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Examination and proposed policy refo...

Medical University of South Carolina - College of Health Professions.

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Examination and proposed policy reform for Department of Defense medical treatment facility revenues strategies for inpatient services.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Examination and proposed policy reform for Department of Defense medical treatment facility revenues strategies for inpatient services./
Author:	Edward, Amir Adolphe.
Description:	127 p.
Notes:	Adviser: Walter Jones.
Contained By:	Dissertation Abstracts International68-08B.
Subject:	Health Sciences, Health Care Management. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3277133
ISBN:	9780549189626

Examination and proposed policy reform for Department of Defense medical treatment facility revenues strategies for inpatient services.
Edward, Amir Adolphe.

Examination and proposed policy reform for Department of Defense medical treatment facility revenues strategies for inpatient services. - 127 p.

Adviser: Walter Jones.

Thesis (D.H.A.)--Medical University of South Carolina - College of Health Professions, 2007.

From a federal budget perspective, the largest growth within the DoD budget is a

ISBN: 9780549189626Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Examination and proposed policy reform for Department of Defense medical treatment facility revenues strategies for inpatient services.
LDR:03721nam 2200349 a 45 001 861693
005 20100720
008 100720s2007 ||||||||||||||||| ||eng d
020 $a 9780549189626
035 $a (UMI)AAI3277133
035 $a AAI3277133
040 $a UMI $c UMI
100 1 $a Edward, Amir Adolphe. $3 1029416
245 1 0 $a Examination and proposed policy reform for Department of Defense medical treatment facility revenues strategies for inpatient services.
300 $a 127 p.
500 $a Adviser: Walter Jones.
500 $a Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5116.
502 $a Thesis (D.H.A.)--Medical University of South Carolina - College of Health Professions, 2007.
520 $a From a federal budget perspective, the largest growth within the DoD budget is a $5 0B in healthcare needs for the armed forces according to the Congressional Budget 2005 study just released September 2005(CBO 2005).
520 $a The Department of Defense (including the three branches of the military service, i.e. Army, Navy, Air Force) is implementing a new financing structure. The rollout of the "Revised Financing Methodology" to their Military Treatment Facilities (MTFs) throughout the Department of Defense (DoD) is to be completed by fiscal year 2008.
520 $a DoD's reports indicate that the three services are operating in the "RED". Increasing pressure from Congress is mounting, as DOD's medical budgets are growing larger. It is costing the taxpayer a lot more than what Congress had anticipated. Revised financing model will help change all that.
520 $a This program review is conducted at one military training facility (MTF) labeled here as "XR Medical Center". This facility has a unique mission in DoD. It includes delivering care to active duty/retirees and their families during peacetime; research and education; clinical investigation services; graduate medical education and deployment of medical troops to support war.
520 $a The new model pays based on a relative value unit (RVU) for outpatient work, and relative weighted product (RWP) for inpatient services. This model provides partial funding in fiscal year 2005 at 25% rate, 50% funding for 2006, 75% funding for 2007 and full funding is planned for 2008 of the TRICARE Prime population.
520 $a DoD is now implementing (by phase-in) this new financing system. The rationale for the new Adjusted Standardized Amounts rate (ASA) system is to make MTF reimbursement more closely resemble federal civilian practices, most notably with a DRG-like system similar to that applied by the Center for Medicare and Medicaid (CMS) to civilian hospitals.
520 $a It is imperative to evaluate the new ASA rates being phased in, and assess if ASA rates are accurate indicators of treatment costs and expenditures. This study is the documentation of a program evaluation on the new ASA rates and their implementation in one major medical center. Future funding for MTFs is at a crossroad with Congress evaluating the cost of care for all three services. The need to present a clear business case to them in a coherent fashion is a must or the services Chiefs stand to get a budget cut deep enough to be felt during this fiscal year. As services are forced to reduce their care at MTFs in time of war, there will be an increase demand to fund the medical bill for the nation as more casualties arrive home from the Iraq conflict.
590 $a School code: 1335.
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Military Studies. $3 1017606
690 $a 0750
690 $a 0769
710 2 $a Medical University of South Carolina - College of Health Professions. $3 1020455
773 0 $t Dissertation Abstracts International $g 68-08B.
790 $a 1335
790 1 0 $a Jones, Walter, $e advisor
791 $a D.H.A.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3277133