Search Results for claim
1-20 of 1609 Search Results for
J Health Polit Policy Law (2008) 33 (4): 761–798.
Published: 01 August 2008
... federal authority to preempt state law (the commerce clause and spending clause issues)? May jurisdiction be created in non - article 3 tribunals, and may claims be decided without trial by jury (the separation of powers and Seventh Amendment issues)? Would pilot programs that require some claims to be...
J Health Polit Policy Law (1989) 14 (4): 663–689.
Published: 01 August 1989
... reforms enacted during the 1970s have had on the probability that a claim will be paid, the amount of payment, and the speed with which the claim is resolved. Claims frequency is not used as a variable in this analysis, but findings from other studies pertaining to frequency are noted. This study uses two...
J Health Polit Policy Law (1991) 16 (3): 441–464.
Published: 01 June 1991
...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...
J Health Polit Policy Law (2020) 45 (3): 419–437.
Published: 01 June 2020
...David Howard Abstract Context: Overtreatment is costly, but is it fraud? In a growing number of False Claims Act cases, the Department of Justice has sought and received multimillion dollar settlements from providers accused of billing Medicare for unnecessary care. This article evaluates the use...
J Health Polit Policy Law (2007) 32 (5): 843–865.
Published: 01 October 2007
... plaintiffs, attorneys, medical providers, and malpractice insurers in the intended way is crucial to policy makers, if they are to achieve their goal. This study specifically examines the effect of reforms on the claims defense efforts of insurers, given that defense expenses account for approximately 30...
J Health Polit Policy Law (2002) 27 (5): 833–854.
Published: 01 October 2002
... thus may both reduce barriers to compensation and increase disclosure of error. Little evidence, however, is available on the performance of such systems. This article reports on the analysis of two data sources—a sample of hospital admissions and a complete set of compensation claims for medical...
J Health Polit Policy Law (2017) 42 (1): 5–52.
Published: 01 February 2017
... rising prices through direct regulation at the state level. Yet this literature fails to account for how change agents in the states gradually reconfigured the politics of prices, forging new, transparency-based policy instruments called all-payer claims databases (APCDs), which are designed to empower...
J Health Polit Policy Law (1984) 9 (3): 475–488.
Published: 01 June 1984
...E. Kathleen Adams; Stephen Zuckerman This study analyzes the incidence of medical malpractice claims since 1976. using data drawn from the 1982 core survey of the American Medical Association's Socioeconomic Monitoring System. The data show that, on average, physicians incurred twice as many claims...
J Health Polit Policy Law (1985) 9 (4): 731–735.
Published: 01 August 1985
...Frank S. Bloch Jerry L. Mashaw, Bureaucratic Justice: Managing Social Security Disability Claims (New Haven and London: Yale University Press, 1983), 238 pp., $25.00 Copyright © 1985 by the Department of Health Administration, Duke University Press 1985 Jerry L. Mashaw...
J Health Polit Policy Law (1999) 24 (1): 161–180.
Published: 01 February 1999
... Political Paradox of Rationing: What Advocates and Critics Have Claimed and What Oregon Did Lawrence Jacobs University of Minnesota...
J Health Polit Policy Law (2010) 35 (6): 921–959.
Published: 01 December 2010
... Political Science 39 : 981 – 1000 . Zaller J. R. 1992 . The Nature and Origins of Mass Opinion . Cambridge : Cambridge University Press . Images of Illness: How Causal Claims and Racial Associations Influence...
J Health Polit Policy Law (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...
J Health Polit Policy Law (1980) 5 (3): 498–513.
Published: 01 June 1980
...Kathryn M. Langwell; Jack L. Werner The problem of professional liability claims and impact on the medical care market has become increasingly important in recent years. Professional liability insurance premiums, and the practice of defensive medicine by physicians in response to potential...
Published: 01 June 2020
Figure 1 New health care False Claims Act cases. Source : Civil Division, US Department of Justice. Fraud Statistics—Overview, www.justice.gov/opa/press-release/file/918361/download . Figure 1 New health care False Claims Act cases. Source: Civil Division, US Department of Justice. Fraud More
J Health Polit Policy Law (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...
J Health Polit Policy Law (1996) 21 (2): 315–346.
Published: 01 April 1996
...Stephen J. Spurr; Walter O. Simmons We analyzed the factors determining the amount of the recovery on claims based on medical malpractice. Our data set, which previously was not explored, consists of 20,428 claims arising within Michigan that were closed between 1978 and 1990. During this period...
J Health Polit Policy Law (2014) 39 (1): 247–258.
Published: 01 February 2014
...Pilar N. Ossorio; J. Paul Kelleher Abstract Perry Payne argues that the health care system should encourage provision of whole genome sequencing (WGS) for most people in the near future. Payne's essay contains two distinct claims. One claim is that near-universal access to WGS would be beneficial...
J Health Polit Policy Law (1999) 24 (1): 59–90.
Published: 01 February 1999
...Derry Ridgway During the first eight years of the National Vaccine Injury Compensation Program (NVICP), 786 contested claims were resolved through published judicial opinions. The likelihood of compensation depended in part on the closeness of the match between the described injury and a specified...
J Health Polit Policy Law (2000) 25 (3): 499–526.
Published: 01 June 2000
... scheme's jurisdictional integrity has emerged as a key challenge for policy makers in Florida. We explore the relationship that has emerged between NICA and the tort system as competing avenues for families to obtain compensation for severe birth-related neurological injury. By linking NICA claims data...
J Health Polit Policy Law (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...