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    Academic Journals

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• Estimating the costs of potentially preventable hospital acquired complications

  Authors:Richard L. Fuller, Elizabeth C. McCullough, Mona Z. Bao, and Richard F. AverillFrom:Health Care Financing Review (Vol. 30, Issue 4) Peer-Reviewed

  Summer 20095,477 words Report California and Maryland hospital data are used to estimate the incremental cost associated with 64 categories of hospital acquired complications. The reason for admission, severity of illness at admission and the...

• Linking tumor registry and Medicaid claims to evaluate cancer care delivery

  Authors:Deborah Schrag, Beth A. Virnig, and Joan L. WarrenFrom:Health Care Financing Review (Vol. 30, Issue 4) Peer-Reviewed

  Summer 20095,092 words Report The utility of Medicaid claims for studying cancer care is not known. Our objective was to evaluate how well Medicaid claims capture diagnostic and treatment information recorded by the California Cancer Registry (CCR)....

• Redesigning the Medicare inpatient PPS to reduce payments to hospitals with high readmission rates

  Authors:Richard F. Averill, Elizabeth C. McCullough, John S. Hughes, Norbert I. Goldfield, James C. Vertrees, and Richard L. FullerFrom:Health Care Financing Review (Vol. 30, Issue 4) Peer-Reviewed

  Summer 20096,301 words Report A redesign of the Medicare inpatient prospective payment system (IPPS) that reduces payments to hospitals that have high-risk adjusted readmission rates is proposed. The redesigned IPPS uses a readmission performance...

• Need for risk adjustment in adapting episode grouping software to Medicare data

  Authors:Thomas MaCurdy, Jason Kerwin, and Nick TheobaldFrom:Health Care Financing Review (Vol. 30, Issue 4) Peer-Reviewed

  Summer 20095,470 words Report Episode grouper software offers a potential framework for developing important components of a pay-for-performance system for healthcare providers. If the costs for treating health conditions can be computed, then...

• The Medicare hospice payment system: a consideration of potential refinements

  Authors:Nancy Nicosia, Elaine Reardon, Karl Lorenz, Joanne Lynn, and Melinda Beeuwkes BuntinFrom:Health Care Financing Review (Vol. 30, Issue 4) Peer-Reviewed

  Summer 20094,825 words Article The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare's per diem payment system for hospice. Visit-level resource utilization data were...