Managing costs and care: Medicare bundled pricing CABG demo is catching on fast

Article Abstract:

Medicare has initiated a highly successful demonstration for cost-saving on expensive coronary artery bypass operations. Under Medicare's system, hospitals and physicians receive a single, negotiated fee for each such operation and must split the payment among themselves. Since 1991, Medicare has saved more than $13 million in negotiated discounts on 2,552 heart operations performed under the program. In addition, hospitals have also made money because there was so much waste in the system. Billing difficulties accounted for the single biggest obstacle facing participants in the project.

Medicare A, Case studies, Managed care plans (Medical care), Coronary artery bypass

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No breathing room

Article Abstract:

Managed-care pressures, including the performance of fewer surgeries, have brought the long-running battle between nurse anesthetists and anesthesiologists to a head. The conflict, ultimately over jobs, turns on which group should provide various types of services. Minnesota nurse anesthetists whose hospital replaced them with contract anesthesiologists have filed suit in a federal court. That case is discussed.

Offices of All Other Miscellaneous Health Practitioners, Offices of health practitioners, not elsewhere classified, Health Care Services, Nurses, Registered, Cases, Health care industry, Medical care, Antitrust law, Employment, Registered nurses, Anesthesiologists, Nurse anesthetists

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Effects of changing Medicaid fees on physician participation and enrollee access

Article Abstract:

The impact of Medicaid physician fees on physician services in Michigan and Maine hospitals is discussed. Additional information on Medicaid reimbursement changes and health services offered to Medicaid patients in Maine and Michigan is also included.

United States, Maine, Michigan, Medicaid, Economic aspects, Services, Medical fees

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