Search Results for cost

...Phoebe A. Lindsey; Joseph P. Newhouse Second surgical opinion programs (SSOPs) have been used since 1972 by both public and private insurers to improve the patient's information and decision processes and to reduce operative risks and costs attributable to questionable and perhaps unnecessary...

... costs by substituting home care for institutional care. Because the program is statewide, finding a suitable control group to evaluate it was a serious problem. A substitute strategy was chosen that compares actual costs incurred to an estimate of what costs would have been in the absence of home...

...Jon M. Kingsdale The aim of this paper is to demonstrate that the problems which arise from simultaneously developing regulatory and competitive approaches to health care cost containment can be solved, if recognized, and that those problems deserve more systematic investigation than they have so...

...Arnold H. Raphaelson; Charles P. Hall, Jr. Voluntary and regulatory efforts toward hospital cost-containment have accelerated with rapid increases in those costs and under pressures of national health insurance. Possible causes of hospital cost inflation are examined in the context of market...

...Anne R. Somers Copyright © 1978 by the Department of Health Administration, Duke University Press 1978 Position Paper The High Cost of Health Care for the Elderly: Diagnosis, Prognosis, and Some Suggestions for Therapy Anne R. Sorners, College of Medicine...

...Trudi W. Galblum In a climate of increasing pressure to contain health care costs. legislators and health services researchers from time to time have proposed experiments involving reductions in benefits currently authorized under the Medicare and Medicaid programs. This paper examines three court...

...Michael Ira Smith; Albert I. Wertheimer In 1973 the federal government moved to limit drug reimbursement to providers in federally sponsored or supported programs, to the lowest cost at which the drug is generally and consistently available unless a difference in therapeutic effect can...

...Deborah A. Stone The West German health care system has experienced a serious escalation of expenditures since about 1970. For a variety of reasons, many features of the national health insurance program that might have provided restraints on costs were gradually eliminated. Most notably, some...

...Irene Fraser In several areas of health policy, current concern over rising costs has generated considerable political support for reforms that many in the business have advocated unsuccessfully on philosophical, ethical, or humanitarian grounds for years. Thus, for example, the spiraling cost...

.... These may bear only a loose relation to evidence or knowledge narrowly denned. The pressures of cost escalation over the past twenty years, and the attempts at containment in the U.S. and Canada, have added substantially to our knowledge of how the health care system works. Containment is possible...

... and of the different occupational groups' permanent power-maximizing strategies. Subsequently, the article assesses the impact of these strategies upon two recent efforts to contain the hospital's costs: a decision to close an expensive specialty clinic, and an attempt to shrink the hospital's size by transferring...

...John Holahan The paper uses data from nursing-home cost reports to analyze the effectiveness of different approaches to nursing-home reimbursement. Our research has produced considerable evidence on the effect of states' efforts to reduce the rate of increase in nursing-home costs. First, homes...

...Fred Thompson Our analysis suggests that a properly designed and implemented safety inspection program for motor vehicles would probably produce benefits in excess of costs, whereas most existing state programs probably produce costs well in excess of benefits. That these findings are somewhat...

... place of government, practitioners, hospital ethics committees, and parents in making decisions about treatment for handicapped newborns. Copyright © 1986 by Duke University Press 1986 Survival at What Cost? Origins and Effects of the Modern Controversy on Treating Severely...

...Jesse Green; Gerald M. Oppenheimer; Neil Wintfeld The increasing incidence of AIDS in the 1980s prompted inquiry into the resources required to meet projected needs. In the first economic study to appear on the illness, the Centers for Disease Control (CDC) estimated that the costs of inpatient...

... statements—the “gold standard” in hospital financial reporting —are not publicly available in many states. As a result, the Medicare Cost Report (MCR), filed annually by most U.S. hospitals in order to receive payment for treating Medicare patients, has become the primary public source of hospital financial...

...Sally S. Cohen Suzanne Gordon. Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care. Ithaca, NY: Cornell University Press, 2005. 489 pp. $29.95 cloth. Duke University Press 2006 Buresh, B., S. Gordon, M. E...

...Robert G. Evans “Control” of health care costs is often portrayed as a struggle between external, “natural” forces pushing costs up and individuals, groups, and societies trying to resist the inevitable. This picture is false. Control includes strenuous efforts by some to raise costs, and by others...