The Future of Disability in America

Download The Future of Disability in America PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309104726
Total Pages : 619 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis The Future of Disability in America by : Institute of Medicine

Download or read book The Future of Disability in America written by Institute of Medicine and published by National Academies Press. This book was released on 2007-10-24 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.

Accounting for Social Risk Factors in Medicare Payment

Download Accounting for Social Risk Factors in Medicare Payment PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309448042
Total Pages : 83 pages
Book Rating : 4.3/5 (94 download)

DOWNLOAD NOW!


Book Synopsis Accounting for Social Risk Factors in Medicare Payment by : National Academies of Sciences, Engineering, and Medicine

Download or read book Accounting for Social Risk Factors in Medicare Payment written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-14 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care providers are held accountable for both the quality and cost of the care they deliver. Accounting For Social Risk Factors in Medicare Payment: Data is the fourth in a series of five brief reports that aim to inform ASPE analyses that account for social risk factors in Medicare payment programs mandated through the IMPACT Act. This report provides guidance on data sources for and strategies to collect data on indicators of social risk factors that could be accounted for Medicare quality measurement and payment programs.

Improving the Medicare Market

Download Improving the Medicare Market PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309175364
Total Pages : 384 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Improving the Medicare Market by : Institute of Medicine

Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Care Without Coverage

Download Care Without Coverage PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

DOWNLOAD NOW!


Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Conditions of Participation for Hospitals

Download Conditions of Participation for Hospitals PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 72 pages
Book Rating : 4.3/5 ( download)

DOWNLOAD NOW!


Book Synopsis Conditions of Participation for Hospitals by : United States. Social Security Administration

Download or read book Conditions of Participation for Hospitals written by United States. Social Security Administration and published by . This book was released on 1966 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare and Health Care Chartbook

Download Medicare and Health Care Chartbook PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 230 pages
Book Rating : 4.3/5 (121 download)

DOWNLOAD NOW!


Book Synopsis Medicare and Health Care Chartbook by : United States. Congress. House. Committee on Ways and Means

Download or read book Medicare and Health Care Chartbook written by United States. Congress. House. Committee on Ways and Means and published by . This book was released on 1997 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Advances in Patient Safety

Download Advances in Patient Safety PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

DOWNLOAD NOW!


Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Get What's Yours for Medicare

Download Get What's Yours for Medicare PDF Online Free

Author :
Publisher : Simon and Schuster
ISBN 13 : 1501124013
Total Pages : 304 pages
Book Rating : 4.5/5 (11 download)

DOWNLOAD NOW!


Book Synopsis Get What's Yours for Medicare by : Philip Moeller

Download or read book Get What's Yours for Medicare written by Philip Moeller and published by Simon and Schuster. This book was released on 2016-10-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money. Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance. Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules? Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.

Rewarding Provider Performance

Download Rewarding Provider Performance PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309102162
Total Pages : 273 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Rewarding Provider Performance by : Institute of Medicine

Download or read book Rewarding Provider Performance written by Institute of Medicine and published by National Academies Press. This book was released on 2007-02-17 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

Annual Report on Medicare

Download Annual Report on Medicare PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 260 pages
Book Rating : 4.:/5 (3 download)

DOWNLOAD NOW!


Book Synopsis Annual Report on Medicare by : United States. Health Care Financing Administration

Download or read book Annual Report on Medicare written by United States. Health Care Financing Administration and published by . This book was released on 1980 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Employment and Health Benefits

Download Employment and Health Benefits PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309048273
Total Pages : 381 pages
Book Rating : 4.3/5 (9 download)

DOWNLOAD NOW!


Book Synopsis Employment and Health Benefits by : Institute of Medicine

Download or read book Employment and Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

Medicare and Medicaid Claims and Procedures

Download Medicare and Medicaid Claims and Procedures PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (86 download)

DOWNLOAD NOW!


Book Synopsis Medicare and Medicaid Claims and Procedures by : Harvey L. McCormick

Download or read book Medicare and Medicaid Claims and Procedures written by Harvey L. McCormick and published by . This book was released on 1986 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Fraud and Abuse

Download Health Care Fraud and Abuse PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 156 pages
Book Rating : 4.0/5 ( download)

DOWNLOAD NOW!


Book Synopsis Health Care Fraud and Abuse by : Aspen Health Law Center

Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.

Medicare Hospice Benefits

Download Medicare Hospice Benefits PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 6 pages
Book Rating : 4.:/5 (285 download)

DOWNLOAD NOW!


Book Synopsis Medicare Hospice Benefits by :

Download or read book Medicare Hospice Benefits written by and published by . This book was released on 1993 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

10 Costly Medicare Mistakes You Can't Afford to Make

Download 10 Costly Medicare Mistakes You Can't Afford to Make PDF Online Free

Author :
Publisher : Roselane Publishing
ISBN 13 : 9781735378619
Total Pages : 310 pages
Book Rating : 4.3/5 (786 download)

DOWNLOAD NOW!


Book Synopsis 10 Costly Medicare Mistakes You Can't Afford to Make by : Danielle Kunkle Roberts

Download or read book 10 Costly Medicare Mistakes You Can't Afford to Make written by Danielle Kunkle Roberts and published by Roselane Publishing. This book was released on 2020-09-24 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: The critics are saying: "Don't make decisions about your Medicare coverage without reading this book!" #1 Best Selling Book in Less than 48-Hours After Reading This Book, You Will: ⚠ Know what Medicare pitfalls exist and how to expertly avoid them ⚠ Be ready to make the major Medicare decisions ⚠ Be knowledgeable on the costly penalties and how to steer clear Who This Book is For: ✓ New to Medicare - This book will help anyone approaching Medicare eligibility at age 65 who needs to learn the basics and is afraid of making a mistake that will result in penalties or inadequate healthcare coverage ✓ Retiring after 65 - Perhaps you have worked past age 65 and maintained employer coverage but now you are retiring and want to successfully transition from group health insurance cover to Medicare as your primary coverage. This book will show you the exact steps to take while also sidestepping unexpected (and often undeserved) late enrollment penalties. ✓ Beneficiaries Facing Indecision - Get this book if It's time for you to make a choice between a Medigap plan (Medicare supplement) and Medicare Advantage but you find yourself torn and aren't sure which route would be a better fit for you. ✓ Confused by Election Periods - Are all the various Medicare election periods making your head spin? This book carefully explains what changes and plan selections you can make during the various election periods and more importantly, what those election periods WON'T give you that you probably expect. ✓ Adult Children and Caregivers - If you find yourself in a situation where you need to help your parents make Medicare coverage decisions but have no idea how Medicare works, this book will be immensely helpful to you. Every year thousands of seniors make big mistakes during their Medicare enrollment that can result in expensive penalties and untold hours of hassle and headaches. While some of these mistakes are fixable, others can affect you for the rest of your life. In 10 Costly Medicare Mistakes, Medicare expert Danielle K. Roberts exposes the most common pitfalls that new to Medicare beneficiaries unwittingly make and shares how to expertly avoid them. As a Medicare expert and co-founder at Boomer Benefits, Danielle has spent the last 15 years helping thousands of Medicare beneficiaries learn how to navigate their entry into Medicare. Her goal has always been to make the entry into Medicare and enrollment process easier for ordinary Americans. This is no small task as most Americans spend their entire working lives having their healthcare plans chosen for them by their employers. Now suddenly they have to try to make sense of a huge national healthcare program that has 4 parts, 10 supplements, and thousands of plan options. To make matters worse, Medicare beneficiaries who get it wrong up front can find themselves paying penalties they don't deserve and being trapped in plans that don't fit their needs, lifestyle, or budget. In 10 Costly Medicare Mistakes, Danielle guides new beneficiaries through the key decisions they'll need to make at the beginning of their journey while also helping them expertly avoid the most common and costly mistakes that new beneficiaries often make.

Risk Adjustment for Measuring Health Care Outcomes

Download Risk Adjustment for Measuring Health Care Outcomes PDF Online Free

Author :
Publisher : Asociation of University Programs in Health Administration/Health Administration Press
ISBN 13 : 9781567934373
Total Pages : 0 pages
Book Rating : 4.9/5 (343 download)

DOWNLOAD NOW!


Book Synopsis Risk Adjustment for Measuring Health Care Outcomes by : Lisa I. Iezzoni

Download or read book Risk Adjustment for Measuring Health Care Outcomes written by Lisa I. Iezzoni and published by Asociation of University Programs in Health Administration/Health Administration Press. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text offers independent chapters for a multidisciplinary readership of students and professionals in areas such as biostatistics, public health, psychology, and health policy. It introduces concepts and methods for designing, using, and evaluating risk adjustment methods when comparing outcomes of care such as costs, clinical outcomes, and patient-centered outcomes in various health care settings. Because the field is broad and changing, the book does not review existing risk adjustment methods; instead, it concentrates on basic methods and principles that apply generally to risk adjustment. Individual chapters are devoted to data from administrative sources, medical records, and patient surveys. Later chapters cover practical issues in developing and evaluating risk adjustment methods and understanding their validity and reliability. There is also material on risk adjustment for specific populations. This fourth edition contains a new chapter on using risk adjustment in the management of health care organizations, plus new information on genetic, social, and environmental risk factors. This edition reflects current practice in electronic health records and health information technologies. Iezzoni teaches medicine at Harvard Medical School. Annotation ©2012 Book News, Inc., Portland, OR (booknews.com).

Risk Adjustment Documentation and Coding

Download Risk Adjustment Documentation and Coding PDF Online Free

Author :
Publisher : American Medical Association Press
ISBN 13 : 9781640160392
Total Pages : 500 pages
Book Rating : 4.1/5 (63 download)

DOWNLOAD NOW!


Book Synopsis Risk Adjustment Documentation and Coding by : Sheri Poe Bernard

Download or read book Risk Adjustment Documentation and Coding written by Sheri Poe Bernard and published by American Medical Association Press. This book was released on 2020-03-02 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. The impact of risk-adjustment coding (hierarchical condition category (HCC) coding) on a practice should not be underestimated: More than 75 million Americans are enrolled in risk-adjusted insurance plans. This population represents more than 20% of those insured in the United States. Insurance risk pools under the Affordable Care Act include risk adjustment. CMS has proposed expanding audits on risk-adjustment coding. FEATURES AND BENEFITS Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, and guidance for development of internal risk-adjustment coding policies. Ten chronic disease ICD-10-CM coding summaries for quick reference and study. Two appendices offering mappings and tabular information of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. "Advice/Alert Notes" that highlight important coding and documentation advice from federal regulatory sources. "Sidebars" that provide derivative story and additional information, such as "Coding Tips" that guide coders with practical advice from sources like AHA's Coding Clinic and cautionary notes about conflicts and exceptions "Clinical Examples" that underscore key documentation issues for risk adjustment "Clinical Coding Examples" that provide snippets or full encounter notes and codes to illustrate risk-adjustment coding and documentation concepts "Documentation tips" that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms "Examples" that explain difficult concepts and promote understanding of those concepts as they relate to a section "FYI" call outs that provide quick facts "Abstract & Code It!" exercises that test diagnosis abstraction and coding skills (exclusive to Chapter 4) Extensive end-of-chapter "Evaluate Your Understanding" sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.