Commentary on the reimbursement paradox.

Abstract:

:Reimbursement policies are a critical step in the incorporation of new technologies and therapies into the clinical armamentarium. Reimbursement is an umbrella concept describing the process to manage and pay for healthcare services, including benefit coverage, coding, and payment processes. The technologies and services used in therapeutic temperature management are not directly reimbursed, leading to challenges by hospitals and physicians that the services are too expensive to use. The reimbursement models used in the United States make it increasingly difficult for new technologies and therapies to gain direct reimbursement, part of a strategy by insurers, including Medicare and private insurance companies, to manage access to health care services. Insurers, physicians, hospitals, and other providers face conflicting financial incentives in current reimbursement systems. Aligning the financial incentives underlying reimbursement systems is necessary to adequately support new technologies of merit.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Reaven NL,Rosenbloom J

doi

10.1097/CCM.0b013e3181aa6288

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

S285-9

issue

7 Suppl

eissn

0090-3493

issn

1530-0293

pii

00003246-200907001-00015

journal_volume

37

pub_type

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