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Journal Article
Journal of Health Politics, Policy and Law (1 April 1984) 9 (2): 251–260.
Published: 01 April 1984
... consequential result of the failure of both public and private payers to structure payment policies that reward cost-effective hospitals, and we outline a market-oriented alternative to rate-setting to address the discount dilemma caused by cost-shifting. Copyright © 1984 by the Department of Health...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1986) 11 (1): 67–81.
Published: 01 February 1986
...Mark V. Pauly This paper examines the economic foundations for mandatory discounts for insurers based on differences in bad debts experience. It considers critically the arguments Blue Cross plans use in several states. On both equity and efficiency grounds, discounts for actual bad debts are shown...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 675–697.
Published: 01 August 1986
... to 1981. Some HMOs have obtained negotiated discounts from hospitals. We found that hospitals which gave larger discounts did not have lower costs per admission. This finding suggests that discounts do not force hospitals to operate more efficiently. In addition, hospitals with a large share of...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 71–96.
Published: 01 February 1992
... be quite high, as they have neither the buying power nor the ability to impose discounts. As a consequence, plans must focus their financial planning efforts on targeting and attaining a stable enrollment base and on controlling the amount of services provided, tasks that are difficult for all HMOs...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2012) 37 (4): 647–664.
Published: 01 August 2012
... hyperbolic discounting. An attempt is made in this article to speculate on the extent to which these three concepts can explain the success or otherwise of the NHS market and target policies of the last two decades, and some suggestions are offered as to how policies might be usefully designed in the future...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 653–673.
Published: 01 August 2016
... attention to policy inattention—doing nothing. A core feature of stigma is a discounting—a mattering less—that allows and even fosters policy inattention toward the concerns of stigmatized groups. We end by engaging David Mechanic and Linda H. Aiken's ideas concerning how social science influences policy by...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 623–633.
Published: 01 August 1988
... that the statute jeopardizes: physician recruitment, fee discounting, and efficiency bonuses. The article recommends primary reliance on an earned/unearned analysis that detects a prohibited referral fee by asking whether the fee is fully earned by legitimate, nonreferral services. Copyright © 1988 by...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1983) 8 (3): 554–580.
Published: 01 June 1983
... use, as illustrated by an examination of a policy of maximizing discounted quality-adjusted life-years (QALYs). The paper concludes that surveys focused directly on the questions that health and safety policymakers face could be a most fruitful source of guidance. Copyright © 1983 by the Dept. of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1984) 8 (4): 660–685.
Published: 01 August 1984
...Frank A. Sloan; Edmund R. Becker This study uses hospital data from the 1979 American Hospital Association Reimbursement Survey in a multivariate framework to assess the impact of discounts and third-party reimbursement on hospital costs and profitability. Three central issues are addressed: (1) Is...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2017) 42 (2): 377–385.
Published: 01 April 2017
... access option. insurance medical care Affordable Care Act 340B drug discount program diffusion The 2010 Patient Protection and Affordable Care Act (ACA) entails a number of provisions that are profoundly changing who accesses medical care and how it is provided in the United States. Many of the...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2008) 33 (5): 965–973.
Published: 01 October 2008
... same drug. In essence, the price at that time in history could be whatever the market would reasonably allow. Much to the chagrin of the independent pharma- cists, PBMs radically changed the industry by negotiating steep discounts on these costs and extending these discounts to their clients...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1982) 7 (2): 542–558.
Published: 01 April 1982
... writings and the FTC investigation. In addition to specific criticisms of each, it argues that all fail to use a proper competitive frame of refer- ence, and that all neglect the important role of the Blues’ “discount” and the AMA’s contract-practice ethics. Perspective. This note is written...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1992) 17 (2): 255–264.
Published: 01 April 1992
...- mum earnings every year from 1966-the annual value of the subsidy is more than $2,100 in dollars discounted to 1991. The subsidy is larger for other groups of current enrollees-men who had earnings below the Analysis is that of the author and should not be attributed to the U.S...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 765–774.
Published: 01 August 1986
... valuation question for hospital conversions and pur- chases, identified two alternative approaches that go beyond the balance sheet. l l The first, the discounted cash flow (DCF) approach, requires projecting the amounts and timing of future cash flows in much the same way as a potential...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1986) 11 (2): 305–322.
Published: 01 April 1986
... health care ser- Gabel et al. The Emergence of PPOs 307 vices. Providers typically agree to supply services on a discounted fee-for-service basis and comply with utilization review conducted by the PPO. Purchasers are usually self-insured employers or insurers. Subscribers...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 5–18.
Published: 01 February 2018
... manufacturers and insurers can mitigate the rule's effects on contracting practices, and the possibility of developing contractual, regulatory, or legislative solutions that remove or mitigate the best-price rule as an obstacle. Medicaid is legally entitled to deep discounts off typical private market prices...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2014) 39 (3): 689–690.
Published: 01 June 2014
...: 10.1111/jlme.12068 . Médecins Sans Frontières . 2013 . “ Global Vaccines Community Must Cut Costs of New Vaccines: MSF Calls on GAVI and Pharmaceutical Companies to Extend Discounts so More Children Can Be Reached .” April 23 . www.msf.org/article/global-vaccines-community-must-cut-costs-new...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2003) 28 (1): 109–132.
Published: 01 February 2003
... aided by (1) mobilizing public support through grassroots organizations, (2) including independent pharmacists in negotiations over the legislation, and (3) developing state purchasing power leverage. © 2003 by Duke University Press 2003 Cauchi, Richard. 2000 . Prescription Drug Discount, Rebate...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1994) 19 (2): 487–490.
Published: 01 April 1994
... also available. Membership in the only national organization dedicated to health planning provides discounts on registrations at all meetings; the annual update of the Directory of Health Planning and Policy Agencies; and the association’s newsletter, Today in Health Planning. For more...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1994) 19 (4): 914–916.
Published: 01 August 1994
... difficulty of account- ing for changes in quality, and the problems of dealing with discounts all skew the data. The last issue is particularly thorny. Discounts have been all-the-rage in negotiations between providers and buyers of health care, and both government and academic studies of...