European Stars And Stripes (Newspaper) - September 11, 1987, Darmstadt, Hesse                                Friday september 11, 1907 the stars and stripes Page s champs patients at . Hospitals will come under fixed payment plan by Chuck vinc1iwashington Bureau Washington patients admitted to almost All . Hospital after oct. I under champs will be covered by a payment system that will Cut costs Tor beneficiaries while saving the defense department about is so million a year. Under the diagnostic related croup payment system the civilian health and medical program of the uni formed service would pay hospitals a fixed rate for treating beneficiaries with the same diagnosis i champs official said wednesday. The plan covers hospitals in 49 stain the District of Columbia and puerto Rico the Only exception is Maryland which requested and received an exemption from champs. The fued Price would be paid to the Hospital regardless of the actual Cost of the care they provide the champs official said. The rate is an amount based on the average of what it costs to treat patients in each diagnostic category no matter How Long they stay in the  patients Are classified into groups based on age sex the principal diagnosis and the discharge status which indicates whether a person has been released been transferred or died in the Hospital. Generally the new payment system will result in lower payments to hospitals far care provided under champs the official said. And when Overall hos Pital charges Are lower the beneficiary s share of those costs is  champs officials originally envisioned that beneficiaries other than Active duty family members mainly retirees and their families would pay a fixed daily fee for each admission to a Hospital under he system. That has been revised the official said. Those beneficiaries will pay 25 percent of total costs the Sam amount they used to pay or a fixed daily fee of $175, whichever it less. The change was made to protect beneficiaries from having to pay More than they would under current champs procedures he said. Active duty family member will continue to pay a one time fee of 125 or the daily fee of s7.sq, whichever is greater for each Hospi Tal admission. The new system encourages hospitals id provide Quality care in an economical Way the Champu official said. If the Hospital s costs exceed the drug amount the Hospital loses Money he said if the costs arc less than the drug amount the Hospital saves  but champs patients who need a longer Sta because they Are sicker than the average patient won t be sent Home before they Are ready the official said. The drug system would make allowance for More serious illnesses he said the system would not affect certain services such at psychiatric and substance abuse services kidney acquisition a and hear and liver transplants. Additionally certain hospitals such As psychiatric Long term care rehabilitation and cancer Hospital would not be affected the official said. Aids pane head asks for . Patience on report Washington a the chair Man of president Reagan s aids com Mission is calling for Public patience As the controversial 13-member panel Gath ers information for a preliminary report next month. The panel which heard from the fed eral government s leading health experts on wednesday scheduled testimony thursday from representatives of other major Cabinet agencies including state defense Justice education labor and housing and Urban development. Although primarily a health i be aids Haj become a  concern. The defense department for example tests All new recruits for the aids virus and the stale department requires the test for foreign service personnel assigned to overseas posts. Demonstrators questioning the make up of the commission which contains few members who have specialized in aids., milled on the sidewalk outside the building where wednesday s hearing was held. The panel chairman. Or. William Mayberry look tacit note of that activity As Welt As questions raised by a string of Public witnesses when he asked that the commission be Given a Chance to arrive at its recommendations before receiving Public judgment i Don t believe. Any commission could be appointed to try to address this Issue that would be totally acceptable to everyone Mayberry said at a news con Ference near the end of wednesday s ses Sion. We want desperately to be  believe that we have the capacity to be of help or we would t be Here. Please give us a try. You May find you i like us. Mayberry acknowledged that neither he nor Many other members of the panel have specialized in aids but he insisted that each member brings Broad experience and represents 8 Cross Section of society. The members include a former chief of Navy operations the head of a major health insurance company the Indian stale health chief a sex therapist the Dean of a nursing school and numerous physicians Mayberry who Heads the Mayo foun Dation of the Mayo clinic in Rochester minn., also sought to Issue a reassurance that the panel Wilt not ignore the body of aids knowledge developed in and out of government. We arc going to try to build on the information that s present he said we re not going in try to reinvent the wheel unless there is some controversial Issue in which Case it s necessary that we try to readdress the Issue. I believe perhaps naively that what Ever this commission is gome to do is going to have a significant Public Impact. Having that belie makes it very important that we Don t stub our toe. We have to took very carefully at what we do. Behave Loo big a responsibility to mate a  at wednesday s Daylong session the commission received an overview from lop government health officials including surgeon general c. Everett Koop As Well As a panel of people representing private organizations which Deal with patients suffering from acquired immune deficiency syndrome and a string of pub Lic witnesses Given five minutes each to present their views. The private witnesses ranged from a Gay rights activist who criticized government research efforts loan associate of political extremist Lyndon la Rouche to a businessman pushing membership in a club for people who want to carry embossed cards attesting Hal they have tested negative for the aids virus. Koop urged the panel to be courageous in developing its recommendations. A major concern he said is the threat of racial intolerance undercutting the fight against aids because the disease is becoming the particular Scourge of people who Are Young Black and Hispan  we have finally extended to All americans. The Birthright to free Dom that is theirs he said. Will aids by itself reverse this trend of his tory i certainly Hope and Pray that that docs not occur Bui Hopes and prayers May not be enough. We will need courageous leadership at All Levels of government and throughout the social and political institutions of America to reinforce those Hopes and  Chart for Dollar belgian franc conversion com 4o Brig Lui Fimel 33m my h.9b  my woo 38,50 37.w 37.50   99.09 Jim 40.50 41.00 41.m 11.00 zoo. 10,., 4.00. 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