This article describes different methods used by state Vocational Rehabilitation agencies to fund time limited supported employment services. Findings are reported from a survey of 385 vendored supported employment provider agencies regarding types of reimbursement method used, the influence of different types of methods on key consumer outcomes, and recommendations for improving funding systems. The findings consistently pointed to significantly more positive response of vendors to funding methods that incorporate negotiated rates at the individual provider level as compared to statewide fixed rates for all vendors. Statewide fixed hourly rates were found to discourage both conversion to community integrated employment opportunities and the reopening of supported employment cases after job loss. The same response pattern held true for respondents' perceptions of reimbursements covering the costs of services. Statewide rates for specified outcomes or for daily, weekly or monthly service units were found to cover the cost of services at levels significantly lower than the other funding methods.
A469by the government budget. Results: Sixty-two DRGs were identified as suitable for day cases. The majority of these were procedures of the eye (16%), the ear, nose and throat (11.3%), the myoskeletal system (9.7%), the kidney and the urinary tract (9.7%) and the female reproductive system (9.7%). The hospital marginal cost of an increase in the length of stay by one day was estimated at 563.32 euros (95%CI: 541.6-585.1). The annual savings were estimated at 93.7 million euros for the SI and when labor opportunity cost is included the amount saved exceeds 225 million. ConClusions: In light of the economic crisis and the continuously reduced health care budget, the health system should adopt cost-effective intervention in order to preserve a satisfactory level of health services output. As this study concludes, day surgery can save a great amount of resources and according to the international literature can also guarantee patients' safety and satisfaction.
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