Medicare


Book Description




Medicare


Book Description




Medicare. Physician Incentive Payments by Hospitals Could Lead to Abuse


Book Description

During the past year, two physician incentive plans offered by hospitals have come under investigation for possible violation of Medicare law, one by the Department of Justice and the other by the Department of Health and Human Services' Office of Inspector General. These two cases have raised questions about the adequacy of the Medicare statute to deter abuses that may arise under the incentives of the Medicare prospective payment system for hospitals. At the request of the Chairman, Subcommittee on Health, House Committee on Ways and Means, GAO obtained information on existing and proposed physician incentive plans and analyzed the plans to assess their legality under current law and determine the potential abuses that could arise under them in view of the changed incentives under prospective payment. This report discusses operational and proposed incentive plans offered to physicians by hospitals and the features of such plans that could increase the risk of them having detrimental effects on quality of care for Medicare patients suggeswted are possible modifications to Medicare law that might deter physician incentive plans from providing too strong an incentive to undertreat patients.










The Future of Nursing 2020-2030


Book Description

The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.













Medicare


Book Description

Traditional Medicare provider payment systems reward the volume of services instead of the quality or efficiency of care by paying physicians for each service provided. Some health systems, which can be hospitals, physicians, health plans, or a combination, use financial incentive programs to reward physicians for improving quality and efficiency with the goal of better outcomes for patients and savings for hospitals and payers. This report examined how federal fraud and abuse laws affect the implementation of financial incentive programs, stakeholders' perspectives on their ability to implement these programs, and alternative approaches that have been approved. A print on demand edition of an important, hard-to-find report.