Contracting and reimbursement in transplantation
(2010) Journal of Health Care Finance — Vol. 36, n° 4, p. 51-64 (2010)
Files
Jabbour-2010-Contractingandreimbursement.pdf
Restricted Access - Adobe PDF
- 217.86 KB
Details
- Authors
- Abstract
- The cost and quality of health care delivery are coming under increased scrutiny by both public and private payer sectors with the clear intent of increasing the ability of the consumer to use value-driven decisions in purchasing health care services. However, they are not that simple for transplantation, as there are peculiarities associated with both the cost accounting and reimbursement that differentiate transplantation from other health disciplines including complex “carve-out” contractual agreements and reimbursement methods, high per-unit cost, and organ-acquisition cost centers resulting in case rates from private payers for various phases of transplantation care. In this setting of fi xed reimbursement, the fi nancial success relies on the ability to manage its expenses and the revenue complexities effectively and effi ciently regardless of payer source. This integrity will be best protected when transplant physicians and surgeons understand their fi nancial environment and fi scal relationships of their clinical decisions and outcomes.
- Affiliations
INTEGRIS Baptist Medical Center, Oklaoma City, USA Nazih Zuhdi Transplant Institute
Citations
Jabbour, N., Singhal, A., Bag, R., & Abouljoud, M. S. (2010). Contracting and reimbursement in transplantation. Journal of Health Care Finance, 36(4), 51-64. https://hdl.handle.net/2078.5/34492 (Original work published 2010)