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Journal Article
J Health Polit Policy Law (1984) 9 (2): 251–260.
Published: 01 April 1984
... is the 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
J Health Polit Policy Law (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 patients...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (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. Making Sense...
Journal Article
J Health Polit Policy Law (2012) 37 (4): 647–664.
Published: 01 August 2012
..., and 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
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (2022) 47 (6): 731–753.
Published: 01 December 2022
... story both illustrates and challenges many understandings of the problems with insurance, treatment, payment, and politics in the US health care system. It particularly highlights consequences of structuring price discounts as rebates to health plans or government instead of as lower individual prices...
FIGURES
Journal Article
J Health Polit Policy Law (2022) 47 (6): 755–778.
Published: 01 December 2022
... cap Medicare prices at a discount from average U.S. market prices. Neither bill would employ the key cost control strategies that European nations do. Both bills would have significantly less impact on prices than legislation that employs European-style cost controls. This article proposes steps...
FIGURES
Journal Article
J Health Polit Policy Law (2008) 33 (5): 965–973.
Published: 01 October 2008
... for
the 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
J Health Polit Policy Law (1982) 7 (2): 542–558.
Published: 01 April 1982
... 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 from the perspective of a lawyer
engaged in state antitrust enforcement who was privileged...
Journal Article
J Health Polit Policy Law (2003) 28 (1): 109–132.
Published: 01 February 2003
... was 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...
Journal Article
J Health Polit Policy Law (1986) 11 (2): 305–322.
Published: 01 April 1986
...-
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 from the purchasing group
retain...
Journal Article
J Health Polit Policy Law (2018) 43 (1): 5–18.
Published: 01 February 2018
... 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
J Health Polit Policy Law (1986) 10 (4): 765–774.
Published: 01 August 1986
..., the discounted cash flow (DCF) approach, requires projecting the
amounts and timing of future cash flows in much the same way as a potential
investment is valued. The projected cash flows are then discounted in order to
determine their “present value,” which is the value that can then be attributed...
Journal Article
J Health Polit Policy Law (1992) 17 (2): 255–264.
Published: 01 April 1992
... (HI) payroll taxes on maxi-
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...
Journal Article
J Health Polit Policy Law (2017) 42 (2): 377–385.
Published: 01 April 2017
.... 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 law's...
Journal Article
J Health Polit Policy Law (1988) 13 (4): 663–681.
Published: 01 August 1988
... that payer
Journal of Health Politics, Policy and Law, Vol. 13, No. 4, Winter 1988. Copyright 0 1988 by
Duke University.
663
664 Journal of Health Politics, Policy and Law
a discount relative to hospital costs, which could...
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