Medicare-Designated Centers for Cardiac Transplantation
Creator
Renlund, Dale G.
Bristow, Michael R.
Lybbert, Merlin R.
O'Connell, John B.
Gay, William A.
Bibliographic Citation
New England Journal of Medicine. 1987 Apr 2; 316(14): 873-876.
Abstract
The U.S. Department of Health and Human Services (DHHS) has announced that Medicare will reimburse for cardiac transplantations performed at ten specialized centers to be selected according to criteria proposed by the Health Care Financing Administration (HCFA). This decision has implications for the availability and quality of heart transplants throughout the United States because third party payers are likely to follow the federal example and only reimburse these designated facilities for the procedure. Renlund et al. examine the proposed criteria for selecting the transplant centers and find them inadequate because they are based on outdated and biased information from the HCFA's 1984 National Heart Transplantation Study. The authors suggest that DHHS use a process similar to the one employed by the National Institutes of Health to allocate grants, thereby ensuring selection of cardiac transplantation centers by unbiased reviewers using current data from applicant facilities. (KIE abstract)
Date
1987-04-02Subject
Age Factors; Federal Government; Financial Support; Government; Government Regulation; Health; Health Care; Health Insurance; Hearts; Hospitals; Heart Transplantation; Institutional Policies; Insurance; Mortality; Organ Transplantation; Public Policy; Regulation; Resource Allocation; Selection for Treatment; Standards; Tissue Transplantation; Transplantation;
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Cardiac Transplantation -- the Need for Prospective, Randomized, Controlled Investigations
Renlund, Dale G.; Bristow, Michael R.; and O'Connell, John B. (1988-11)