1995
DOI: 10.1016/s0003--999(3()95)81396--9 View full text |Buy / Rent full text
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Abstract: Compared to just 10 years ago, the US health care terrain looks much different today. In 1985, hospitals were the hub of a bustling delivery system that focused on acute care services and undervalued primary or preventive care. Health insurance benefits created incentives for consumers to use hospitals where their care was fully reimbursed, and discouraged office visits for which there were hefty copayments. Today, admissions into acute care hospitals are screened by none other than those same primary care phy… Show more

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“…This effect is a common limitation in primary care research on patient satisfaction as patients are often reluctant to criticize their family practitioner because of their long-standing relationship [29]. Thus, even a slight reduction in patient satisfaction with care is likely to reflect a significant clinical result.…”
Section: Discussionmentioning
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“…This effect is a common limitation in primary care research on patient satisfaction as patients are often reluctant to criticize their family practitioner because of their long-standing relationship [29]. Thus, even a slight reduction in patient satisfaction with care is likely to reflect a significant clinical result.…”
Section: Discussionmentioning
“…Rehabilitation medicine has experienced unparalleled growth over several decades. For example, between 1965 and 1993, the number of freestanding rehabilitation hospitals increased from 68 to 195 (Frederickson & Cannon, 1995). Between 1990 and 1993, federal payments for rehabil-itation therapies across all settings increased 167%, to $10.4 billion (Shriver, 1996).…”
Section: History Of Payment Systemsmentioning
“…Nonetheless, the managed care revolution marches on. Although only about 25% of the US population, and 11% of the Medicare population is covered under some form of managed care, the percentage varies tremendously by geographic regions 79 . In Portland, Oregon, for instance, 85% of those less than age 65 and 65% of Medicare patients are in managed care.…”
Section: Providing Rehabilitation Under Managed Carementioning
“…The rehabilitation industry is investigating the feasibility of using the Functional Independence Measure (FIM) to establish functional related groups (FIM‐FRG) for prospective payment through Medicare 94,103 . Subcapitation payment to rehabilitation specialists using a disease management strategy is also being tested 79 …”
Section: Providing Rehabilitation Under Managed Carementioning