... are measured, respectively, as the cost to the government of providing the program, as the amount of cash that would leave the recipient equally well-off, and as the amount of funds freed for spending on other goods. The size of benefits is particularly sensitive to the measurement technique employed...

... of the National Long-Term Care Survey, we examine whether the amount of paid home care used by disabled elderly persons had a significant influence on the amount of informal support they were receiving. Results from a two-stage least squares regression analysis suggest that the amount of informal home care...

... of the National Long-Term Care Survey, we examine whether the amount of paid home care used by disabled elderly persons had a significant influence on the amount of informal support they were receiving. Results from a two-stage least squares regression analysis suggest that the amount of informal home care...

...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...

... of the hospitals were in rural areas and 57 percent were small (less than 150 beds). Most of the patients (87.2 percent) incurred uncompensated amounts under $2,500, and 40 percent of the cases were below $500. About 72 percent of the patients with uncompensated care were from the same county as the location...

...William P. Gronfein; Eleanor DeArman Kinney Indiana's comprehensive malpractice reforms, inaugurated in 1975, include a cap on damages, a mandated medical review before trial, and a state insurance fund to pay claims equal to or greater than $100,000. We have found that the amount of compensation...

... be quite high, as they have neither the buying power nor the ability to impose discounts. As a consequence, plans must focus their financial planning efforts on targeting and attaining a stable enrollment base and on controlling the amount of services provided, tasks that are difficult for all HMOs...

...-allowed charges as payment in full. Only nonparticipating physicians are permitted to bill for additional amounts beyond that paid by Medicare, and there are limits on the amount of balance billing per claim. As shown by the analysis of claims presented in this article, Medicare has successfully provided...

...Paul N. Bloom; Ronald Stiff The amount of advertising done by health-care professionals appears likely to increase. This article examines some of the legal constraints on such advertising, the likely extent of this advertising and the expected consumer response. Predictions are made about how...

... for disclosure can have an impact on medical practice; the data suggest that doctors currently disclose what they think patients want to be told. However, it appears that physicians substantially underestimate the amount of information patients wish to receive. Copyright © 1981 by the Dept. of Health...

.... With the advent of Medicare and Medicaid, a substantial amount of health care services rendered to the elderly has been financed by the federal government. The use by the elderly of eye care services and the cost of such services are influenced by Medicare reimbursement policies. Medicare specifically excludes...

..., debt categories and amounts. Within the limitations of the study, health care costs seem not to have played a significant role in the financial lives of this population. Copyright © 1982 by the Department of Health Administration, Duke University Press 1982 Research Note Health Care Costs...

... than reduced profits? On the basis of the evidence in this study, we find (1) that the differential payment is not justified; (2) that the cost-containment efforts of the dominant payers have reduced total payments to hospitals somewhat, but a substantial amount of cost-shifting remains; and (3...

...Karl Pillemer As one solution to the widely perceived “crisis” in the long-term-care system, state and local agencies have developed methodologies which specify the amount and type of long-term-care services needed in an area. This article focuses on need-based methodologies, and criticizes the use...

... payers are experimenting with payment systems that combine the basic element of FFS — a fee for each service — with arrangements that allow providers to share the savings if they hold total spending per patient below a targeted amount. Medicare's accountable care organizations (ACOs) embody the shared...

... states with very large programs where even small proportional savings would amount to millions of dollars. We conclude that, given its present federal-state form and the current distribution of expenditures, it is unlikely that major reforms will be enacted because the stakes are too small for most...

... suggests that local tax support for public hospitals does not merely offset philanthropic or other revenue sources for voluntary hospital uncompensated care but is also likely to increase the amount of uncompensated care offered. We also find that public hospital closures may reduce access to care...

... to be inappropriate. In contrast, it is shown that there are equity and efficiency reasons to grant a discount for insurance policies which avert bad debt, but that the appropriate discount is less than the amount of bad debt averted. The appropriate discount depends on the size of the subsidy needed to bring about...

... that although the frequency and average amount of recovery are not affected by the panel system, the system leads to an increase in the number of disputes seeking formal adjudication, an increase in the cost of the process, and a lengthening of the time within which disputes are resolved. Copyright © 1986...

... during both state and federal deliberations, it was a challenge to identify a means of determining the amount that an insurer should pay to the out-of-network provider. But Congress eventually reached a compromise that became law, and that law goes into effect in January 2022. References Adler...