Publication date: Available online 5 April 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Peter Amico, Gregory C. Pope, Ann Meadow, Pamela West
ObjectiveTo conduct an analysis of Medicare outpatient therapy episodes of care and associated payment implications.DesignRetrospective observational design using Medicare claims data. To descriptively analyze the composition of outpatient therapy episodes, we explore both variable and fixed length episodes. The variable-length episode definition organizes services into episodes based on the time pattern of therapy service utilization, using 60-day clean periods. We also examine fixed length episodes, beginning with the first therapy utilization in CY 2010 and extending 30, 60 and 90 days.SettingThe study is focused on community dwelling users of outpatient therapy.ParticipantsThe sample includes all Medicare patients who used outpatient therapy beginning at any point in 2010.InterventionsNot applicableMain OutcomeMeasures Mean episode payments and episode lengths in calendar days.ResultsVariable length outpatient therapy episodes have a mean payment of $881. On average, outpatient therapy episodes last 43 calendar days. Mean therapy duration for the 30, 60 and 90 day fixed-length episode is 20, 31 and 38 calendar days. The 30, 60 and 90 day fixed length initial episodes account for 40, 55 and 63 percent of total Medicare payments. Simulations of episode based payment illustrate the difficulty of avoiding a large number of substantial underpayments, due to the right-skewed distribution of total actual payments.ConclusionsA strength of episode payment is reducing cost and potentially wasteful variation within episodes. Given the substantial variation in therapy episode expenditures, absent improvements in available data and in predictive information, pure lump sum episode payment would result in substantial revenue changes for many episodes. Additional data is needed to better explain the wide variation in episode expenditures.
from #Medicine via ola Kala on Inoreader http://ift.tt/239p2zN
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
►
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
- ► Ιανουαρίου (5592)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
▼
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
-
▼
Απριλίου
(500)
-
▼
Απρ 05
(50)
- Biologic Treatment Registry Across Canada (BioTRAC...
- Effect of vitamin D supplementation on inflammatio...
- Community social capital and tooth loss in Japanes...
- Treatment outcomes of oral sitafloxacin in acute c...
- Fluorescence Detection of H5N1 Virus Gene Sequence...
- Combined Electron Paramagnetic Resonance and Atomi...
- Fatty acid supplements for improving dry eye sympt...
- Seasonal changes in microbial community compositio...
- The impact of long term institutional collaboratio...
- Mathematical modelling of bacterial resistance to ...
- A retrospective analysis of eye conditions among c...
- Correction to Determination of DNA and RNA Methyla...
- Microchannel Voltammetry in the Presence of Large ...
- Optical Monitoring of Living Nerve Terminal Labeli...
- Belly Breathing to Reduce Stress
- Neuromuscular Impairments Contributing to Persiste...
- Episode-based Payment for the Medicare Outpatient ...
- The effects of HIV self-testing on the uptake of H...
- Resective surgery for focal cortical dysplasia in ...
- Ex Vivo Optogenetic Dissection of Fear Circuits in...
- Experimental Strategies to Bridge Large Tissue Gap...
- ELEVATED CORTISOL IN HEALTHY FEMALE ADOLESCENT OFF...
- Recombinant Human Plasminogen Activator Inhibitor-...
- Extracorporeal shockwave therapy promotes chondrog...
- Morphogenesis of the demyelinating lesions in Baló...
- Correction for Gaiser et al., Cancer-associated ep...
- Sex differences in the brain do not {#x201C}add up...
- Do brains belong to two distinct populations? [Bio...
- Method fails to detect sex differences [Biological...
- Predictable human brain mosaic [Biological Sciences]
- Image segmentation with a novel regularized compos...
- Technical Note: Statistical dependences between ch...
- Potential benefits of dosimetric VMAT tracking ver...
- Automatic coronary calcium scoring using noncontra...
- A feasibility study of dynamic adaptive radiothera...
- Polarity effects and apparent ion recombination in...
- Photon-counting hexagonal pixel array CdTe detecto...
- Proton and light ion RBE for the induction of dire...
- Pain and Physical Function After Bariatric Surgery
- Estrogen Modulates Expression of Tight Junction Pr...
- Automatic Tissue Differentiation Based on Confocal...
- 27.12 MHz Radiofrequency Ablation for Benign Cutan...
- Development of a method to estimate organ doses fo...
- Cerebral perfusion computed tomography deconvoluti...
- Patient-centered diabetes research needs primary c...
- Importance of an early diagnosis in primary adenoc...
- Buildings, Vol. 6, Pages 16: Hourly Calculation Me...
- Architecture of the sperm whale forehead facilitat...
- Developmental Psychobiology: Volume 58, Number 4, ...
- Issue Information
-
▼
Απρ 05
(50)
- ► Φεβρουαρίου (793)
Αναζήτηση αυτού του ιστολογίου
Τρίτη 5 Απριλίου 2016
Episode-based Payment for the Medicare Outpatient Therapy Benefit
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
Alimentary Pharmacology &Therapeutics, EarlyView. https://ift.tt/2qECBIJ
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.