This cross-sectional study compares cost and payer reimbursement for hospital admissions of children and assesses associations of underpayment by patients’ demographic and clinical characteristics.
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http://dx.doi.org/10.1001/jamapediatrics.2021.1133 | DOI Listing |
Afr J Prim Health Care Fam Med
May 2024
Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria.
Background: South Africa's health care system grapples with persistent challenges, including health care provider shortages and disparities in distribution. In response, the government introduced clinical associates (Clin-As) as a novel category of health care providers.
Aim: This study mapped Clin-As' history and practice in South Africa, assessing their roles in the health workforce and offering recommendations.
J Occup Environ Med
July 2024
From the American College of Occupational and Environmental Medicine, Elk Grove Village, Illinois.
Workers' compensation outpatient care requires attention to causation, functional assessment, work disability prevention, and return-to-work planning, elements not usually addressed in other types of outpatient encounters. Because these elements of care deviate from the usual pattern of ambulatory services, providers of workers' compensation care have faced challenges in billing and auditing practices resulting in underpayment when providing high-value care based on evidence-based guidelines. Recent changes in Centers for Medicare & Medicaid Services rules on documentation requirements for coding outpatient evaluation and management encounters offer an opportunity for occupational health clinicians to be paid appropriately for care that follows occupational medicine practice guidelines.
View Article and Find Full Text PDFImportance: Current disease risk-adjustment formulas in the US rely on diagnostic classification frameworks that predate the .
Objective: To develop an -based classification framework for predicting diverse health care payment, quality, and performance outcomes.
Design Setting And Participants: Physician teams mapped all diagnoses into 3 types of diagnostic items (DXIs): main effect DXIs that specify diseases; modifiers, such as laterality, timing, and acuity; and scaled variables, such as body mass index, gestational age, and birth weight.
J Gen Intern Med
February 2023
Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Background: Care for Black patients is concentrated at a relatively small proportion of all US hospitals. Some previous studies have documented quality deficits at Black-serving hospitals, which may be due to inequities in financial resources for care.
Objective: To assess disparities in funding between hospitals associated with the proportion of Black patients that they serve.
Int Arch Occup Environ Health
March 2022
Faculty of Business and Law, School of Economics, Finance and Law, Centre for Pluralist Economics, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, UK.
Purpose: Τhe study examines whether adverse working conditions for immigrants in Greece bear an association with deteriorated physical health and increased levels of depression during 2018 and 2019.
Methods: A panel dataset resulted from the collaboration with centers providing free Greek language courses to immigrant population groups. Random Effects models assess the determinants of physical health and depression.
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