Assessing the cost-effectiveness of provider-based status.
Clinics with provider-based status often receive greater Medicare payments. Coinsurance costs are higher with provider-based status. Operational changes may be necessary to satisfy provider-based status requirements. Hospitals should identify potential payment increases and associated costs to determine whether provider-based status is cost-effective. If provider-based status is desirable, hospitals should make sure the government's guidelines and regulatory deadlines are met.
Manson
Lawrence A
LA
Baptist Consulting, Inc., Arlington Heights, Illinois, USA. lmansonlaw@aol.com
Baptist
Allwyn J
AJ
D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S.; D003362:Cost-Benefit Analysis; D005377:Financial Management, Hospital / Q000592:standards*; D019983:Guideline Adherence; D006801:Humans; D016344:Medicare Part A / Q000331:legislation & jurisprudence*; D010044:Outpatient Clinics, Hospital / Q000191:economics* / Q000331:legislation & jurisprudence; D011445:Prospective Payment System / Q000331:legislation & jurisprudence*; D020400:Provider-Sponsored Organizations / Q000191:economics*; D014481:United States