Search results for "Payment system"
showing 10 items of 14 documents
Applying RUG-III for reimbursement of nursing facility care
2006
The Resource Utilization Groups (RUG-III) case-mix classification is becoming an internationally accepted methodology for determining payment for nursing facility and care. In this paper we discuss the key concepts of case-mix reimbursement and several different payment approaches based on RUG-III. In discussing the empirical evidence of case-mix reimbursement, we draw especially on the US experience. Clearly, the success of case-mix reimbursement depends not only on the payment design, but also on the ability to foresee market conditions and the regulatory environment in which the payment system is being implemented. Moreover, we demonstrate the need to develop a case-mix based reimburseme…
Clinical and economic impact of drug eluting beads in transarterial chemoembolization for hepatocellular carcinoma
2015
Summary What is known and objective Drug eluting beads (DEBs) theoretically improve the efficacy and safety of transarterial chemoembolization (TACE) in hepatocellular carcinoma (HCC). Nonetheless, their economic profile has not been assessed. Our retrospective before/after study aimed to compare efficacy, safety and economic profile of two strategies of TACE without (Period 1) or with the possibility of using DEBs (Period 2). Methods All HCC patients treated by TACE in our hospital between March 2006 and May 2013 were included. Economic analyses were performed from the French Public Health Insurance point of view according to the French Diagnosis-Related Group prospective payment system an…
[Cost of hospital-based management of acute myeloid leukemia: from analytical to procedure-based tarification]
2006
International audience; The confrontation of the macro- and micro-economic approaches of hospital costs is a recurrent question, in particular for pathologies where length of stay is highly variable, like acute myeloid leukemias (AML). This monocentric and retrospective study compares direct hospital medical costs of induction and relapse treatment sequences for AML, valued according to four different approaches: the analytic accounting system of our hospital, the French Diagnosis Related Group (DRG) cost databases of hospital discharges (readjusted, or not, to actual hospital stay duration), and official tariffs from the new French DRG prospective payment system. The average cost of hospit…
Result and cost of hepatic chemoembolisation with drug eluting beads in 21 patients.
2012
Abstract Purpose The aim of our study was to assess the results and cost of a treatment strategy involving transarterial chemoembolisation with drug eluting beads (DEB-TACE) in patients with unresectable non-metastatic hepatocellular carcinoma (HCC). Patients and methods This study included all patients treated with DEB-TACE in our hospital between January 2009 and December 2010. All patients received DEB-TACE on demand and were evaluated after each session. Results Twenty-one patients received an average of 1.3 sessions. The median time to treatment discontinuation and median progression-free survival was 181 days and 295 days, respectively. Toxicity caused treatment discontinuation in thr…
Can the International Environmental Cooperation Be Bought?
2005
In this paper a two-stage game of international environmental agreement formation with asymmetric countries is solved. The equilibrium of the game allows to determine the number of countries interested in signing the agreement. Two cases are studied. In the first case, it is assumed that the only difference among countries is given by the abatement costs, and in the second case, by the environmental damages. In both cases, two different institutional settings, one without side payments and another with side payments, are considered. The results establish that the asymmetry assumption has no important effects on the scope of cooperation in comparison with the symmetric case if side payments …
Mobile Banking and Payment System : A Conceptual Standpoint
2017
This study conceptualizes and proposes a well-regulated and designated mobile banking and payment system (MBPS) with the potential to strengthen the banking system, foster the regulatory framework, and to be integrated across various platforms and mobile devices. Unlike other mobile payment systems that lack convenience, scalability, and usability, the proposed MBPS contains several important functionalities and it has the potential to bring together hitherto unconnected industries—banking, Fintech and telecoms—to offer value-added services to their existing and potential customers. The ownership of the MBPS shall remain with the financial services sector including the banking and microfina…
A Multimodal Technique for an Embedded Fingerprint Recognizer in Mobile Payment Systems
2009
The development and the diffusion of distributed systems, directly connected to recent communication technologies, move people towards the era of mobile and ubiquitous systems. Distributed systems make merchant-customer relationships closer and more flexible, using reliable e-commerce technologies. These systems and environments need many distributed access points, for the creation and management of secure identities and for the secure recognition of users. Traditionally, these access points can be made possible by a software system with a main central server. This work proposes the study and implementation of a multimodal technique, based on biometric information, for identity management a…
L’evoluzione del sistema dei pagamenti in Italia: configurazioni strutturali e profili di integrazione finanziaria
2019
Un corretto ed ordinato sistema dei pagamenti costituisce condizione essenziale per la stabilità e l’efficienza del sistema finanziario, per il buon funzionamento dei mercati e per la conduzione della politica monetaria. L’intero sistema dei pagamenti italiano è evoluto in direzione di più elevati livelli di efficienza ed efficacia, in un contesto di progressiva armonizzazione e cooperazione sovranazionale, quale condizione per lo sviluppo di un sistema integrato dei pagamenti europeo; il presente articolo pertanto delinea, seppure a grandi linee, il quadro evolutivo del sistema dei pagamenti nazionale, avuto riguardo agli aspetti istituzionali, economico-finanziari e regolamentari. This pa…
PAYMENT FOR ENVIRONMENTAL SERVICES FOR THE SUSTAINABLE DEVELOPMENT OF THE TERRITORY
2014
Over the last years the interest in environmental s ervices provided by forests has considerably grow. This situation, in developed countries, derive from risi ng demand of new goods and services tied to landsca pe use and leisure activities. These can be considered such as no woody products and they represent externalities produced by forest that, if suitably utilized, could produce value for the area and earn ings for people living near forests. From an economic point of view, at the aim of providing these services, it is necessary the introduction of a suitable payment sy stem or, in alternative, a situation in which posit ive externalities of landscape, in sync with other good s/service…
Debating Sound Money in Early Modern Europe: From Dualist to Metallic Monetary Systems
2019
International audience; In this paper, we present the monetary debates in Europe from the XVIth to the XVIIIth centuries from the viewpoint of the problem of good and sound money. The framework of the paper is built on a typology of monetary systems, by which a dualist system is distinguished from a metallic one. Under the dualist system, the value in units of account of the specie in circulation was defined by monetary proclamations (Einaudi locates this era from Charlemagne to the French Revolution). Metallist proponents aimed at preventing any kind of manipulations with a radical transformation of the system of payment, which gave birth to a metallic monetary system from the very end of …