Academic literature on the topic 'Payment of care'

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Journal articles on the topic "Payment of care"

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Neprash, Hannah T., Ezra Golberstein, Ishani Ganguli, and Michael E. Chernew. "Association of Evaluation and Management Payment Policy Changes With Medicare Payment to Physicians by Specialty." JAMA 329, no. 8 (2023): 662. http://dx.doi.org/10.1001/jama.2023.0879.

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ImportanceUS primary care physicians (PCPs) have lower mean incomes than specialists, likely contributing to workforce shortages. In 2021, the Centers for Medicare & Medicaid Services increased payment for evaluation and management (E/M) services and relaxed documentation requirements. These changes may have reduced the gap between primary care and specialist payment.ObjectivesTo simulate the effect of the E/M payment policy change on total Medicare physician payments while holding volume constant and to compare these simulated changes with observed changes in total Medicare paymen
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Brown, Kelby, Nada El Husseini, Rohan Grimley, et al. "Alternative Payment Models and Associations With Stroke Outcomes, Spending, and Service Utilization: A Systematic Review." Stroke 53, no. 1 (2022): 268–78. http://dx.doi.org/10.1161/strokeaha.121.033983.

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Stroke contributes an estimated $28 billion to US health care costs annually, and alternative payment models aim to improve outcomes and lower spending over fee-for-service by aligning economic incentives with high value care. This systematic review evaluates historical and current evidence regarding the impacts of alternative payment models on stroke outcomes, spending, and utilization. Included studies evaluated alternative payment models in 4 categories: pay-for-performance (n=3), prospective payments (n=14), shared savings (n=5), and capitated payments (n=14). Pay-for-performance models we
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Omelyanovskiy, V. V., N. N. Sisigina, V. K. Fedyaeva, and N. Z. Musina. "Evolution of healthcare provider payment mechanisms." FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology 12, no. 4 (2020): 318–26. http://dx.doi.org/10.17749/2070-4909.2019.12.4.318-326.

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Methods of payment to care providers constitute an essential part of the healthcare financing system; these mechanisms determine the motivation of service providers. Throughout the history of public health care, the payment methods have been gradually improved so to stimulate the providers to best match the societal demands (greater access to health services, cost reduction, and better quality) and prevent “moral hazards”. As a result, the most advanced healthcare systems have stopped paying simply for service volume and rigorously restraining the costs. Instead, the updated system is based on
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Hines, Kevin, Nikolaos Mouchtouris, Charles Getz, et al. "Bundled Payment Models in Spine Surgery." Global Spine Journal 11, no. 1_suppl (2021): 7S—13S. http://dx.doi.org/10.1177/2192568220974977.

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Study Design: The following is a narrative discussion of bundled payments in spine surgery. Objective: The cost of healthcare in the United States has continued to increase. To lower the cost of healthcare, reimbursement models are being investigated as potential cost saving interventions by driving incentives and quality improvement in fields such a spine surgery. Methods: Narrative overview of literature pertaining to bundled payments in spine surgery synthesizing findings from computerized databases and authoritative texts. Results: Spine surgery is challenging to define payment modes becau
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Lewis, Charles G. "Payment for care." Journal of the American Dental Association 116, no. 7 (1988): 818. http://dx.doi.org/10.14219/jada.archive.1988.0290.

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Edwards, Samuel T., and Bruce E. Landon. "Medicare's Chronic Care Management Payment — Payment Reform for Primary Care." New England Journal of Medicine 371, no. 22 (2014): 2049–51. http://dx.doi.org/10.1056/nejmp1410790.

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Vengberg, Sofie, Mio Fredriksson, Bo Burström, Kristina Burström, and Ulrika Winblad. "Money matters – primary care providers' perceptions of payment incentives." Journal of Health Organization and Management 35, no. 4 (2021): 458–74. http://dx.doi.org/10.1108/jhom-06-2020-0225.

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PurposePayments to healthcare providers create incentives that can influence provider behaviour. Research on unit-level incentives in primary care is, however, scarce. This paper examines how managers and salaried physicians at Swedish primary healthcare centres perceive that payment incentives directed towards the healthcare centre affect their work.Design/methodology/approachAn interview study was conducted with 24 respondents at 13 primary healthcare centres in two cities, located in regions with different payment systems. One had a mixed system comprised of fee-for-service and risk-adjuste
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Navathe, Amol S., Claire Dinh, Sarah E. Dykstra, Rachel M. Werner, and Joshua M. Liao. "Overlap between Medicare’s Voluntary Bundled Payment and Accountable Care Organization Programs." Journal of Hospital Medicine 15, no. 6 (2019): 356–58. http://dx.doi.org/10.12788/jhm.3288.

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Accountable care organizations (ACOs) and bundled payments represent prominent value-based payment models, but the magnitude of overlap between the two models has not yet been described. Using Medicare data, we defined overlap based on attribution to Medicare Shared Savings Program (MSSP) ACOs and hospitalization for Bundled Payments for Care Improvement (BPCI) episodes at BPCI participant hospitals. Between 2013 and 2016, overlap as a share of ACO patients increased from 2.7% to 10% across BPCI episodes, while overlap as a share of all bundled payment patients increased from 19% to 27%. Overl
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Wise, Sarah, Jane Hall, Philip Haywood, Nikita Khana, Lutfun Hossain, and Kees van Gool. "Paying for value: options for value-based payment reform in Australia." Australian Health Review 46, no. 2 (2021): 129–33. http://dx.doi.org/10.1071/ah21115.

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Value-based health care has gained increasing prominence among funders and providers in efforts to improve the outcomes important to patients relative to the resources used to deliver care. In Australia, the value-based healthcare agenda has focused on reducing the use of ‘low-value’ interventions, redesigning models of care to improve integration between providers and increasing the use of patient-reported measures to drive improvement; all have occurred within existing payment structures. In this paper we describe options for value-based payment reform and highlight two challenges critical f
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Yang, Wei. "UNDERSTANDING NON-MEDICAL COSTS FOR HEALTH CARE: EVIDENCE FROM INPATIENT CARE FOR OLDER PEOPLE IN CHINA." Innovation in Aging 3, Supplement_1 (2019): S733. http://dx.doi.org/10.1093/geroni/igz038.2686.

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Abstract Non-medical costs can constitute a substantial part of total health care costs, especially for older people. Costs associated with carers, travel, food and accommodation for family members accompanying and caring for older people during their medical visits can be hefty. This study seeks to examine the effects of non-medical costs on catastrophic health payments and health payment-induced poverty among older people in rural and urban China. Using data from the China Health and Retirement Longitudinal Survey 2015, this study finds that inpatient costs account for a significant proporti
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Dissertations / Theses on the topic "Payment of care"

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Song, Zirui. "Payment Reform in Massachusetts: Health Care Spending and Quality in Accountable Care Organizations Four Years into Global Payment." Thesis, Harvard University, 2014. http://etds.lib.harvard.edu/hms/admin/view/44.

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Background: The United States health care system faces two fundamental challenges: a high growth rate of health care spending and deficiencies in quality of care. The growth rate of health care spending is the dominant driver of our nation’s long-term federal debt, while the inconsistent quality of care hinders the ability of the health care system to maximize value for patients. To address both of these challenges, public and private payers are increasingly changing the way they pay providers—moving away from fee-for-service towards global payment contracts for groups of providers coming toge
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Richardson, Samuel Starr. "Quality-based payment in health care: Theory and practice." Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:11142.

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Quality-based payment in healthcare—also known as pay-for-performance—is a popular policy intervention aimed at improving healthcare quality. However, there has been little theoretical work characterizing the underlying quality problem or the interaction between pay-for-performance and existing payment mechanisms. Furthermore, there is little empirical evidence that pay-for-performance has a substantial effect on healthcare quality.
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Alanis, Andrea Maria, and Andrea Maria Alanis. "Health Care Economics: Analysis of a Bundled Payment System Versus A Standard Fee-For-Service Payment System." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/621907.

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The Health Care reform has been a topic that has gained much attention in these past few years and has been widely studied and criticized within the United States. It is one of the biggest issues in present day and one of the most prominent concerns is how to make health care more economically efficient. This paper is research-based as I investigate different types of payment methods within healthcare, specifically within Medicare. Some of these payments are already widely used; others have only recently been implemented, while others are completely new proposals. With the help of my the
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Jackson, Kevin Lee. "Health Care Reform and the Transition from Volume to Quality Payment Models: A Primary Care Focus." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/445.

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The 2010 Patient Protection and Affordable Care Act (PPACA) resulted in providers and health care organizations conforming to new payment models that connect reimbursement to patient outcomes. Primary care providers (PCPs) are tasked to provide new quality provisions as chronic disease management is a key focus to improve outcomes. The purpose of this study was to understand the transition to new payment models and determine whether care is improved. The conceptual framework is grounded in health care access models geared towards the improvement of quality outcomes including the chronic care m
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Anvarovich, Eraj Ghiyosov Bryant John Robert. "Payment for healthcare in post-Soviet Kazakhstan /." Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd405/4938547.pdf.

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Rochut, Julie. "Health care supply, payment system and medical practice : evidence from obstetric practice." Paris, EHESS, 2010. http://www.theses.fr/2010EHES0017.

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Une part importante des accouchements sont réalisés par césarienne en Europe et dans le monde. Les objectifs de cette thèse sont de mettre en évidence les déterminants non médicaux, notamment économiques et financiers, expliquant le développement de cette pratique, ainsi que ses conséquences sur la santé des femmes après l'accouchement, en lien avec d'autres facteurs comme la concentration locale des structures hospitalières. Notre analyse se concentre sur deux pays: la France et la Suisse. Dans la première partie de la thèse, nous mettons en évidence l'influence de deux déterminants non médic
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Tanenbaum, Joseph Elias. "The Association of Health Care Delivery and Payment Innovations with Avoidable Hospitalizations." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1530814492308274.

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Song, Zirui. "Financial Incentives in Health Care Reform: Evaluating Payment Reform in Accountable Care Organizations and Competitive Bidding in Medicare." Thesis, Harvard University, 2012. http://dissertations.umi.com/gsas.harvard:10177.

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Amidst mounting federal debt, slowing the growth of health care spending is one of the nation’s top domestic priorities. This dissertation evaluates three current policy ideas: (1) global payment within an accountable care contracting model, (2) physician fee cuts, and (3) expanding the role of competitive bidding in Medicare. Chapter one studies the effect of global payment and pay-for-performance on health care spending and quality in accountable care organizations. I evaluate the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC), which was implemented in 2009 with s
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Lima, Elvira. "The financing health care : an analysis of the impact of the Portuguese hospital financing systems." Thesis, University of Nottingham, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.267133.

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Hsieh, Hui-Min. "The Impact of Medicaid Disproportionate Share Hospital Payment on the Provision of Hospital Uncompensated Care and Quality of Care." VCU Scholars Compass, 2010. https://scholarscompass.vcu.edu/etd/2058.

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Medicaid Disproportionate Share Hospital (DSH) payment is one of the major funds supporting health care providers as they treat low-income patients. However, Medicaid DSH payments have been targeted for major budget cuts in many health policy reforms. This study examines the association between the changes in Medicaid DSH payments resulting from the BBA policy changes and hospital outcomes, in terms of hospital provision of uncompensated care and quality of care. Economic theory of non-profit hospital behavior is used as a conceptual framework, and longitudinal data for California short-term,
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Books on the topic "Payment of care"

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J, Scherl Donald, English Joseph T. 1933-, and Sharfstein Steven S. 1942-, eds. Prospective payment and psychiatric care. American Psychiatric Association, 1988.

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Oregon. Adult and Family Services Division., ed. New directions: Child care payment information. State of Oregon, Dept. of Human Resources, Adult and Family Services Division, 1990.

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Landon, Daniel. Private payment of long-term care costs. House Research Staff, Missouri House of Representatives, 1989.

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Brouch, Kathy L. Coding for appropriate payment, primary care physicians. St. Anthony Hospital Publications, 1989.

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Kemenade, Y. W. van. Health care in Europe. National Council for Public Health, Public Relations Dept., 1993.

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Carter, Grace M. Payment rates for unusual medicare hospital cases. RAND, 1992.

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United States. Health Care Financing Administration. Medicare physician payment: Reports to Congress. U.S. Dept. of Health and Human Services, Health Care Financing Administration, 1989.

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Thomas, Jazwiecki, ed. Case-mix payment systems for nursing home care. Pluribus Press, 1987.

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United States. Congressional Budget Office., ed. Universal health insurance coverage using Medicare's payment rates. Congress of the U.S., Congressional Budget Office, 1991.

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Office, General Accounting. Medicare home health payment: Nonroutine medical system data needed to assess payment adjustments : report to Congressional Committees. The Office, 2003.

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Book chapters on the topic "Payment of care"

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Chang, Yu-Pin, Yu-Chuan Liu, Wen-Wen Chang, et al. "Payment Structure." In Digital Health Care in Taiwan. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05160-9_3.

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AbstractThe payment system has a great impact on the overall growth of medical expenses, the distribution of medical resources as well as medical efficiency and quality. To quickly integrate the existing civil service, labor, and farmers’ insurance system, the fee-for-service approach was adopted as the primary National Health Insurance (NHI) payment system at the beginning of its establishment. The content also elaborates the concept and operation mechanism of the global budget payment system and various supplemental payment methods in the NHI, such as case payment, per diem payment, pay-for-
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Joshi, Maulik, and Aaron George. "New Payment Models." In Leading Health Care Transformation, 2nd ed. Productivity Press, 2023. http://dx.doi.org/10.4324/9781003402831-15.

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Menser, Terri, and Ann Scheck McAlearney. "Value-Based Payment Models." In Chronic Illness Care. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71812-5_41.

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McManus, Margaret A., Patience H. White, and David Kanter. "Payment for Healthcare Transition Services." In Health Care Transition. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-72868-1_25.

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Howell, Julianne R., Robert Berenson, and Patricia J. Volland. "Financing and Payment." In Comprehensive Care Coordination for Chronically III Adults. John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118785775.ch8.

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Blanchard, Janice, Stephanie Donald, and Nathan Seth Trueger. "Payment reform in emergency care." In Emergency Care and the Public's Health. John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118779750.ch12.

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Alves da Costa, Filipa, and Mitja Kos. "Payment Methods and Pharmaceutical Care." In The Pharmacist Guide to Implementing Pharmaceutical Care. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-92576-9_35.

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Davis, Michael W. "Payment Strategies and Codes." In Closing the Care Gap with Wearable Devices. Productivity Press, 2022. http://dx.doi.org/10.4324/9781003304036-11.

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Orangio, Guy R. "Acute Care Surgical Bundled Payment Models." In Principles of Coding and Reimbursement for Surgeons. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-43595-4_8.

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Khatri, Naresh. "Health Insurance, Payment, and Pricing Arrangements." In Crony Capitalism in US Health Care. Routledge, 2021. http://dx.doi.org/10.4324/9781003112204-15.

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Conference papers on the topic "Payment of care"

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Das, Debendranath, and Atosi Das. "Blockchain-Enabled Distributed Payment Card Tokenization System." In 2024 IEEE 5th India Council International Subsections Conference (INDISCON). IEEE, 2024. http://dx.doi.org/10.1109/indiscon62179.2024.10744200.

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Jiang, Muyan, Ying Chen, Xin Chen, Javad Lavaei, and Anil Aswani. "Optimal Contract Design for End-of-Life Care Payments." In 2024 IEEE 63rd Conference on Decision and Control (CDC). IEEE, 2024. https://doi.org/10.1109/cdc56724.2024.10886745.

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Cavalcante, Hiago L., Derek N. A. Alves, Lucas Amaral, and Tiago F. Vieira. "Screen Scratch Detection on Credit Card Payment Terminals for Logistics Optimization." In 2024 XIV Brazilian Symposium on Computing Systems Engineering (SBESC). IEEE, 2024. https://doi.org/10.1109/sbesc65055.2024.10771821.

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Duan, Keyan, and Shishang Zhang. "Analysis of late payment of credit card based on data mining technology." In 2024 9th International Conference on Intelligent Informatics and Biomedical Sciences (ICIIBMS). IEEE, 2024. https://doi.org/10.1109/iciibms62405.2024.10792763.

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Japarova, Damira. "Health System Reform in Kyrgyzstan: Problems and Prospects." In International Conference on Eurasian Economies. Eurasian Economists Association, 2011. http://dx.doi.org/10.36880/c02.00368.

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Today all over the world costs of medical services are growing and alternative ways of effective financing of health care are being researched. 
 During the reforms the Kyrgyz Republic introduced a system of compulsory medical insurance, the institution of family medicine and a "single payer" system. Methods of payment for hospital services flush to an artificial increase in the number of hospitalizations and unnecessary assignment of diagnostic and therapeutic procedures. 
 The main brake of health care reform is underfunding of sector. Improving health care is possible by limiting
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Japarova, Damira. "None Budgetary Forms of Health Funding in the KR." In International Conference on Eurasian Economies. Eurasian Economists Association, 2018. http://dx.doi.org/10.36880/c10.02077.

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In Kyrgyzstan, significant share of the state funds used on the preferential treatment and financing of treatment other patients largely tolerated by themselves. However, the replacement of free services with paid ones occurs spontaneously and haphazardly. The strategy of replacement of free Medicare to paid in official documents and normative acts are not formulated, however, it really exists.
 With the introduction of co- payment system, patients are forced repeatedly pay for the same medical service, eventually not having a warranty for complete recovery. Many administrators in medicin
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Press, V. G., S. Feehan, H. Giannini, et al. "Chronic Obstructive Pulmonary Disease (COPD) Bundled Payment Care Initiative (BPCI) Episode: High Value Achieved?" In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a7030.

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Japarova, Damira, and Anara Kamalova. "The Use of Financial Resources in Public Health Organizations in The Kyrgyz Republic." In International Conference on Eurasian Economies. Eurasian Economists Association, 2017. http://dx.doi.org/10.36880/c09.01972.

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Public health in Kyrgyzstan is generally characterized by the dominance of inpatient care. There is an increase in hospitalization in all regions of the republic. This is an indicator of ineffective activity at the primary level, i.e. patients who have not been treated in polyclinics become hospital patients. This fact contradicts the goals of health care reform and shows that limited resources in health care are used inefficiently. A considerable part of the state funds is used for the treatment of privileged special patients. Accordingly, no more than 6% of budgetary funds are addressed for
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Marković, Radomir, and Dragana Grbić. "Maternal characteristics and perinatal care costs." In Proceedings of the International Congress Public Health - Achievements and Challenges. Institute of Public Health of Serbia "Dr Milan Jovanović Batut", 2024. http://dx.doi.org/10.5937/batutphco24061m.

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Background: The inherent complexity of managing pregnancies and their outcomes presents a significant challenge for the obstetric team and places considerable strain on hospital resources. Tertiary-level maternity wards frequently encounter difficulties in securing adequate financing and optimizing the use of limited resources, all while facing rising demand for healthcare services due to complicated pregnancies and deliveries. Methods and Objectives: The aim of this study was to examine the association between characteristics of women and the expenses of their delivery in University Gynaecolo
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Lazdauskas, Evaldas, and Juozas Merkevičius. "EVALUATION OF MOBILE PAYMENTS PENETRATION IN BALTIC COUNTRIES AND POLAND BY APPLYING MCDM METHODS." In 23rd Conference for Young Researchers "Economics and Management". Vilnius Gediminas Technical University, 2020. http://dx.doi.org/10.3846/vvf.2020.018.

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The purpose of this research is to analyse penetration and use of mobile payments in Baltic countries and Poland in point of sale (POS) segment. Mobile payment or m-payment (MP) is referred to the transfer of money (in digital form) from one party (e.g., consumer) to another party (e.g., seller or merchant) using a mobile device. Mobile payments allows to pay for goods or services with mobile devices instead of paying with cash or physical credit cards. The statistical data helps us to know information about mobile payments growth. The article concerns analysis of mobile payment use in POS sys
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Reports on the topic "Payment of care"

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Edmiston, Kelly. Alternative payment models, value-based payments, and health disparities. Center for Insurance Policy and Research, 2022. http://dx.doi.org/10.52227/25526.2022.

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The nexus of race and insurance is one of four regulatory priorities for the National Association of Insurance Commissioners (NAIC) in 2022 and has been a key initiative since 2020. As part of this initiative, the Health Innovations Working Group was charged to “evaluate mechanisms to resolve disparities through improving access to care, including . . . the use of alternative payment models and value-based payments and their impact on exacerbating or ameliorating disparities and social determinants of health.” This report is an effort to assist the HIWG in fulfilling this directive.
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Anderson, Gerard F. Anderson, Karen Davis Davis, and Stuart Guterman Guterman. Medicare Payment Reform: Aligning Incentives for Better Care. Commonwealth Fund, 2015. http://dx.doi.org/10.15868/socialsector.25041.

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Coe, Norma, Jing Guo, R. Tamara Konetzka, and Courtney Harold Van Houtven. What is the Marginal Benefit of Payment-Induced Family Care? National Bureau of Economic Research, 2016. http://dx.doi.org/10.3386/w22249.

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Carroll, Caitlin, Michael Chernew, A. Mark Fendrick, Joe Thompson, and Sherri Rose. Effects of Episode-Based Payment on Health Care Spending and Utilization: Evidence from Perinatal Care in Arkansas. National Bureau of Economic Research, 2017. http://dx.doi.org/10.3386/w23926.

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Bachrach, Deborah Bachrach, Mindy Lipson Lipson, and Lammot du Pont Pont. Arkansas: A Leading Laboratory for Health Care Payment and Delivery System Reform. Commonwealth Fund, 2014. http://dx.doi.org/10.15868/socialsector.25009.

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Layton, Timothy, Alice Ndikumana, and Mark Shepard. Health Plan Payment in Medicaid Managed Care: A Hybrid Model of Regulated Competition. National Bureau of Economic Research, 2017. http://dx.doi.org/10.3386/w23518.

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Leonard, Kenneth, and Joshua Graff Zivin. Outcome Versus Service Based Payment in Health Care: Lessons from African Traditional Healers. National Bureau of Economic Research, 2003. http://dx.doi.org/10.3386/w9797.

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Buchmueller, Thomas, Sean Orzol, and Lara Shore-Sheppard. The Effect of Medicaid Payment Rates on Access to Dental Care Among Children. National Bureau of Economic Research, 2013. http://dx.doi.org/10.3386/w19218.

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Gillen, Emily, Olivia Berzin, Adam Vincent, and Doug Johnston. Certified Electronic Health Record Technology Under the Quality Payment Program. RTI Press, 2018. http://dx.doi.org/10.3768/rtipress.2018.pb.0014.1801.

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The 2016 Quality Payment Program (QPP) is a Medicare reimbursement reform designed to incentivize value-based care over volume-based care. A core tenet of the QPP is integrated utilization of certified electronic health record technology (CEHRT). Adopting and implementing CEHRT is a resource-intensive process, requiring both financial capital and human capital (in the form of knowledge and time). Adoption can be especially challenging for small or rural practices that may not have access to such capital. In this issue brief, we discuss the role of CEHRT in the QPP and offer policy recommendati
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Clemens, Jeffrey, and Benedic Ippolito. Uncompensated Care and the Collapse of Hospital Payment Regulation: An Illustration of the Tinbergen Rule. National Bureau of Economic Research, 2017. http://dx.doi.org/10.3386/w23758.

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