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Pages 145-148

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From page 145...
... Assessing the accuracy of data sources and methods is a very different task than evaluating the impact of a policy decision such as incentive payments to providers in underserved areas. Moreover, most sources of data on the health care workforce are quite different from the national survey data from the Bureau of Labor Statistics (BLS)
From page 146...
... In keeping with the committee's charge, the phase 2 report will consider separate policy adjustments and their impact on the health care workforce, including occupational mix, provider shortages, and the ability to provide high-value, high-quality care in all geographic areas. CHALLENGES AND LIMITATIONS OF THE STUDY Within its conceptual framework, the committee adhered to the unifying principle of improving the accuracy of payments to hospitals and other providers on the basis of the input prices (e.g., prevailing employee wages)
From page 147...
... One result of the deliberations about accuracy is reflected in the committee's decision to recommend using independent data on health care industry wages collected by BLS rather than either the hospital cost reports favored by the hospital industry or all-industry BLS wage data. Statistical analyses prepared at the committee's request demonstrated that different data sources were highly correlated.
From page 148...
... As the committee looks to the future, it is important to note that the current fee-for-service system that has been dominant in American health care for decades is now changing. New payment incentives introduced by CMS are intended to reward value over volume, meaning that providers will be rewarded for providing higher-quality, more efficient care and penalized for preventable errors such as hospital-acquired infections.


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