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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 1995) 20 (1): 49–74.
Published: 01 February 1995
... financial protection to beneficiaries. In 1986, more than 60 percent of expenditures for physician services were on assigned claims for which there could be no balance billing; by 1990, 80 percent of expenditures were on assigned claims. Balance billing decreased by about 30 percent during the same period...
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 June 1989) 14 (3): 565–585.
Published: 01 June 1989
...Shoshanna Sofaer; Erin Kenney To reduce Medicare costs, Medicare beneficiaries are being encouraged to enroll in “risk contract” HMOs. This paper explores the financial consequences to the elderly of joining a Medicare risk HMO. Using a new method for estimating consumer financial vulnerability...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2004) 29 (6): 1187–1226.
Published: 01 December 2004
... premiums charged by different health plans. Beneficiaries could choose something akin to the traditional fee-for-service option or a privately sponsored health plan such as a health maintenance organization. The article simulates the expected distributional impacts in three areas: among beneficiaries who...
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Published: 01 December 2014
Figure 2 Variation in the Fraction of Medicaid Beneficiaries Enrolled in Managed Care, 2011 Source : Authors' map, drawing on data from CMS 2011 Note : Alaska and North Dakota have not implemented the fee bump because their primary care fees already exceeded Medicare fees in 2009 (see fig More
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Published: 01 October 2017
Figure 3 Political Officials Target Non-Beneficiaries with Messages about Medicaid Source : www.barrykantrowitz.com/medicaid.html . Figure 3. Political Officials Target Non-Beneficiaries with Messages about Medicaid. / Source: www.barrykantrowitz.com/medicaid.html. More
Journal Article
Journal of Health Politics, Policy and Law (1 December 2010) 35 (6): 961–997.
Published: 01 December 2010
...Thomas Rice; Janet Cummings The Medicare prescription drug benefit relies on private insurers. In most states, there are nearly fifty competing insurance plans available. The sheer number of choices makes it extremely difficult for Medicare beneficiaries, many of whom must cope with declining...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2016) 41 (2): 287–300.
Published: 01 April 2016
... expiration of a preexisting section 1115 waiver that served sixty-five thousand Iowans. The Iowa Health and Wellness Plan emphasizes personal responsibility and private involvement. Key features include beneficiary premiums, incentives for healthy behaviors, and premium assistance for some beneficiaries to...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 595–631.
Published: 01 April 1997
...Jonathan B. Oberlander A primary goal of many Medicare reform proposals is to move program beneficiaries into managed care plans operated by private insurance companies. Advocates contend that managed care based reforms? This article summarizes the claims that are made for and against incorporating...
Journal Article
Journal of Health Politics, Policy and Law 7530813.
Published: 12 April 2019
...Adrienne Hosek Abstract Context: A decade after passage, a majority of Americans now support the Affordable Care Act (ACA), and Republican efforts to repeal it outright have failed. This article investigates whether the policy itself, through its beneficiaries, changed public opinion and sowed the...
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...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2016) 41 (2): 211–224.
Published: 01 April 2016
...-based measures that account for both participation rates and the numbers of physicians per capita or physicians per Medicaid beneficiary. Participation rates for all physicians versus primary care physicians also offer different information about state-level provider capacity. Policy makers should...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2016) 41 (3): 315–354.
Published: 01 June 2016
...Andrew S. Kelly Abstract In 2014, Medicare Advantage (MA) enrollment surpassed 30 percent of eligible beneficiaries. Twenty-five years earlier, enrollment hovered at just 3 percent. The expansion of private Medicare plans presents a puzzling instance of policy change within Medicare—a program long...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 697–716.
Published: 01 August 2016
... payment system restricting further treatment. In 1986 the benefit was extended to beneficiaries living in nursing homes. This change resulted in longer average lengths of stay, explosive growth in the number of hospices, particularly of the for-profit variety, and increases in total Medicare expenditures...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2007) 32 (4): 685–731.
Published: 01 August 2007
...Etienne E. Pracht The objective of this article is to understand the political motivations underlying Medicaid managed care reforms by examining the determinants of enrollment of beneficiaries in managed care plans in the fifty states. To highlight the role of the model variables, including...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 19–67.
Published: 01 February 2018
...Jacqueline Chattopadhyay Abstract Social Security and Medicare enjoy strong political coalitions within the mass public because middle-class Americans believe they derive benefits from these programs and stand alongside lower-income beneficiaries in defending them from erosion. By pooling data from...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2003) 28 (5): 859–882.
Published: 01 October 2003
... increase beneficiary access to Medicare coverage. This article reports the findings of the first national study of these Medicare maximization billing practices for home care services. Primary data were collected to determine which states conduct retrospective Medicare billing practices and the amounts...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2017) 42 (4): 667–695.
Published: 01 August 2017
... in Medicaid enrollment associated with the expansion are related to considerably higher voter turnout and that this effect was likely due to both an increase in turnout for new beneficiaries and a backlash effect among conservative voters opposed to the law and its implementation. These results have...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2018) 43 (4): 605–650.
Published: 01 August 2018
... one social program terminated by Congress—also involving health care coverage expansions for millions of beneficiaries and imposing costs on identifiable constituencies—the MCCA experience could provide insights into the politics that define the fate of the ACA. This article compares and contrasts the...