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1.
Fed Regist ; 75(157): 50041-681, 2010 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-20712087

RESUMO

: We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain provisions of the Affordable Care Act and other legislation. In addition, we describe the changes to the amounts and factors used to determine the rates for Medicare acute care hospital inpatient services for operating costs and capital-related costs. We also are setting forth the update to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. We are updating the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and setting forth the changes to the payment rates, factors, and other payment rate policies under the LTCH PPS. In addition, we are finalizing the provisions of the August 27, 2009 interim final rule that implemented statutory provisions relating to payments to LTCHs and LTCH satellite facilities and increases in beds in existing LTCHs and LTCH satellite facilities under the LTCH PPS. We are making changes affecting the: Medicare conditions of participation for hospitals relating to the types of practitioners who may provide rehabilitation services and respiratory care services; and determination of the effective date of provider agreements and supplier approvals under Medicare. We are also setting forth provisions that offer psychiatric hospitals and hospitals with inpatient psychiatric programs increased flexibility in obtaining accreditation to participate in the Medicaid program. Psychiatric hospitals and hospitals with inpatient psychiatric programs will have the choice of undergoing a State survey or of obtaining accreditation from a national accrediting organization whose hospital accreditation program has been approved by CMS. We are also issuing an interim final rule with comment period to implement a provision of the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 relating to Medicare payments for outpatient services provided prior to a Medicare beneficiary's inpatient admission.


Assuntos
Medicaid/economia , Medicare/economia , Sistema de Pagamento Prospectivo/economia , Acreditação/legislação & jurisprudência , Grupos Diagnósticos Relacionados , Economia Hospitalar , Humanos , Assistência de Longa Duração/economia , Assistência de Longa Duração/legislação & jurisprudência , Medicaid/legislação & jurisprudência , Medicare/legislação & jurisprudência , Sistema de Pagamento Prospectivo/legislação & jurisprudência , Unidade Hospitalar de Psiquiatria/economia , Unidade Hospitalar de Psiquiatria/legislação & jurisprudência , Psiquiatria/legislação & jurisprudência , Reabilitação/economia , Reabilitação/legislação & jurisprudência , Unidades de Cuidados Respiratórios/economia , Unidades de Cuidados Respiratórios/legislação & jurisprudência , Estados Unidos
2.
Monaldi Arch Chest Dis ; 49(6): 493-5, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7711700

RESUMO

This paper deals with the definition of intensive care medicine and the organization of different levels of care; intermediate and high level. The organization, facilities and personnel for intermediate care are discussed. The available public data on the organization of intensive medicine and modifications planned by the Legislator are considered. Finally, the usefulness of intermediate care and an estimate of the actual need, based on prospective multicentre ad hoc studies, are discussed.


Assuntos
Unidades de Cuidados Respiratórios/organização & administração , Necessidades e Demandas de Serviços de Saúde , Humanos , Itália , Unidades de Cuidados Respiratórios/legislação & jurisprudência , Unidades de Cuidados Respiratórios/provisão & distribuição
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