Robert Deane PhD This is Me

Education

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1. 1. NEWS from the American Society of Consultant Pharmacists

   net.ascp.com/public/news/pre-2 - [Cached]

   Published on: 10/28/2004   Last Visited: 11/22/2005

   Robert Deane, PhD, Chief Economist with the American Health Care Association (AHCA), the leading trade organization of nursing facility owners and operators, said AHCA members are still struggling with the transition to the new PPS, with widespread confusion over coverage issues and billing policies. Deane said AHCA members are particularly concerned by the lack of correlation between nursing facility residents' actual medication costs and PPS payment levels determined via the Resource Utilization Group (RUG) resident classification system.
   
   AHCA Director of Congressional Affairs John Schaeffler said his organization continues to lobby Congress for interim PPS relief prior to October 2000 in the form of an amendment to the BBA reflecting new Congressional Budget Office estimates that cost savings resulting from Medicare changes enacted under the Balanced Budget Act (BBA) of 1997 will total about $17 billion through 2003 -- $7 billion more than previously projected.

2. 2. AHCA, Provider, February 1998, Cover Story

   www.ahca.org/news/provider/cov - [Cached]

   Published on: 9/13/2000   Last Visited: 9/13/2000

   But those costs are allocated among the individual per diem rates using the nursing case mix index, says Robert Deane, chief economist for the American Health Care Association. While such an index may be loosely related to nonancillary expenses, it is far from an accurate indicator, Deane says. As a result, rates for some patient classes fall short of the amount that should be included to cover average medication costs, while other rates may overpay. High-cost drugs in particular-whose cost per dosage can exceed the amount of the entire PPS per diem rate-such as chemotherapy and some intravenous antibiotic therapies, are not adequately captured in the rate structure.
   
   To meet the challenge of managing pharmacy costs effectively under PPS, nursing facilities are increasingly turning to drug formularies and negotiated pricing agreements with pharmacy suppliers.
   
   Formularies are lists of medications-often developed by pharmacy suppliers-designed to facilitate cost-effective prescribing decisions.

3. 3. MEDICARE AMBULANCE FEE SCHEDULE NEGOTIATED RULEMAKING SUMMARY MINUTES

   www.njsfac.org/afs0699mn.htm - [Cached]

   Published on: 3/9/2000   Last Visited: 8/30/2002

   American Health Care Association (AHCA) - Robert T. Deane, Ph.D.