financial Incentives and Variations in the Care of Medicare Beneficiaries
    Bruce E Landon; Fiscal Year: 2010
    ..Because patients will be clustered within physicians and physicians clustered within markets, we will use hierarchical analytic methods. ..
  31. Roots of Health Disparities: The Quality of Primary Care
    Peter Bach; Fiscal Year: 2008
    ..The significance of these findings would be that a singular approach to improving the quality of care provided by physicians should enhance care quality overall and reduce healthcare disparities. ..
  32. Controlled Randomized Anger Reduction in Hypertensives
    Karina Davidson; Fiscal Year: 2005
    ..abstract_text> ..
  33. Cost-Effectiveness--Treatments--Ductal Carcinoma In Situ
    Jennifer Griggs; Fiscal Year: 2004
    ..abstract_text> ..
  34. State Policies and Hospitalizations from Nursing Homes
    Vincent Mor; Fiscal Year: 2004
    ..These theoretical insights will help shape the policy implications emerging from the study. ..
  35. COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORK
    Richard Blackwell; Fiscal Year: 2004
    ..abstract_text> ..
  36. Conference: Elders' Oral Health Summit
    Judith Jones; Fiscal Year: 2004
    ....
  37. Screening for comorbidity in substance abuse clinics
    Carlos Blanco; Fiscal Year: 2004
    ..abstract_text> ..
  38. MEDICAL OUTCOMES IN THE PRICING OF HOSPITAL PROCEDURES
    Avi Dor; Fiscal Year: 2001
    ..However, based on 1994 frequencies, final samples are expected to range from 900 to 2,400 per year, depending on the procedure and elective/emergency setting. ..
  39. Hospital Finances and the Quality of Hospital Care
    Gloria Bazzoli; Fiscal Year: 2004
    ..does public policy that affects hospital payments, especially the 1997 Balanced Budget Act and its revisions, influence hospital decisions about quality-related resources and processes and the care their patients receive? ..
  40. ECONOMIC EVALUATION METHODS--DEVELOPMENT & APPLICATIONS
    Michael French; Fiscal Year: 2002
    ....
  41. INCIDENT REPORTING IN NURSING HOMES
    Nicholas Castle; Fiscal Year: 2008
    ..This information will further our development of a standardized incident reporting mechanism recommended by the Institute of Medicine and others. [unreadable] [unreadable] [unreadable]..
  42. Use of Radiation in Stage IV Non-Small Cell Lung Cancer
    James Hayman; Fiscal Year: 2003
    ..Lastly, we plan to examine whether the frequency and intensity of the administration of treatment with palliative radiation in this patient population has changed over time. ..
  43. Health related quality of life: Elders in long-term care
    Mary D Naylor; Fiscal Year: 2010
    ..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..
  44. Mentored Patient-Oriented Research Career Development Award
    Ruey Kang Chang; Fiscal Year: 2006
    ..The principal investigator will take advanced courses to enhance knowledge and skills needed for patient-oriented research and work with the mentors to conduct the proposed project during the award period. ..
  45. COST EFFECTIVENESS OF GENETIC SCREENING FOR COLON CANCER
    Scott Ramsey; Fiscal Year: 2002
    ....
  46. Duke-UNC Sickle Cell Disease Clinical Research Network
    Kevin Schulman; Fiscal Year: 2008
    ..End of Abstract) [unreadable] [unreadable] CLINICAL CENTER [unreadable] [unreadable] [unreadable]..
  47. Economic Evaluation Methods: Development and Application
    Michael French; Fiscal Year: 2009
    ....
  48. ACRIN FELLOWSHIP TRAINING PROGRAM
    BRUCE HILLMAN; Fiscal Year: 2004
    ..Fellows who have suitably progreessed will be given an opportunity to develop and lead an ACRIN trial as PI under the tutelege of Program mentors. ..
  49. Randomized Trial of Rosiglitazone for Ulcerative Colitis
    James Lewis; Fiscal Year: 2005
    ..If our hypothesis is correct, this study will serve to establish that ligands for PPARg possess biological activity necessary to modulate the inflammatory response in the intact human colon. ..
  50. Tailored Activity to Improve Affect in Dementia at Home
    Laura Gitlin; Fiscal Year: 2006
    ..This pilot study will provide critical data by which to refine and standardize the intervention manual and protocols, and structure the design of a large-scale randomized clinical trial. ..
  51. Pilot Collaborative PET Imaging Trial
    Norman Foster; Fiscal Year: 2005
    ..In addition to its scientific aims, this pilot trial also will evaluate subject selection and consensus panel procedures and uniform image acquisition and quality control methods needed for the large-scale study. ..
  52. Epilepsy-associated stigma in Zambia
    Gretchen Birbeck; Fiscal Year: 2005
    ..This contextual framework will facilitate the development of effective, community-based interventions aimed at improving the lives of people with epilepsy in the region. ..
  53. DRUG ABUSE TREATMENT SYSTEM SURVEY
    Jeffrey Alexander; Fiscal Year: 2006
    ..In short, NDATSS is well-positioned to become the critical source of information for monitoring and analyzing the on-going evolution of the nation's outpatient drug abuse treatment system. ..
  54. GnRH Agonists For Prostate Cancer: Role of the Urologist
    Vahakn Shahinian; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable]..
  55. Economics of Formulary Design and Mental Health Policy
    Haiden Huskamp; Fiscal Year: 2006
    ..Huskamp the training, mentoring, time and resources to develop the skills that will put her in a position to lead independent research on the economics of pharmaceutical treatment for mental illnesses. ..
  56. Quality of Life of Overweight Youth: Multicultural View
    Donald Patrick; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
  57. Substance Use Comorbidity Care: Evidence-Based Stepped Strategies for Depression
    Carlos Blanco; Fiscal Year: 2010
    ..abstract_text> ..
  58. Contingent Reinforcement of Compliance in Drug Users
    Marc Rosen; Fiscal Year: 2004
    ..Important process measures will be whether IMF (cues to remember doses, changes in substance use). A secondary aim will be to evaluate the temporal concordance between use of substances and medication non-compliance. ..
  59. International Conference On Complex Systems (ICCS)
    Yaneer Bar Yam; Fiscal Year: 2002
    ..However, this is the only major international conference series to bring the wide diversity of researchers together, demonstrating the interdisciplinary but coherent nature of these efforts. ..
  60. Optimizing use of androgen deprivation therapy for prostate cancer
    Vahakn B Shahinian; Fiscal Year: 2010
    ..POP dominant) on care of men on ADT. ..
  61. Understanding Disability Among The Elderly
    David Cutler; Fiscal Year: 2005
    ....
  62. LABOR MARKET OUTCOMES OF LONG TERM CANCER SURVIVORS
    Cathy Bradley; Fiscal Year: 2004
    ....
  63. The Influence of Staff Turnover on Quality
    Nicholas Castle; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable]..
  64. MIND-BODY-BEHAVIORAL MED CLINICAL TRIALS INFRASTRUCTURE
    Karina Davidson; Fiscal Year: 2008
    ..The ultimate goal will be to make our findings available to 3 target audiences: 1) the network of investigators at Columbia; 2) the behavioral medicine community; and 3) the general medical community. ..
  65. SKILLS TRAINING FOR SCHIZOPHRENIA:ENHANCING OUTCOMES
    Thomas Smith; Fiscal Year: 2004
    ..This study will generate new information that can guide treatment planning and maximize the chances for recovery in individuals with schizophrenia. ..
  66. A Pilot Survey to Measure Disability in the Elderly Population
    David Cutler; Fiscal Year: 2006
    ..This research is critical for researchers, and for policy-makers who seek to understand why disability is changing and what implications those changes will have for longevity and medical spending. ..
  67. SURGICAL STUDIES OF CMV REACTIVATION IN TRANSPLANTATION
    Michael Abecassis; Fiscal Year: 2008
    ....
  68. Costs of Occupational Injury and Illness
    J Leigh; Fiscal Year: 2009
    ..But reported national injury rates have been fallen since 1992. Moreover, Workers'Compensation costs fell from 1993 to 1998 but have risen since 1999. Current and comprehensive estimates are needed. ..
  69. COSTS AND BENEFITS OF ALCOHOL SERVICES & INTERVENTIONS
    Michael French; Fiscal Year: 2005
    ..S. as well as abroad, the proposed study holds important potential to assist researchers, policymakers, and program directors with economic evaluation guidelines and "real world" applications. ..
  70. EXAMINING NURSING HOME COMPARE
    Nicholas Castle; Fiscal Year: 2005
    ..abstract_text> ..