Report to the Congress: Issues in a Modernized Medicare Program |
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Page viii
... care settings .114 Assessing the skilled nursing facility PPS 120 Assessing the home health PPS 126 6 Payment for pharmacy handling costs in hospital outpatient departments Is a payment adjustment needed ?. .137 .139 How should a ...
... care settings .114 Assessing the skilled nursing facility PPS 120 Assessing the home health PPS 126 6 Payment for pharmacy handling costs in hospital outpatient departments Is a payment adjustment needed ?. .137 .139 How should a ...
Page ix
... care .105 5-1 Selected characteristics of patients with hip or knee replacement .109 $ 8 8 .96 5-2 Characteristics of ... home health product changed between 1997 and 2002 129 6 6-1 Payment for pharmacy handling costs in hospital ...
... care .105 5-1 Selected characteristics of patients with hip or knee replacement .109 $ 8 8 .96 5-2 Characteristics of ... home health product changed between 1997 and 2002 129 6 6-1 Payment for pharmacy handling costs in hospital ...
Page xi
... care 105 5-1 One - third of beneficiaries discharged from hospitals use post - acute care 106 5-2 Distribution of SNF ... home health case - mix classification 127 6 Payment for pharmacy handling costs in hospital outpatient departments ...
... care 105 5-1 One - third of beneficiaries discharged from hospitals use post - acute care 106 5-2 Distribution of SNF ... home health case - mix classification 127 6 Payment for pharmacy handling costs in hospital outpatient departments ...
Page xvi
... home health care . Refining the skilled nursing facility PPS to better distribute payment for nontherapy ancillary costs and adjusting payments based on patient characteristics would improve this system's performance . The home health ...
... home health care . Refining the skilled nursing facility PPS to better distribute payment for nontherapy ancillary costs and adjusting payments based on patient characteristics would improve this system's performance . The home health ...
Page 12
... Health Plan Employer Data and Information Set ( HEDIS ) is a set of ... home following a COPD exacerbation episode treated in the emergency ... health plan enrollees age 65 and older and in Medicare , proposed HEDIS measures include two ...
... Health Plan Employer Data and Information Set ( HEDIS ) is a set of ... home following a COPD exacerbation episode treated in the emergency ... health plan enrollees age 65 and older and in Medicare , proposed HEDIS measures include two ...
Common terms and phrases
AAPCCs acquisition cost acute agency APCs average benchmarks case-mix changes clinical CMS's composite rate Congress cost-based cost-effectiveness analysis counties dialysis differences discharge discount drug benefit drug spending effectiveness eligible enrollees enrollment erythropoietin ESRD estimate evaluate FFS program formulary freestanding functional status Government Accountability Office handling costs health plans health service home health hospital-based improve incentives increase injectable inpatient Lewin Group measures Medicaid Medicare Advantage Medicare beneficiaries Medicare Payment Advisory Medicare Prescription Drug Medicare program Medicare's MedPAC analysis metropolitan statistical areas outcomes outpatient PPS payment areas payment policy payment rates payment system PBMs percent pharmacists pharmacy plan's post-acute premiums prescription drug prior authorization private plans radiopharmaceuticals receive recommendations regional PPOs rehabilitation Reischauer require researchers risk adjustment RUG-III rural hospitals RVUS Secretary SPAPs therapy update variation