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States are poised to take advantage of the payment reform approaches outlined by the Center for Medicare and Medicaid Innovation (CMMI) established by the Centers for Medicare & Medicaid Services (CMS), says Anne Gauthier, a senior fellow at the Washington, DC-based National Academy for State Health Policy (NASHP).
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Rates paid to Medicaid providers are "both a provider and a beneficiary issue," according to Byron J. Gross, BA, JD, an attorney in the Los Angeles office of the National Health Law Program.
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Musculoskeletal injuries account for approximately 10-15% of all childhood injuries, with most occurring as a result of a fall, sports-related injury, motor vehicle trauma, or intentional physical abuse.
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The site source documents sponsors send to clinical research sites often lack some important information the sites need in their efforts to comply with research rules and regulations. So a research organization in Memphis, TN, has created its own coordinator tools and source documents.
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Through evaluation programs, a research institution can learn what works and what doesn't in its quality improvement efforts.
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It's difficult to imagine another industry that would tolerate six- to 18-month lag times on payments for services or products. Yet it has been a tradition in the clinical research (CR) industry.
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The bottom line to better financial management of any clinical research (CR) site is the budget. Better budgets lead to better negotiating, staffing, and contracts. So it's a great place to start a quality improvement project.