<p>The task of controlling healthcare spending has been passed along to state governments, public and private payors and to providers themselves. These professionals are faced with the task of designing and implementing reimbursement rates in an era of managed care. This book aims to provide assistance to healthcare professionals who are responsible for developing and implementing rate setting systems. It features five case studies of states that have successfully implemented different types of rate structures, details methods and admininstration techniques for both hospitals and physicians, discusses the organizational structure of different rate setting systems, and examines how to determine and update hospital payment rates through different techniques.</p>

Hospital & Physician Rate-Setting Systems: A Reference Manual for Developing and Implementing Rate Structures (Hfma Healthcare Financial Management Series)

Business & Money

Cromwell, Jerry

Industries

McGraw-Hill Companies

<p>This book provides a balanced assessment of pay for performance (P4P). P4P programs have become widespread in health care, resulting in the development and testing of new types of payment systems that are heavily featured in the new health reform law. The authors review characteristics of P4P, analyze its strengths and weaknesses, set P4P in the context of other health policy options, assess the degree to which the current enthusiasm for P4P is realistic, review how P4P programs should be evaluated to assess their impact, and consider how P4P could become more effective in the future.</p>

Pay for Performance in Health Care: Methods and Approaches (RTI Press Books)

Economics

RTI International/RTI Press

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Books by Cromwell, Jerry