Academic journal article Health Care Financing Review

A Study of Payments for Ambulance Services under Medicare

Academic journal article Health Care Financing Review

A Study of Payments for Ambulance Services under Medicare

Article excerpt

The following summary is of a report from the Secretary of Health and Human Services released to Congress on March 1, 1994.

Legislative Mandate

This report was mandated by section 6136 of the Omnibus Budget Reconciliation Act of 1989, Public Law 101-239. The mandate directed the Department of Health and Human Services to "...conduct a study to determine the adequacy and appropriateness of payment amounts..." by Medicare for ambulance services in rural areas, for services furnished by different types of ambulance companies, and for different levels of service.

Overview

The report is based on a study conducted for the Health Care Financing Administration by Project HOPE. The study had three components:

* A study of the patterns of use and distribution of charges based on claims submitted for ambulance services to Medicare beneficiaries in 1987.

* A sample survey of ambulance companies in four States to ascertain the costs of delivering ambulance services by companies under different types of ownership (i.e., private, government, and volunteer) and location (urban or rural). …

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