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Full-Text Articles in Medicine and Health Sciences
Value-Based Reimbursements In The Us Health Care Market : Direct And Spillover Effects Of Medicare Readmissions Program, Soumyadeb Chatterjee
Value-Based Reimbursements In The Us Health Care Market : Direct And Spillover Effects Of Medicare Readmissions Program, Soumyadeb Chatterjee
Legacy Theses & Dissertations (2009 - 2024)
In this thesis, I take up the question of how the Medicare penalties introduced by the Hospital Readmissions Reduction program (HRRP) impacted the US health care system. The demand side of US health care system is highly fragmented where hospitals and other providers have to serve very different kinds of patients from different payers. Since the majority of a hospital's income is drawn from Medicare, a sharp reduction in its reimbursements is bound to have an effect on its health care delivery to all patients.
Endogenous Policy Design In Healthcare : A Case Study Of Emergency Department Crowding, Katrina Alexandra Hull
Endogenous Policy Design In Healthcare : A Case Study Of Emergency Department Crowding, Katrina Alexandra Hull
Legacy Theses & Dissertations (2009 - 2024)
The United States’ health care system has faced growing per capita use, and subsequent crowding, of the emergency department since the 1990’s, evidenced by longer wait times and the institution of ambulance diversions. Emergency departments are but one element of a complex system, with difficulties which persist despite policy efforts.
The Relationship Between Hospital Safety Culture And Variation In Adverse Events : What Is The Evidence From Nys Hospitals?, Kathleen Ciccone
The Relationship Between Hospital Safety Culture And Variation In Adverse Events : What Is The Evidence From Nys Hospitals?, Kathleen Ciccone
Legacy Theses & Dissertations (2009 - 2024)
Background: There is widespread acknowledgement that patients often suffer from adverse events that occur in the provision of medical care (Leape et al., 1991; Kohn et al., 2000). A notable percentage of these events stem from poor practices and unreliable hospital safety systems (Leape et al., 1991; Kohn et al., 2000; Chassin, 2013). Although the literature has been mixed regarding the association between perception of safety culture in hospitals and rates of adverse events, policy makers and healthcare thought-leaders have called on hospital leadership to improve safety culture as one strategy for decreasing harm to patients.
Predictors Of Emergency Room And Hospital Utilization Among Adults With Intellectual And Developmental Disabilities (Idd) In New York City, Meghan G. Blaskowitz
Predictors Of Emergency Room And Hospital Utilization Among Adults With Intellectual And Developmental Disabilities (Idd) In New York City, Meghan G. Blaskowitz
Legacy Theses & Dissertations (2009 - 2024)
Background. Avoidable emergency room (ER) visits and hospital admissions among people with intellectual and developmental disabilities (IDD) contribute significantly to rising Medicaid costs. The Affordable Care Act (ACA) and New York State (NYS) Medicaid Redesign Team have identified a critical need to reduce ER and hospital utilization in an effort to contain healthcare costs and improve quality of care. Study Objective. This study identifies independent predictors of medical and behavioral/psychiatric ER and hospital utilization for a cohort of individuals with IDD (n=597) residing in supported living arrangements in New York City, the most Medicaid-dense region of NYS. Methods. A retrospective …