Author: Prof Dr Syed Mohamed Aljunid
Publisher: Partridge Publishing Singapore
ISBN: 154377198X
Category : Business & Economics
Languages : en
Pages : 147
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Book Description
The Government of Aceh Province in Indonesia has established the Social Health Insurance (SHI) called Jaminan Kesehatan Aceh (JKA) in 2006 that provide health coverage to all 4.6 million population of the province. Fee-for-service was initially used as the provider payment method in the programme until 2013. In 2014, in line with the National Health Insurance of Indonesia (Jaminan Kesehatan Nasional JKN), INA-CBG (Indonesia Case-Based Group) casemix system was adopted by JKA to replace the Fee-for-Service method. This book presents outcome of the evaluation done using a combination of qualitative and quantitative methods on the implementation of JKA programme. The quantitative study was conducted to assess income of three selected hospitals (Type B, C and D) reimbursed using INA-CBG groups covering more than 17,000 cases. Quantitative data analysis revealed that overall, the hospitals received 32.4% higher income when reimbursed with casemix system (INA-CBG) as compared to fee-for-service. Type D hospital is the biggest gainer with 81.0% increase in income. In conclusion, the use of Casemix (INA-CBG) as a prospective payment method has benefitted the hospitals a lot. It is hope that additional resources gained through this programme will allow the hospitals to provide optimum care to the population.
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Family & Relationships
Languages : en
Pages : 120
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Book Description
Author: Donald A. Young
Publisher: DIANE Publishing
ISBN: 9780788146763
Category : Medical
Languages : en
Pages : 172
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Book Description
Examines recent trends in health care spending, as well as changes in financing & delivery & their effects on health care providers, Medicare beneficiaries, & other groups. Presents the growth in national health care expenditures, & compares the experience of private payers & the Medicare program in controlling per capita spending. Analyzes hospital costs, revenues, sources of payment & adaptation in operations in an environment of increasing financial pressure. Addresses recent developments in Medicare's risk contracting program, & compares Medicare policies across post-acute care providers.
Author:
Publisher:
ISBN:
Category : Medical care, Cost of
Languages : en
Pages : 184
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Book Description
Author: Dr Aljunid
Publisher: Partridge Publishing Singapore
ISBN: 9781543771978
Category :
Languages : en
Pages : 0
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Book Description
The Government of Aceh Province in Indonesia has established the Social Health Insurance (SHI) called Jaminan Kesehatan Aceh (JKA) in 2006 that provide health coverage to all 4.6 million population of the province. Fee-for-service was initially used as the provider payment method in the programme until 2013. In 2014, in line with the National Health Insurance of Indonesia (Jaminan Kesehatan Nasional JKN), INA-CBG (Indonesia Case-Based Group) casemix system was adopted by JKA to replace the Fee-for-Service method. This book presents outcome of the evaluation done using a combination of qualitative and quantitative methods on the implementation of JKA programme. The quantitative study was conducted to assess income of three selected hospitals (Type B, C and D) reimbursed using INA-CBG groups covering more than 17,000 cases. Quantitative data analysis revealed that overall, the hospitals received 32.4% higher income when reimbursed with casemix system (INA-CBG) as compared to fee-for-service. Type D hospital is the biggest gainer with 81.0% increase in income. In conclusion, the use of Casemix (INA-CBG) as a prospective payment method has benefitted the hospitals a lot. It is hope that additional resources gained through this programme will allow the hospitals to provide optimum care to the population.
Author: United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 844
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Book Description
Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Older people
Languages : en
Pages : 584
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Book Description
Author: Busse, Reinhard
Publisher: McGraw-Hill Education (UK)
ISBN: 0335245579
Category : Education
Languages : en
Pages : 490
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Book Description
Summary: The volumes in the European Observatory on Health Systems and Policies series focus on key issues for health policy-making in Europe. This book is a joint venture between the WHO/EO and the EuroDRG which addresses the challenges of using Diagnosis Related Group systems in Europe.
Author:
Publisher:
ISBN:
Category : Delegated legislation
Languages : en
Pages : 564
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Book Description
Author: Syed Aljunid
Publisher: Partridge Publishing Singapore
ISBN: 1543761720
Category : Health & Fitness
Languages : en
Pages : 118
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Book Description
Social Health Insurance (SHI) is one of the vehicles in achieving Universal Health Coverage. However, in many low- and middle-income countries, implementation of SHI failed to provide efficient and effective coverage due to poor provider payment method. Indonesia has introduced social health insurance in 2014. With the population of more than 270 million, Indonesia is the biggest country in the world that implemented SHI with casemix system (INA-CBG) as the prospective provider payment method. In this book, we presented an outcome of a study implemented in the largest hospital in Jakarta, Indonesia that compared the impact of using casemix system as provider payment method with fee-for-service. A total 32,227 outpatients and 8,270 inpatients medical records were reviewed and included in the study. In addition, a survey was also conducted among billing administrators to assess the cost of the billing process and their perceptions on the two reimbursement methods. The total hospital charges, length of stay of inpatients, rate of unnecessary admissions and cost of billing process were among the indicators of efficiency compared in the study between the two provider payment methods. The book provides comprehensive evidence to confirm the advantages of casemix system as an efficient provider payment method in SHI programme.
