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Journal Article
Journal of Health Politics, Policy and Law (1 April 1982) 7 (2): 530–532.
Published: 01 April 1982
...Fernand Turcotte M. L. Barer, R. G. Evans, and G. L. Stoddart, Controlling Health Care Costs by Direct Charges to Patients: Snare or Delusion? (Toronto: Ontario Economic Council—Occasional Paper 10, 1979), 126 pp. Copyright © 1982 by the Department of Health Administration, Duke...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1989) 14 (3): 565–585.
Published: 01 June 1989
... called the illness episode approach, we modeled the out-of-pocket costs associated with thirteen illnesses of varying severity for beneficiaries with traditional Medicare coverage only and for beneficiaries who join one of two Los Angeles HMOs which charge no additional premium. The typical total charges...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1983) 7 (4): 784–807.
Published: 01 August 1983
...Albert Weale This article examines the charge that the “New Perspective” on health (as exemplified by the Lalonde Report in Canada, by Prevention and Health in the United Kingdom) represents an abandonment of liberal principles in favor of a collectivist and paternalistic role for the state. It...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1988) 13 (3): 547–564.
Published: 01 June 1988
...Cyril F. Chang; Howard P. Tuckman This paper explores the profits of not-for-profit (NFP) hospitals and identifies the factors that determine whether such profits are adequate. A model which relates hospital charges to surpluses is used to derive NFP surplus from gross patient charges and operating...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 441–464.
Published: 01 June 2002
... and(b) self-selection of hospitals by patients with unmeasured risk of needing NIC. The data source contains all births in short-term hospitals in New Jersey during 1990 and 1994. Both the number of days and charges for NIC are reported. Key findings are that the decision of a hospital to offer NIC...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1989) 14 (1): 115–167.
Published: 01 February 1989
... empirical analysis of data on kidney transplants that were secured from the Health Care Financing Administration is then presented. The study of the effects of hospital and surgeon volumes on graft and patient survival and of the effect of volume on charges found no systematic influence of hospital or...
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...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1987) 12 (3): 391–408.
Published: 01 June 1987
... distributive objectives. Among the concerns for equity were financing uncompensated care and spreading the costs across all payers, reducing the differential between hospital charges and costs, and rejuvenating fiscally distressed hospitals. These diverse goals represent a fundamental shift in the role of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 663–681.
Published: 01 August 1988
... outlays in all-payer rate-setting environments than when they “go alone.” Finally, there is no evidence to suggest that hospitals can increase charges in response to greater financial need under either PPS or the state waivers. Nevertheless, it appears that commercial insurers are better able to compete...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1977) 1 (4): 471–498.
Published: 01 August 1977
... reviews to exclude nonessential care from coverage are suggested, together with wider use of fixed indemnity payments or negotiated fees and charges (instead of paying usual and customary rates or incurred costs). Among the steps needed to permit insurers to provide this added service to cost-conscious...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2000) 25 (2): 283–308.
Published: 01 April 2000
... DOJ's primary weapon in prosecuting health care fraud is the federal False Claims Act (FCA) of 1863 (31 U.S.C. secs. 3729–3733). Almost unique among federal antifraud provisions, the FCA may also be used by “private prosecutors” to file lawsuits on behalf of the federal government charging organizations...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1995) 20 (1): 49–74.
Published: 01 February 1995
...-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...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1993) 18 (3): 531–550.
Published: 01 June 1993
.... history, only to find themselves defeated by conservatives willing to deploy ideological, emotionally charged arguments against government-sponsored reforms. Today's advocates of inside-the-beltway bargains for hammering out compromise reforms may be vulnerable to similar conservative counterattacks...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1983) 7 (4): 945–952.
Published: 01 August 1983
...Joel W. Hay Two of the best-known economic models of hospital behavior are utilized to examine theoretically the issue of cross-subsidization of hospital costs between public and private-pay patients. It is shown that the existence of public/private hospital-charge differentials does not, in itself...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1983) 8 (1): 144–163.
Published: 01 February 1983
... regulation, is probabilistic. Therefore, uncertainty is inherent in any regulatory decision in this area. And the case of reproductive risks is illustrative of the more general problem of protecting the health of workers within a context of scientific uncertainty, and within a highly charged political...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1984) 9 (2): 251–260.
Published: 01 April 1984
...Allan N. Johnson; Rolf A. Madson; David Aquilina Cost-shifting, the practice by hospitals of raising their prices to make up for reimbursement shortfalls from payers that do not pay full charges, is an important and controversial issue. Concerns about cost-shifting, particularly its effects on...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1989) 14 (2): 287–307.
Published: 01 April 1989
... (83.0 percent) were discharged to home care. Only 44.6 percent of the patients with uncompensated care had no insurance; 46.8 percent had some form of commercial insurance which covered part of the charges for care. The most common diagnosis for these patients was pregnancy and childbirth (22.8 percent...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2012) 37 (1): 99–128.
Published: 01 February 2012
... enrollment compared with rules in other states (and the ACA), where these costs must be factored into family premiums. Business opposition in some states led to more restrictive regulations, especially for how premiums are charged, which in turn raised greater implementation challenges. Case study states did...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2018) 43 (5): 797–819.
Published: 01 October 2018
...Lawrence D. Brown Abstract Academic medical centers (AMCs) are a familiar target of critics who charge the US health care system with indifference to the most pressing needs of the public. AMCs are frequently faulted, for example, for promoting specialization instead of primary care, for favoring...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2006) 31 (2): 251–293.
Published: 01 April 2006
... contributions and from gift giving to informal charging, and widespread, reported from countries in at least three continents. However, cross-national research is hampered by the lack of consensus among researchers on the definition of informal payments, and the definitions that have been proposed are unable to...