[PDF] Colorado Hospital Cost Shift Analysis eBook

Author :
Publisher :
Page : pages
File Size : 15,30 MB
Release : 2020
Category : Hospitals
ISBN :

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Achieving universal access to health care in Colorado is vital and a goal shared by policymakers, hospitals, providers, advocates, insurance carriers, business groups and, most importantly, Coloradans. Historically, one driver of high costs was that health care providers had to recoup losses from uncompensated care and underpayment by public programs, like Medicaid, by charging other people higher prices. They did that by cost shifting: increasing costs for people who were insured in the private marketplace to cover shortfalls from public payers. The mechanisms put in place in 2009 to course correct rising health care costs surpassed initial hospital projected savings. Yet, since these changes have been implemented, we have not seen cost-shifting decrease.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 580 pages
File Size : 33,7 MB
Release : 1986-01-01
Category : Medical
ISBN : 0309036437

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"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 161 pages
File Size : 30,14 MB
Release : 2018-04-02
Category : Medical
ISBN : 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Author : Colorado Hospital Transformation Program
Publisher :
Page : 0 pages
File Size : 19,27 MB
Release : 2016
Category : Hospitals
ISBN :

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The State of Colorado Department of Health Care Policy and Financing will seek approval from the federal Centers for Medicare and Medicaid Services (CMS) for Section 1115 waiver authority to embark on a five year demonstration to implement hospital-led strategic initiatives through the establishment of a delivery system reform incentive payment (DSRIP) program. The state will leverage hospital supplemental payment funding generated through existing hospital provider fees authorized under the Colorado Health Care Affordability Act of 2009. These payments will be used as incentives in a statewide hospital transformation program designed to improve patient outcomes through care redesign and integration with community- based providers, lower Medicaid costs through reductions in avoidable care, and prepare the state's hospitals for future value-based payment environments.

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 195 pages
File Size : 29,92 MB
Release : 2020-01-30
Category : Medical
ISBN : 0309493439

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Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 202 pages
File Size : 37,93 MB
Release : 2008-09-06
Category : Medical
ISBN : 0309113695

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Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.