Geographic Adjustment in Medicare Payment
National Academies Press (Verlag)
978-0-309-21145-1 (ISBN)
At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment.
Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.
Table of Contents
Front Matter
Summary
1 Introduction and Overview
2 Labor Markets and Payment Areas
3 Hospital Wage Index
4 Smoothing the Borders of Labor Markets and Payment Areas
5 Geographic Practice Cost Indexes
6 Transitions
Appendix A: Committee and Staff Biographies
Appendix B: Public Committee Meeting Agendas
Appendix C: List of Contributors and Participants
Appendix D: Statistical Reliability of the Bureau of Labor Statistics (BLS) Wage Data
Appendix E: Comparison of the Medicare Payment Advisory Commission (MedPAC) and Institute of Medicine (IOM) Proposals for Alternative Hospital Wage Indexes (HWIs)
Appendix F: Description of Three Optional Sources for Facility Wage Index Data
Appendix G: RTI Analysis Data Sources
Appendix H: S-3 Worksheet
Appendix I: Physician Work Adjustment
Index
1 Front Matter; 2 Summary; 3 1 Introduction and Overview; 4 2 Labor Markets and Payment Areas; 5 3 Hospital Wage Index; 6 4 Smoothing the Borders of Labor Markets and Payment Areas; 7 5 Geographic Practice Cost Indexes; 8 6 Transitions; 9 Appendix A: Committee and Staff Biographies; 10 Appendix B: Public Committee Meeting Agendas; 11 Appendix C: List of Contributors and Participants; 12 Appendix D: Statistical Reliability of the Bureau of Labor Statistics (BLS) Wage Data; 13 Appendix E: Comparison of the Medicare Payment Advisory Commission (MedPAC) and Institute of Medicine (IOM) Proposals for Alternative Hospital Wage Indexes (HWIs); 14 Appendix F: Description of Three Optional Sources for Facility Wage Index Data; 15 Appendix G: RTI Analysis Data Sources; 16 Appendix H: S-3 Worksheet; 17 Appendix I: Physician Work Adjustment; 18 Index
Verlagsort | Washington |
---|---|
Sprache | englisch |
Maße | 216 x 279 mm |
Themenwelt | Medizin / Pharmazie ► Gesundheitswesen |
ISBN-10 | 0-309-21145-X / 030921145X |
ISBN-13 | 978-0-309-21145-1 / 9780309211451 |
Zustand | Neuware |
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