University of the Sciences in Philadelphia

Editorial Archives

January/February 2008  •  Volume 3, Number 1

From the Editor
Paying for the Right Stuff (PDF, 3 pages)
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 10
Feature Articles
Follow the Money: Payment Reform (PDF, 8 pages)
Estimates suggest that medical spending in the United States is 20% to 30% above needed levels. By compensating physicians for the quality of the services they perform, the medical system can limit the incentives for overused care and increase the incentives for prevention, bringing the system into alignment.
David M. Cutler, PhD  •  p. 19
Reducing Medically Inappropriate Admissions (PDF, 5 pages)
The pervasiveness of improper payments across Medicare services is the backdrop for CMS’ Hospital Patient Monitoring Program. From July 2005 to June 2006, Medicare hospital inpatient payments accounted for an estimated 41% of the Medicare Trust Fund expenditures; 5% of these inpatient payments were paid in error. Thus, Medicare overpaid approximately $4.4 billion.
Ya-Ping Su, PhD  •  p. 27
Behind the Numbers: Healthcare Cost Trends for 2008 (PDF, 6 pages)
Care coordination provided by systems such as Care Management Plus can save lives and improve healthcare outcomes, patients’ experience with care, and disease status. Read a physician’s testimony to the Senate Special Committee on Aging.
 •  p. 32
Vaccination Access Today (PDF, 4 pages)
The Surgical Care Improvement Project (SCIP) is a national quality partnership of organizations focused on improving
surgical care by significantly reducing surgical complications. This article by a New Jersey QIO reviews the quality improvement initiatives.
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD  •  p. 38
 
Departments
Letters  •  p. 6
Clinical Guidelines  •  p. 18
Ask the Experts   •  p. 41
Medicare Minutes  •  p. 42
Technology & Information  •  p. 45
Facts & Stats   •  p. 48

Requests for reprints of Medicare Patient Management articles or permissions to use article content may be sent to Jennifer Kenny at jkenny@healthcommedia.com.

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