Problem Analysis final project: Centers for Medicare and Medicaid Services (CMS)

In 2002, the Centers for Medicare and Medicaid serve (CMS) implemented a congressional mandated ambulance requital enumeration that red-bloodedly tackd the way Medicare pays for ambulance services (GAO reports, 2003). Through the naked structure, a provider is reimbursed a flat fee, which is geographically dependent found upon regional averages. Prior to this change, Medicare paid ground on what were considered apt charges. While the reimbursement rate has never been impressive by Medicare, nigh 0.60 per dollar, the intend of doing demarcation by ambulances services must change for their survivability. Because of these adjustments, CMS established a five stratum novelty point which they slowly introduced the new fee roll, which today is all in all in affect. During the initial year of 2002, Medicare paid 80% via the experienced order and 20% via the new schedule, each subsequent year these changes familiarized by 20%, up to today where the recompense is base d off of 100% of the new fee schedule (Grimaldi, 2002). As a result of these changes and implementations, clearly Northwest convey to analyze the means of apportioning business and achieve the superior return on investment possible. For two years earlier to the 2006 budget Northwest failed to stand their budget and showed a substantial loss.

This resulted in the parent company, landlocked Northwest Health Services (INHS), to hire the consulting firm Assocaites, LLC to conduct an overall analysis of business model. Through their analysis they looked at aircraft type, aircraft utilization, and aircraft location, strategic placement of remote control bases, referral patterns, ! team configurations, crew compensation, and kick practices. While clearly twain INHS, the add-in of directors, and the medical biotic community identified a vital need for the service, the company needed to cut cost in order to be solvent. Associates, LLC make the following recommendations to the INHS board of directors for... If you want to get a abundant essay, order it on our website: BestEssayCheap.com

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