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Medicare

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Published: 01 June 2016
Figure 1 The Growth of Medicare Managed Care, 1985–2013. Enrollment in Medicare Managed Care as a Percent of Total Medicare Enrollment Sources : Jacobson et al. 2015 ; McGuire, Newhouse, and Sinaiko 2011 ; Lundy, Levitt, and Wang 2002 Figure 1. The Growth of Medicare Managed Care, 1985 More
Journal Article
Journal of Health Politics, Policy and Law (1 February 1985) 10 (1): 141–156.
Published: 01 February 1985
...Gloria Ruby; H. David Banta; Anne Kesselman Burns One possible approach to containing Medicare costs involves explicit changes in Medicare's coverage policy with respect to medical technology. This paper first describes the development and diffusion of medical technology in general and then...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2001) 26 (1): 37–80.
Published: 01 February 2001
...Michael Gusmano; Mark Schlesinger The Medicare program incorporates a number of functions that go beyond providing health insurance to its beneficiaries. These activities, which we refer to as “collateral” functions, may have important health consequences but are also an increasing source of...
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Published: 01 August 2018
Figure 3 Public Support Minus Opposition for Medicare Catastrophic Coverage Act (MCCA), Affordable Care Act (ACA), and American Health Care Act (AHCA)/GOP Plans, Plotted at Comparable Times of Proposal, Enactment, and Repeal Effort Source : MCCA (65+), data from Himelfarb 1995 ; ACA KFF, data More
Journal Article
Journal of Health Politics, Policy and Law (1 April 2014) 39 (2): 467–482.
Published: 01 April 2014
...Jonathan Oberlander Abstract This article explores the evolving language of Medicare reform and recent conflicts over “voucherizing” Medicare. The Medicare reform debate is, in part, a contest over how to frame policy alternatives in order to enhance (or diminish) their political viability...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2009) 34 (2): 157–179.
Published: 01 April 2009
...Miriam J. Laugesen Physicians' fees under Medicare are updated by regulation annually based on a formula called the Sustainable Growth Rate (SGR). Since 2003 Congress has reversed impending cuts to fees in response to physician calls for reform of the SGR, yet physician groups supported the SGR...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2002) 27 (5): 707–730.
Published: 01 October 2002
...Susan Bartlett Foote For over twenty-five years, Medicare has tried to promulgate a rule to implement the broad congressional directive to pay only for items and services that are “reasonable and necessary” A rule would clarify legal authority and describe specific criteria for evaluation of new...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2003) 28 (5): 859–882.
Published: 01 October 2003
...Wayne L. Anderson; Genevieve S. Kenney; Donna J. Rabiner Home care services funded by Medicare and Medicaid grew rapidly throughout most of the 1990s. During this period some state Medicaid programs transferred costs for home care claims to the Medicare program to reduce their liability and...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2004) 29 (6): 1187–1226.
Published: 01 December 2004
...Thomas Rice; Katherine A. Desmond This article analyzes the distributional consequences of enacting a particular premium support proposal known as Breaux-Frist I. Under the proposal, the federal government would contribute a certain amount toward the purchase of Medicare coverage, based on the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 189–192.
Published: 01 February 1987
...Katherine Swartz Karen Davis and Diane Rowland, Medicare Policy: New Directions for Health and Long-Term Care (Baltimore: The Johns Hopkins University Press, 1986), 137 pp., $19.50. Copyright © 1987 by Duke University Press 1987 Book Reviews...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 53–76.
Published: 01 February 1987
...Nelda McCall; Thomas Rice; Arden Hall This paper examines the effects of state regulations on the quality of insurance policies sold to Medicare beneficiaries and on the amount of sales abuse reported in the sale of such policies. State regulations regarding such policies relate to policy content...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1988) 13 (1): 206–208.
Published: 01 February 1988
...Theodore R. Marmor Robert G. Evans and Greg L. Stoddart, Medicare at Muturity: Achievements, Lessons and Challenges (Calgary, Alberta, Canada: University of Calgary Press, 1986). Copyright © 1988 by Duke University Press 1988 206 Journal of Health Politics, Policy and Law...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1988) 13 (2): 384–386.
Published: 01 April 1988
...Rose M. Rubin Bruce C. Vladeck and Genrose J. Alfano, eds., Medicare and Extended Care: Issues, Problems and Prospects (Owings Mills, MD: National Health Publishing, 1987), 180 pp., $34.00. Copyright © 1988 by Duke University Press 1988 384 Journal of Health Politics, Policy and Law...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 663–681.
Published: 01 August 1988
...Stephen Zuckerman; John Holahan This paper compares the Medicare prospective payment system (PPS) to four all-payer rate-setting systems that operated under HCFA waiver authority. The study examines the experience of Medicare, Medicaid, and commercial insurers under the two approaches. Data from...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1977) 2 (2): 173–189.
Published: 01 April 1977
...Judith M. Feder This article argues that Medicare policy toward hospitals has been profoundly influenced by the perspectives and goals its administrators acquired in a social insurance agency. The social insurance perspective meant priority to efficient claims payment over controlling the impact of...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 3–24.
Published: 01 February 1992
...Thomas Rice; Lyle Nelson; David C. Colby We assess the potential of increased economic competition by examining whether Medicare beneficiaries are willing to switch to physicians who agree to accept all services on assignment. Data come from a survey of Medicare beneficiaries conducted in November...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 39–70.
Published: 01 February 1992
...David P. Fan; Lois Norem We examine the Medicare Catastrophic Extension Act of 1988, which was repealed in 1989, finding a broad range of messages on this controversial legislation in the press. The time needed to craft compromise legislation in response to objections to the original bill was cut...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1995) 20 (1): 49–74.
Published: 01 February 1995
...David C. Colby; Thomas Rice; Jill Bernstein; Lyle Nelson Medicare's experience with balance billing provides valuable lessons for policy making for national or state health care reform. Medicare developed several policies to encourage physicians to become participating providers who accept Medicare...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 49–71.
Published: 01 February 1997
...Sally Trude; David C. Colby Implementation of the Medicare Fee Schedule (MFS) introduced concerns about the potential for reduced access to care, especially for vulnerable populations. These analyses show differences in access before and after the MFS that cannot be explained by health status. In...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1990) 15 (1): 69–99.
Published: 01 February 1990
...-governmental advisory body. Aspects of this structure could be adopted by Medicare in order to determine conversion factors for resource-based relative value scales or to create expenditure control and incentive structures for Medicare-participating physicians. Copyright © 1990 by Duke University Press 1990...