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mgmt_478_a16_response_057.doc|
COST FACTORS & STRATEGIES Reasons for increasing costs of health care and Some strategies for managing them |
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(1) Admin/ Providers’ Strategies |
(2) Gov’t & Payors' Strategies |
(3) Societal Factors Which Increase Costs |
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Advanced Technology |
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Aging Population |
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AIDS |
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Capitation |
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Cardiac Catheterization Lab |
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Care Mapping/Clinical Pathways |
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Case Rates and Per Diems |
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CAT Scanner |
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Change of Reimbursement System from Charge-Based, to Cost-Based, to Flat-Fee to Capitation |
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CON (Certificate of Need) |
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Concurrent Review |
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Cost Shifting |
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Cost Accounting System |
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Deductibles and Co-Payments |
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Defensive Medicine |
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Gatekeepers |
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Global Payments/ Bundling of Services |
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Increased Chronic, Long-Term Illnesses |
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Increased Long-Term Care |
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Inflation |
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Information Systems Technology |
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Joint Replacements |
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Just-in-Time Delivery |
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Large Jury Awards |
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Litigation |
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Medicaid Tightened Eligibility Restrictions |
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Mergers and Acquisitions |
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MRI |
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Neonatal ICU |
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Organ Transplants |
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Part-Time Workers Replacing Full-Time Workers |
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Payment System |
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Penalties for Services Outside of HMO Network w/o Prior Approval |
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Point of Care |
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Preadmission Certification and Second Opinions |
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Prospective Payment (DRG) |
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Prospective Payments |
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Provider Networks |
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Reengineering/Redesign |
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Retrospective Review |
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Rising Expectations |
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Shift to Outpatient Services |
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Steerage and Discounts |
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The Uninsured |
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Total Quality Management |
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NAME OF STUDENT : |
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