Longitudinal Assessment of Multiple Sclerosis Patients and Reimbursement Issues

2005 ◽  
Vol 7 (4) ◽  
pp. 129-131
Author(s):  
Michael Kaufman ◽  
Gary Cutter ◽  
Steven Schwid ◽  
Kenneth Johnson ◽  
June Halper ◽  
...  

Advances over the past decade in the management of multiple sclerosis (MS) have led to improved patient outcomes and renewed optimism among patients and clinicians alike. However, in the United States, the growing complexity of MS care has been paralleled by an increasingly regulated health care system and restraints imposed by third-party payors. To continue to maintain viable practices and offer patients optimal care, clinicians need to develop and refine investigations and therapeutic regimens that are appropriate for use in patients with MS while satisfying the fiscal concerns of third-party payors.

1982 ◽  
Vol 8 (3) ◽  
pp. 251-270
Author(s):  
George Heitler

AbstractThis Article surveys major antitrust issues affecting the health care field with particular emphasis on third party insurers. It deals with the most recent decisions of the United States Supreme Court, including Maricopa, Pireno and McCready, involving limitations on the scope of the antitrust exemptions, and the bearing of these decisions on third party insurers, provider agreements, peer review mechanisms, physician control or sponsorship of prepayment plans, joint insurer activities, relative value fee schedules, maximum fee schedules, and area-wide planning. The Article challenges the desirability of strict application of antitrust principles to these and other activities within the health care field, stressing that practices with procompetitive and cost containment aspects should be encouraged and analyzed under the rule of reason rather than a per se approach.


2009 ◽  
Vol 28 (2) ◽  
pp. 35-46 ◽  
Author(s):  
Larry Davidson ◽  
Priscilla Ridgway ◽  
Melissa Wieland ◽  
Maria O'Connell

Recent commissions in Canada and the United States have stipulated recovery to be the overarching aim of mental health care and have called for systems of care to be transformed to be made consistent with this aim. If these efforts are not simply to repeat the mistakes of the past, a new conceptual framework will be needed to provide an alternative foundation for rethinking the nature of care for people with serious mental illnesses. In this paper, the authors identify the limitations of the conceptual framework of the deinstitutionalization movement and then offer the capabilities approach developed by Sen (1992, 1999) and others as a more adequate framework for the post-institutional era.


2017 ◽  
Vol 22 (3) ◽  
pp. 131-134 ◽  
Author(s):  
Joyce J. Fitzpatrick

Abstract Background: Nursing is the largest health care profession in the United States, and as such employment and professional development trends for this group are instructive. A significant ratio of individuals holding the vascular access-board certified credential are registered nurses. A large portion of the nursing workforce holds specialty certification, but this process is mainly voluntary and heavily dependent on the motivation of individual nurses. Certification rates among registered nurses lag behind other health care professions such as medicine. Review of Literature: A summary of recent research centered on nursing certification is presented and divided into 3 major categories: value of certification perceived by nurses, traits associated with certification, and relationship between nursing certification and patient outcomes. Conclusions: Although there are many studies available on nursing certification, additional work in the field is needed to promote and show benefits of specialty nursing certifications.


2010 ◽  
Vol 16 (9) ◽  
pp. 703-712 ◽  
Author(s):  
Carl V. Asche ◽  
Mendel E. Singer ◽  
Mehul Jhaveri ◽  
Hsingwen Chung ◽  
Aaron Miller

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