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"The business of providing medical care is in the midst of dramatic change. To keep pace with evolving economics and reimbursement practices, the small, or even individual, physician practice which stood as the standard arrangement for so long is giving way to larger, more corporate models. Increasingly, healthcare practices, management companies and facilities seek to achieve the economies of scale and professionalization of procedures necessary as medicine becomes more expensive, complex and scrutinized. This book attempts to set forth in a concise way the nature of these two restrictions, the historical context in which they arose, and what they mean for the ownership and day-to-day operation of healthcare practices, management companies and facilities"--
"42 CFR 489.18 - Change of ownership or leasing: Effect on provider agreement."
"The CD-ROM includes the entire contents of the Manual."
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Burdened with perennially rising costs and responsible for providing health insurance to more than one sixth of all Americans, Medicare in its original form is fiscally and demographically unsustainable. In light of dramatic reforms under the Affordable Care Act (ACA), this book provides a comprehensive overview of the current state of Medicare. Eleanor D. Kinney explains how the ACA addresses systemic problems of cost and volume inflation, quality assurance, and fraud. Recognizing the potential for more radical change in the future, Kinney also explores the potential of Medicare to become a single-payer system. Comparisons are made with national health systems in Canada and the United Kingdom, from which the United States can draw valuable lessons. An approachable yet comprehensive account of Medicare and the ACA, this book will be invaluable for health care professionals and informed citizens.
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