... variables, among which is budget impact. Budget impact refers to the total costs that drug reimbursement and use entail with respect to one part of the health care system, pharmaceutical care, or to the entire health care system, taking into account the possible reallocation of resources across budgets...

...Cyril Roseman Immediately following adoption of Proposition 13 in California in June of 1978, the state legislature adopted a Bail-Out program which included procedures for monitoring the detrimental effects of disproportionate reductions in public health, inpatient and outpatient county budgets...

... . Washington, DC: Concord Coalition. Congressional Budget Office (CBO). 1992 . The Economic and Budget Outlook: Fiscal Years 1993-1997 . Washington, DC: Congressional Budget Office. Congressional Quarterly Almanac. 1964 . Medicare Program Dies in Conference . Washington, DC: Congressional Quarterly...

... References Aron-Dine Aviva , Chaudhry Raheem , and Broaddus Matt . 2018 . “ Many Working People Could Lose Health Coverage Due to Medicaid Work Requirements .” Center on Budget and Policy Priorities, April 11 . https://www.cbpp.org/research/health/many-working-people-could-lose...

... $75 to $443 billion (ibid.). As the Medicaid and CHIP programs have grown, they have become both a major source of insurance coverage and a large component of state budgets. Medicaid constituted an estimated 24 percent of state spending in fiscal year 2013, and it has been the largest category...

... Jason M. Lakin International Budget Partnership Abstract  Health system reforms that introduce insurance principles into public health systems (such as national health insurance, internal markets, and separation of purchasers and providers) have been...

...Stephen J. Williams; Donald W. Belcher; Ira Mogcovice; Thomas S. Inui Criticisms of the Veterans Administration health care system have centered in part on the ability of the system to reallocate resources in response to the changing needs of veterans. VA hospitals use traditional budgeting...

... and contentious, they often seek automatic formulae that will produce equitable results by rational calculation. In contrast, rate regulation in Europe is a method of refereeing between hospitals and alert third parties. Hospitals' prospective budgets are always scrutinized by regulators. Guidelines...

...Helen Levy; John Z. Ayanian; Thomas C. Buchmueller; Donald R. Grimes; Gabriel Ehrlich Abstract Context: Medicaid expansion has costs and benefits for states. The net impact on a state's budget is a central concern for policy makers debating implementing this provision of the Affordable Care Act...

...William McAllister Faced with having to justify programs to offices of management and budget, government agencies generate numbers which describe expected program impacts. But the assumptions or data on which these numbers are based are frequently suspect, as is the utility of relying on counts...

... provide evidence that these programs produce significant cost savings in the drug budget without spillover effects (positive or negative) in other nondrug budgets within the Medicaid system. We also examine the influence of restricted formularies in this post-Retro-DUR era on drug and nondrug budgets...

... policy via the Balanced Budget Act of 1997. However, full implementation of risk adjustment was delayed due to clashes with the managed care industry over payment policy, concerns over perverse incentives, and problems of data burden. We review the history of risk adjustment leading up to the Balanced...

... interaction between federal and state debates. Third, even with budget surpluses and Democrats in control of the governorship and legislature,Maryland did not move aggressively toward universal health insurance. Now,with a much weaker economy and a new, Republican governor, the primary challenge...

... and prospective rate or budget review programs are examined here. Technical, administrative, and political factors are found to impede close working relations between the programs. Some coordination procedures may even exacerbate program weaknesses and diminish regulatory impact. The current configuration...

... managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted...

...Nancy R. Aries; Elliott D. Sclar This study estimates the economic significance of biomedical research for a geographic region. Through a survey of nonprofit biomedical research institutions in the metropolitan New York region and an analysis of research budget data obtained from the area’s six...

... the agency's ability to generate alternatives or by encouraging health facilities to submit competing applications. Second, a regional health care budget would force the agency to make choices among competing needs. This research was supported by grant 1RO 1HS 01662-01 from the National Center for Health...

... arrangements found in many single-payer systems. If, as I believe, health care quality is a public good, it will be underprovided in a multipayer system. Single-payer systems often allocate a fixed budget to health care professionals or administrators and give them considerable discretion in determining...

..., this study argues that in the absence of a global mechanism that guarantees adequate and timely vaccine provision, countries are left to the sole option of depending on their own capabilities: expertise, budget, and policy planning by consolidating public and private capacities to acquire vaccines...

... the federal budget. Administrative efforts to balance these objectives have evolved in three phases. The search of the late 1960s for measures to placate providers and win consensus among them, gave way in the early and mid-1970s to new organizations and programs (Professional Standards Review Organizations...