Medicare and prospective payment systems.

Hagglund, Kristofer J.; Kewman, Donald G.; Ashkanazi, Glenn S.

doi:10.1037/10361-029

Cited by 10 publications

(8 citation statements)

References 9 publications

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“…For rehabilitation patients, quality of care in the PPS system was structured to incentivize the reduction of services that do not qualify for payment. The anticipated consequence was the potential abandonment of accreditation if the criteria for the provision of services resulted in no payment (Hagglund, Kewman & Ashkanzi, 2000). For rehabilitation psychologists, these changes resulted in changes in both the intensity and frequency of services provided and the payment received and location of practice, given the unbundling of their costs from other inpatient services.…”

Section: Impact Of Our Health Care Reimbursement Systemmentioning

confidence: 99%

Rehabilitation psychology: Realizing the true potential.

Brown¹,

DeLeon²,

Loftis³

et al. 2008

Rehabilitation Psychology

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Section: Impact Of Our Health Care Reimbursement Systemmentioning

confidence: 99%

Rehabilitation psychology: Realizing the true potential.

Brown¹,

DeLeon²,

Loftis³

et al. 2008

Rehabilitation Psychology

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“…Facilities are now paid a lump sum for each Medicare patient, similar to the way hospitals are reimbursed for other acute inpatient medical patients. Because a large portion of individuals with physical disabilities and chronic medical problems are Medicare beneficiaries, this change may have a negative impact on access to rehabilitation services and could result in poorer rehabilitation outcomes in terms of functional independence (Hagglund, Kewman, & Ashkanazi, 2000). On the positive side, these changes could facilitate the growth of community-based programs emphasizing prevention and health promotion that are integral to patients' long-term success and to cost control (DeJong, 1997).…”

Section: Effect Of External Policies On Integration Of New-paradigm A...mentioning

confidence: 99%

Transforming psychological practice and society: Policies that reflect the new paradigm.

Gill¹,

Kewman²,

Brannon³

2003

American Psychologist

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As people with disabilities challenge psychology to acknowledge the sociopolitical foundations of their marginalization, they urge psychologists to help improve disability policy within and beyond the borders of the discipline. Understanding disability through a social paradigm offers opportunities to reframe the way psychologists define problems related to disability, to develop more collaborative relationships between psychologists and people with disabilities, and to adopt new professional responsibilities with respect to the disability community. The authors address the impact of the social paradigm on policies within psychology that guide consulting, advocacy, and training. The impact of national policy decisions, such as those associated with reimbursement, on practice and training is also discussed. Highlighted throughout are points of controversy prompted by new disability frameworks that remain open to illumination from the field.

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“…The future suggests that a reverse trend is beginning to occur, with so-called carve-ins and efforts to seek mental health parity through legislation (Kiesler, 2000). However, these forces may be further battered by the effects of the upcoming Medicare prospective payment system for rehabilitation (Hagglund, Kewman, & Ashkanazi, 2000). The proposed payment methodology may result in dramatic reductions in payments to some hospitals for the inpatient rehabilitation of Medicare recipients (Medicare Program, 2000).…”

Section: Delivery Of Rehabilitation Psychology Servicesmentioning

confidence: 99%

Advancing disability policy: Opportunities and obstacles.

Kewman¹

2001

Rehabilitation Psychology

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This article highlights opportunities for psychologists to advance disability policy. Obstacles discussed include disabling attitudes, lack of knowledge, and financial interests. The article calls for increased involvement of consumers in research design and greater emphasis on research related to social participation and environmental accommodation for persons with a disability. The need for advocacy in promoting adequate research funding and informing policymakers regarding research findings is emphasized. Continued efforts are needed to broaden psychology training to include more content regarding the social and environmental aspects of disability. Active recruitment into psychology training programs of students with a disability can enhance these efforts. The development of psychological interventions in collaboration with consumer-run organizations is a useful model. Public policies related to reimbursement for services will require continued advocacy.Several recent articles by prominent rehabilitation psychologists have provided a constructive self-examination of the field. Frank (1999) and Nierenberg (2000) emphasized the need to expand our practice beyond the boundaries of our usual rehabilitation settings and populations to the wider arena of chronic illness. Others have examined the training models that might be best suited to deal with our evolving health care system (

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Medicare and prospective payment systems.

Abstract: We thank Steve Riggert for his helpful critique of a draft of this chapter.

Cited by 10 publications

References 9 publications

Rehabilitation psychology: Realizing the true potential.

Rehabilitation psychology: Realizing the true potential.

Transforming psychological practice and society: Policies that reflect the new paradigm.

Advancing disability policy: Opportunities and obstacles.

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