(74) See supra note 70 and accompanying text (noting that Medicaid is the number one reimburser
of mental health care services).
According to the Con Ed court, the difference between the remediator and the reimburser
is whether the costs they incurred were "response Costs," (173) while the Atlantic Research Court concluded that the difference is who has "incurred" the response costs.
The provision concerning proration of payments has been repealed and reenacted to provide that if the base period wages of an individual include wages from one or more reimbursing employers and one or more additional employers, reimburser
or taxpayer, benefits paid to such individual must be charged to any such reimbursing employer in the same proportion as the wages from such reimbursing employers bears to the total amount of all wages in the individual's base period.
Switching to reimburser
status and joining an unemployment program could be beneficial for diversely funded nonprofits employing 10 or more and experiencing low turnover.
These challenges fall into two broad categories: (a) difficulties in supporting the client's right to quality care as a priority over the professional's relationship with the reimburser
and (b) problems in protecting the privacy of client disclosures.
We are not a generous reimburser
. We don't have any trouble getting physicians at that price.
Administrative categories include Expected Principal Reimburser
, Admit from Emergency Department, Weekday of Admission, Facility County, Permanent Facility Identifier, Admission Type, and Admission Source.
Medical device OEMs have long considered healthcare being comprised of groups called the "5 Ps." These groups--patients, physicians, providers (hospitals and clinics), payers (insurance companies and government reimbursers
), and policy makers (legislatures and government agencies)-define the healthcare market.
The payment itself is determined for all cases of the given DRG in the given hospital by negotiation (or by imposition) between the hospitals and third-party reimbursers
, who are usually insurers.
Sponsored by Orthopedics This Week, publication founder Robin Young notes that "Patients, physicians, hospitals, and reimbursers
rely on the inspiration and perspiration of engineers and surgeon-inventors to improve outcomes and to control costs."
seek to find more ways to recognize the burden that chronic care places on the health care system, collaborative care should find more takers.
An alternative approach that can benefit patients, healthcare providers, reimbursers
and pharmaceutical companies is the formulation of user-friendly dosage forms, rather than traditional solid tablets or capsules.