Geographic Adjustment in Medicare Payment - Phase II: Implications for Access, Quality, and Efficiency (Paperback)

Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live. Table of Contents Front Matter Summary: Implications of Geographic Adjustment for Access, Quality, and Efficiency of Care 1 Introduction and Overview 2 Payment Simulations 3 Evidence of Geographic Variation in Access, Quality, and Workforce Distribution 4 Programs and Policies to Improve Access and Quality of Care for Beneficiaries 5 Observations on the Larger Policy Context 6 Recommendations Appendix A-1: Technical Approach to Payment Simulations: IOM Committee Recommendations for Hospital Wage Index and Physician Geographic Adjustment Factors Appendix A-2: Payment Simulations: Data Tables Appendix B: Methods for the Analysis of Associations of Quality Measures with Payments in Chapter 3 Appendix C: Quality Assurance for RTI Payment Simulations Appendix D: Public Session: Workforce, Access, and Innovation Policy Levers for Geographic Adjustment In Medicare Payment Appendix E: Exchange of Letters Between House of Representatives Quality Coalition and Committee Chair Frank Sloan Appendix F: Committee and Staff Biographies Index

General

Imprint:	National Academies Press
Country of origin:	United States
Release date:	December 2012
First published:	2012
Authors:	Institute of Medicine • Board on Health Care Services • Committee on Geographic Adjustment Factors in Medicare Payment
Editors:	A. Bruce Steinwald • Frank A. Sloan • Margaret Edmunds
Dimensions:	279 x 216 x 0mm (L x W x T)
Format:	Paperback
Pages:	238
ISBN-13:	978-0-309-25798-5
Categories:	Books > Medicine > General issues > Health systems & services > Hospital administration & management
LSN:	0-309-25798-0
Barcode:	9780309257985

Is the information for this product incomplete, wrong or inappropriate? Let us know about it.

Does this product have an incorrect or missing image? Send us a new image.

Is this product missing categories? Add more categories.

Review This Product

No reviews yet - be the first to create one!