By Eugenia L. Siegler, Saeid Mirafzali, Janice B. Foust
This ebook bargains an outline of key components of the health facility -- its constitution, management, and its functioning. scholars and new clinicians can be so fascinated about studying particular medical talents that they've little time to monitor or query the complete strategy of care. This booklet seems past acute illness to the surroundings of care, the way it works, the way it does not paintings, and the way it could possibly increase. matters mentioned comprise knowing and speaking with households, the fundamentals of health center finance, how harmful hospitalization will be to the aged, and the way to reduce mistakes. clinical scholars and citizens, complicated perform nurses, and physician's assistants, are among the strength readers for this ebook.
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Additional resources for An Introduction to Hospitals and Inpatient Care
It has since become the largest program providing medical and health-related services to America's poorest people (Health Care Financing Administration [HCFA], 2001). Medicaid is funded though a combination of federal and state monies, the formula for which is based on state income levels. Under broad guidelines specified by the federal government, states administer the program, determine who is eligible, decide the scope and duration of services, and set payment levels to providers. Thus, some benefits vary from state to state.
Medicare proposed regulations that would allow health plans that met certain criteria to enroll Medicare clients. CMS introduced the Medicare + Choice program as an option to the traditional Medicare program. Under Medicare + Choice, Medicare pays managed care plans to provide all health services for the enrolled Medicare beneficiaries, on the assumption that traditional cost controls implemented by managed care as well as the greater emphasis on prevention would be an effective way of controlling health care costs in these populations.
During the transition, the fees paid by Medicare for physicians' services were a blend of resource-based values and historical charges. The philosophy of the RBRVS is similar to that underlying the DRGs and PPS: that indemnity, or compensation for loss, should reflect the resources consumed in the process of delivering services (Iglehart, 1991; Ogrod, 1997). This perspective led to a model for physician payment that identified components of resource use. These included a physician work relative value component: the time, skill, and technical effort needed to perform the procedure, the mental effort, and the psychological stress concerning the risk to the patient.
An Introduction to Hospitals and Inpatient Care by Eugenia L. Siegler, Saeid Mirafzali, Janice B. Foust