Medicare funding and Reibursement Essay Example | Topics and Well Written Essays - 500 words

Medicare funding and Reibursement - Essay Example The figures provided in the example have been used in the calculations. SNF base rate = 70% adjusted by area wages (hospital wage index) + 30% non-labor related portion (base adjusted for geographical factors x RUG weight). The nursing rate of $151 as per (Medpac 2008) will be used in the calculation. In terms of Participating Physician who accept assignment on each and every case the Physician bills Medicare and the patient 100% of the Medicare approved fee which is $125,000 in this case. Medicare will pay 80% which is equivalent to $100,000 and the patient will pay 20% which equals $25,000. In terms of a Non-participating Physician who accepts assignment on a case by case basis Medicare and the patient will be billed for 95% of the Medicare approved fee of $125,000. 95% is represented by $118,750. Medicare will pay 80% of $118,750 which is equal to $95,000 and the patient will pay 20% which is equal to $23,750. With respect to Non-participating Physicians who do not accept assignment the patient is billed for 115% of the Medicare approved fee of $125,000. This 115% is equal to $143,750. The patient makes the entire payment and Medicare reimburses 80% of the approved fee for non-participating physicians. Therefore, Medicare would pay 80% of $118,750 which is equal to $95,000 and the patient will bear the difference between what was paid to the Non-participating Physician which is $143,750 minus $95,000, which is equal to $48,750. Centers for Medicare & Medicaid Services. (2010). Fact Sheet: Acute Care Hospital Inpatient Prospective Payment System. Retrieved: http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf. Last accessed 31 Mar

Three Original Combinations in Retail Markets Essay

Three Original Combinations in Retail Markets - Essay Example Murthi and Sarkar (2003. pp1344-1345) presented personalization framework for customers that comprises of learning matching and evaluation as per customer preferences. The combinations in retail stores should be planned carefully in such a way that they can be combined to present packages through personalization process that delight the customers given that the overall outcome fits a bigger picture in customer's mind. In the next section, three original ideas of combinations are presented. Verhoef (2003. pp32-33) proved the hypotheses that affective commitment positively affects customer retention. Personalization process effectively results in customers feeling connected to the firm and hence guarantees their long term loyalty. Combination 1: Consumer electronics, computers and furniture: This combination appears to be completely irrelevant with each other because all the three have different purposes and requires different sales skills. However, when viewed from personalization perspective now-a-days many consumers combine the computers & laptops with electronics items like televisions, cameras, handicams, surround sound systems, etc. and normally struggle with their integration aspects. If they are displayed with different integration combinations consumers can be delighted to get ready solution in one shop. Also, many consumers are concerned about the aesthetic combination of their computers, television sets and furniture - like type & look of chairs to sit & view digital cinema in flat screen TVs plugged into a laptop and surround speakers deployed around the chairs. Such aesthetics can be demonstrated by the sales people by building on the spot combinations. Combination 2: Sanitary items, Wall Paints, Furniture & Cupboards: This might appear to be irrelevant combination as well but can give lot of new ideas to consumers that are designing the interiors of their homes. A computer graphics operator can show various colour combinations of furniture, cupboards, wall & roof colors and flooring patterns. Customers can decide on the best combination quickly such that the appropriate package can be designed by selecting the right furniture/cupboard looks, wood (or metal polish), wall paints, roof paints, surface graphics, floor tiles etc. What might take weeks for customers to decide can happen in just a few hours. Such stores can also offer packaged services whereby all the items selected can be deployed at customer's home by single team of professionals having the view of the bigger picture. Combination 3: Wall paints, Art Paintings, Antiques, Carpets, and Wall Mountable clocks: Traditional customers are very particular about giving an artistic look to their homes with various tastes of matching among Wall Colors, Art Paintings, Carpets, Antiques and Wall Clocks. In this combination, the author imagines about a store where world class