Appreciating the Impact of IBNR Claims on Hospital Revenue Cycles

2012 ◽  
pp. 129-150
Author(s):  
David Marcinko ◽  
Karen White
Keyword(s):  
Hospital Revenue ◽  
The Impact

scholarly journals The Impact of Casemix Reimbursement on Hospital Revenue in Indonesia

2020 ◽  
Vol 18 (02) ◽  
pp. 1-8
Author(s):  
IRWAN SAPUTRA ◽  
SYED MOHAMED ALJUNID ◽  
AMRIZAL MUHAMMAD NUR
Keyword(s):  
Hospital Revenue ◽  
The Impact

ASSET CONDITION ASSESSMENT MODEL FRAMEWORK FOR HEALTHCARE FACILITIES

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Dalia Salem ◽  
Emad Elwakil
Keyword(s):  
Condition Assessment ◽  
Assessment Model ◽  
Mathematical Methods ◽  
Model Framework ◽  
Healthcare Facilities ◽  
Analysis Technique ◽  
Hospital Revenue ◽  
The Usa ◽  
Infrastructure Performance ◽  
The Impact

The poor healthcare facilities performance costs the USA tens billions of dollars each year. There are several factors affect the critical assets of healthcare facilities such as the physical condition of the facility, infection prevention, life safety, and hospital revenue loss. The objective of this research is to develop an asset condition assessment model for healthcare facilities. The model identifies several factors, especially the condition, capacity, and code compliance of a facility's infrastructure. The asset condition assessment model has been developed based on the mechanical, electrical and plumping systems and evaluates the asset condition based on its age, life expectancy, recent condition assessment and energy efficiency among other factors. The data was collected from different hospitals in Indiana. This model has been developed using the Regression analysis technique. The model has been validated through analytical and mathematical methods. Results showed average validity at 88.32%. The developed model will help the healthcare facilities managers to prioritize the budget allocation and to reduce the impact of consequences of asset failure, which will improve the healthcare infrastructure performance.

scholarly journals The impact of hospital revenue on the increase in Caesarean sections in Norway. A panel data analysis of hospitals 1976-2005

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Jostein Grytten ◽  
Lars Monkerud ◽  
Terje P Hagen ◽  
Rune Sørensen ◽  
Anne Eskild ◽  
...  
Keyword(s):  
Data Analysis ◽  
Panel Data ◽  
Panel Data Analysis ◽  
Hospital Revenue ◽  
The Impact

The impact of China’s Zero-Markup Drug Policy on county hospital revenue and government subsidy levels

2015 ◽  
Vol 8 (1) ◽  
pp. 102-116 ◽  
Author(s):  
Zhongliang Zhou ◽  
Yanfang Su ◽  
Benjamin Campbell ◽  
Zhiying Zhou ◽  
Jianmin Gao ◽  
...  
Keyword(s):  
Drug Policy ◽  
County Hospital ◽  
Government Subsidy ◽  
Hospital Revenue ◽  
The Impact

scholarly journals Does the separating of hospital revenue from drug sales reduce the burden on patients? Evidence from China

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Lele Li ◽  
Qiao Yu
Keyword(s):  
Healthcare Expenditure ◽  
Drug Expenditure ◽  
System Reform ◽  
Service Needs ◽  
Drug Sales ◽  
Sample Data ◽  
Hospital Revenue ◽  
Healthcare Insurance ◽  
The Difference ◽  
The Impact

Abstract Background Since 2015, all pilot cities of public hospital reform in China have allowed the zero-markup drug policy and implemented the policy of Separating of Hospital Revenue from Drug Sales (SHRDS). The objective of this study is to evaluate whether SHRDS policy reduces the burden on patients, and to identify the mechanism through which SHRDS policy affects healthcare expenditure. Methods In this study, we use large sample data of urban employee’s healthcare insurance in Chengdu, and adopt the difference in difference model (DID) to estimate the impact of the SHRDS policy on total healthcare expenditures and drug expenditure of patients, and to provide empirical evidence for deepening medical and health system reform in China. Results After the SHRDS policy’s implementation, the total healthcare expenditure kept growing, but the growth rate slowed down between 2014 to 2015. The total healthcare expenditure of patients decreased by only 0.6%, the actual reimbursement expenditure of patients decreased by 4.1%, the reimbursement ratio decreased by 2.6%. and the drugs expenditure dropped by 14.4%. However, the examinations expenditure increased by 18.2%, material expenditure increased significantly by 38.5%, and nursing expenditure increased by 12.7%. Conclusions After implementing the SHRDS policy, the significant reduction in drug expenditure led to more physicians inducing patients’ healthcare service needs, and the increased social healthcare burden was partially transferred to the patients’ personal economic burden through the decline in the reimbursement ratio. The SHRDS policy is not an effective way to control healthcare expenditure.

Formation of Lunar Craters and Bright Rays as a Result of Meteorite Impacts

1962 ◽  
Vol 14 ◽  
pp. 415-418
Author(s):  
K. P. Stanyukovich ◽  
V. A. Bronshten
Keyword(s):  
Explosive Charge ◽  
The Moon ◽  
Meteorite Impacts ◽  
The Earth ◽  
Lunar Craters ◽  
The Impact

The phenomena accompanying the impact of large meteorites on the surface of the Moon or of the Earth can be examined on the basis of the theory of explosive phenomena if we assume that, instead of an exploding meteorite moving inside the rock, we have an explosive charge (equivalent in energy), situated at a certain distance under the surface.

The Geosciences Applied to Lunar Exploration

1962 ◽  
Vol 14 ◽  
pp. 169-257 ◽  
Author(s):  
J. Green
Keyword(s):  
Lunar Surface ◽  
Probable Mechanism ◽  
Point Of View ◽  
Lunar Exploration ◽  
Geological Model ◽  
Apply Geophysics ◽  
Surface Features ◽  
The Impact

The term geo-sciences has been used here to include the disciplines geology, geophysics and geochemistry. However, in order to apply geophysics and geochemistry effectively one must begin with a geological model. Therefore, the science of geology should be used as the basis for lunar exploration. From an astronomical point of view, a lunar terrain heavily impacted with meteors appears the more reasonable; although from a geological standpoint, volcanism seems the more probable mechanism. A surface liberally marked with volcanic features has been advocated by such geologists as Bülow, Dana, Suess, von Wolff, Shaler, Spurr, and Kuno. In this paper, both the impact and volcanic hypotheses are considered in the application of the geo-sciences to manned lunar exploration. However, more emphasis is placed on the volcanic, or more correctly the defluidization, hypothesis to account for lunar surface features.

Asteroid and Comet Impact Speeds upon Mars: Significance for Panspermia and the Supply of Organics

1997 ◽  
Vol 161 ◽  
pp. 197-201 ◽  
Author(s):  
Duncan Steel
Keyword(s):  
Probability Distributions ◽  
Regions Of Interest ◽  
Significant Fraction ◽  
Organic Chemicals ◽  
Impact Speed ◽  
The Mean ◽  
The Impact

AbstractWhilst lithopanspermia depends upon massive impacts occurring at a speed above some limit, the intact delivery of organic chemicals or other volatiles to a planet requires the impact speed to be below some other limit such that a significant fraction of that material escapes destruction. Thus the two opposite ends of the impact speed distributions are the regions of interest in the bioastronomical context, whereas much modelling work on impacts delivers, or makes use of, only the mean speed. Here the probability distributions of impact speeds upon Mars are calculated for (i) the orbital distribution of known asteroids; and (ii) the expected distribution of near-parabolic cometary orbits. It is found that cometary impacts are far more likely to eject rocks from Mars (over 99 percent of the cometary impacts are at speeds above 20 km/sec, but at most 5 percent of the asteroidal impacts); paradoxically, the objects impacting at speeds low enough to make organic/volatile survival possible (the asteroids) are those which are depleted in such species.

Organic Syntheses During the Impact of a Comet with a Gaseous Planet

1997 ◽  
Vol 161 ◽  
pp. 189-195
Author(s):  
Cesare Guaita ◽  
Roberto Crippa ◽  
Federico Manzini
Keyword(s):  
Polymeric Material ◽  
Molecular Form ◽  
Parent Compound ◽  
Blue Filter ◽  
Organic Syntheses ◽  
The Impact

AbstractA large amount of CO has been detected above many SL9/Jupiter impacts. This gas was never detected before the collision. So, in our opinion, CO was released from a parent compound during the collision. We identify this compound as POM (polyoxymethylene), a formaldehyde (HCHO) polymer that, when suddenly heated, reformes monomeric HCHO. At temperatures higher than 1200°K HCHO cannot exist in molecular form and the most probable result of its decomposition is the formation of CO. At lower temperatures, HCHO can react with NH3 and/or HCN to form high UV-absorbing polymeric material. In our opinion, this kind of material has also to be taken in to account to explain the complex evolution of some SL9 impacts that we observed in CCD images taken with a blue filter.

Hydrogen Cyanide Polymers from the Impact of Comet P/Shoemaker-Levy 9 on Jupiter

1997 ◽  
Vol 161 ◽  
pp. 179-187
Author(s):  
Clifford N. Matthews ◽  
Rose A. Pesce-Rodriguez ◽  
Shirley A. Liebman
Keyword(s):  
Amino Acids ◽  
Solar System ◽  
Hydrogen Cyanide ◽  
Nitrogen Heterocycles ◽  
Laboratory Studies ◽  
Heterogeneous Solids ◽  
The Many ◽  
Comet Halley ◽  
The Impact ◽  
By Products

AbstractHydrogen cyanide polymers – heterogeneous solids ranging in color from yellow to orange to brown to black – may be among the organic macromolecules most readily formed within the Solar System. The non-volatile black crust of comet Halley, for example, as well as the extensive orangebrown streaks in the atmosphere of Jupiter, might consist largely of such polymers synthesized from HCN formed by photolysis of methane and ammonia, the color observed depending on the concentration of HCN involved. Laboratory studies of these ubiquitous compounds point to the presence of polyamidine structures synthesized directly from hydrogen cyanide. These would be converted by water to polypeptides which can be further hydrolyzed to α-amino acids. Black polymers and multimers with conjugated ladder structures derived from HCN could also be formed and might well be the source of the many nitrogen heterocycles, adenine included, observed after pyrolysis. The dark brown color arising from the impacts of comet P/Shoemaker-Levy 9 on Jupiter might therefore be mainly caused by the presence of HCN polymers, whether originally present, deposited by the impactor or synthesized directly from HCN. Spectroscopic detection of these predicted macromolecules and their hydrolytic and pyrolytic by-products would strengthen significantly the hypothesis that cyanide polymerization is a preferred pathway for prebiotic and extraterrestrial chemistry.

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