Mark Callan

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BACKGROUND The modifications introduced to the inpatient prospective payment system on October 1, 2008, to disallow payment for 8 secondary conditions, if not present on admission (POA), constitute a significant shift that is expected to be followed by similar steps by private payers. OBJECTIVE To investigate the cost impact of hospital-acquired(More)
OBJECTIVE This article examines the association between performance on the Hospital Quality Alliance's (HQA's) pneumonia measures and costs associated with pneumonia discharges. STUDY POPULATION Patients with pneumonia discharges (primary pneumonia diagnosis, ICD-9 codes 480-487) in New York hospitals (n = 189) during 2005 (n = 48,574). Discharges were(More)
Escalating health care costs have forced hospitals to develop alternative sources of revenue. Hospital-affiliated primary care centers that provide comprehensive health services to patients may also supplement hospital revenues with referrals for admission and/or special services. With their documented history of effectiveness, nurse practitioners are(More)
Implemented in 1986, Medicare's disproportionate share (DSH) adjustment is intended to recognize hospitals' additional resource investment in caring for low-income patients. This project analyzed changes in the DSH percentage between 1996 and 2003 and examined the association between selected hospital characteristics and such changes. Results obtained(More)
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