Review of PSRO Medical Cost Control: Hearing Before the Subcommittee on Oversight of the Committee on Ways and Means, House of Representatives, Ninety-sixth Congress, First Session, June 27, 1979U.S. Government Printing Office, 1979 - 237 lappuses |
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1978 Evaluation active PSROS admission ambulatory ambulatory care analysis ancillary services Answer appropriate assess assumptions baseline beds CBO's CFMC CHAMP changes claims Colorado comparison areas comparison groups Congressional Budget Office cost effective criteria delegated differences disagreement rate discharge effectiveness of PSROs estimate example Federal fiscal intermediary focused review GIBBONS HCFA evaluation HCFA's health-care hospital costs hospital stay hospital utilization HSQB impact implementation inactive inappropriate included increase individual PSRO inpatient Kansas/Nebraska length of stay longevity Medicaid patients medical necessity Medicare and Medicaid Medicare rate study method NYCHSRO OPEL peer review percent performance physicians post-payment monitoring postpayment review pre-PSRO problem procedures Professional Standards Review PSRO activities PSRO areas PSRO concurrent review PSRO effectiveness PSRO evaluations PSRO program PSRO review PSRO's Question reduction in utilization regional reimbursement REISCHAUER reliable review activities review costs sample savings savings-to-cost ratio tion true 20 types utilization review variable York County
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