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enrollee

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Journal Article
J Health Polit Policy Law (2019) 44 (6): 885–910.
Published: 01 December 2019
... and Park 2018 ). Leung ( 2016 ) found that the federal medical assistance percentage (FMAP)—the formula-based federal matching rate for states' Medicaid costs—is highly correlated with states' Medicaid expenditure per enrollee, a key indicator of Medicaid generosity. Buchanan and colleagues examined...
FIGURES
Journal Article
J Health Polit Policy Law (1992) 17 (2): 255–264.
Published: 01 April 1992
...Sandra Christensen Contributions made by or for current enrollees to Medicare will cover less than a third of the costs of their expected lifetime benefits, on average. This subsidy is of concern for two reasons. First, because the subsidy is provided regardless of income, some transfers...
Journal Article
J Health Polit Policy Law 11373728.
Published: 05 June 2024
... and roughly 4 million had at least five months with income below the eligibility threshold. Conclusion: Pathways allowing higher income account for one-quarter of enrollees with annual incomes above typical thresholds. Among low-income adults, month-to-month variation in income is common and can account...
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1992) 17 (1): 97–118.
Published: 01 February 1992
...Charles J. Barrilleaux; Mark E. Miller States have implemented a number of strategies to provide services, pay providers, and control Medicaid spending. We test the effects of some differences in state Medicaid policies on program enrollees' access to and use of health care services. Logistic...
Journal Article
J Health Polit Policy Law (1985) 10 (1): 119–139.
Published: 01 February 1985
... entry and over changes in benefits and premiums and partly to inertia on the part of enrollees. In spite of large changes in relative premiums and benefits, only 21 percent of all enrollees in the DHHS switched plans during the May 1982 open season. Those employees who did switch plans astutely...
Journal Article
J Health Polit Policy Law (1997) 22 (2): 595–631.
Published: 01 April 1997
... from favorable selection of healthier enrollees; and preserve the current fee-for-service Medicare program. plans, especially health maintenance organizations (HMOs), can save substantial money for the federal government, while also improving the quality of medical care and scope of covered benefits...
Journal Article
J Health Polit Policy Law (2007) 32 (5): 819–842.
Published: 01 October 2007
... no statistically significant impact on trust in the physician for the average patient. However, the adoption of gag laws is estimated to have increased trust in the physician by a modest amount (25 percent of a standard deviation) for health maintenance organization (HMO) enrollees who did not have a usual source...
Journal Article
J Health Polit Policy Law (1978) 3 (3): 303–327.
Published: 01 June 1978
... participate directly. (These physicians might be at financial risk-a primary physician HMO-or at no financial risk-a primary physician Alliance .) The plan offers comprehensive care. The primary physicians provide the primary care to enrollees directly, and purchase specialty and hospital care...
Journal Article
J Health Polit Policy Law (1993) 18 (1): 229–234.
Published: 01 February 1993
...James Lubitz; John L. Ashby; Robert H. Binstock Copyright © 1993 by Duke University Press 1993 References Christensen , S. 1992 . The Subsidy Provided under Medicare to Current Enrollees. Journal of Health Politics, Policy and Law 17 ( 2 ): 255 -64. King , G. , and S...
Journal Article
J Health Polit Policy Law (2008) 33 (6): 1079–1106.
Published: 01 December 2008
.... Such a partnership could incorporate key elements of both programs: capacity to accept large numbers of enrollees (like Medicare) and leverage to negotiate prescription drug prices (like the VA). Moreover, it could be implemented at no cost to the VA while achieving savings for Medicare and beneficiaries. Duke...
Journal Article
J Health Polit Policy Law (1998) 23 (4): 687–695.
Published: 01 August 1998
... systems for physicians, one example of organizational change in our health system, can be evaluated for their impact on both kinds of trust according to their intrusiveness, openness, and goals. Although involving managed care enrollees in value-laden decisions that affect them is commendable...
Journal Article
J Health Polit Policy Law (2019) 44 (4): 589–630.
Published: 01 August 2019
... marketplaces had significantly more positive opinions of the ACA after implementation. Previously uninsured Medicaid enrollees also reported improved opinions, though results were not statistically significant. In contrast, uninsured individuals residing in states that did not expand Medicaid became...
FIGURES | View All (7)
Journal Article
J Health Polit Policy Law (2002) 27 (3): 353–378.
Published: 01 June 2002
... Household and Insurance Followback surveys, we identify privately insured persons who correctly and incorrectly know what kind of health plan they are covered by. Nearly a quarter misidentified their type of health coverage. Differences between responses by HMO and non-HMO enrollees to questions covering...
Journal Article
J Health Polit Policy Law (2002) 27 (3): 441–464.
Published: 01 June 2002
... are relatively profitable enrollees for health plans. In conclusion: using the results here and in other research, public and private policy makers may consider several ways to strengthen the incentives for health plans to contract for cost-effective birth-related services. The results also raise questions...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1185–1211.
Published: 01 December 2014
... of avoidable use and costs among these patients. The potential savings among Medicaid enrollees are considerable, particularly if Medicaid ACOs can develop ways to successfully address the high burden of chronic illness and behavioral health conditions prevalent in the prospective demonstration communities...
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1277–1288.
Published: 01 December 2014
..., quality of care, and opportunities for improved outcomes for HCIP enrollees (i.e., those who would be eligible for traditional, fee-for-service Medicaid through ACA expansion) when compared with their privately insured counterparts. This article provides the background, political discourse, policy...
Journal Article
J Health Polit Policy Law (2016) 41 (2): 287–300.
Published: 01 April 2016
... to purchase insurance in the health insurance marketplace. However, Iowa has struggled to implement its expansion as initially envisioned, due largely to the lack of private insurers willing and able to insure new Medicaid enrollees in the marketplace. In 2016 Iowa will dramatically increase the role...
Journal Article
J Health Polit Policy Law (1987) 12 (4): 723–739.
Published: 01 August 1987
..., and OB-GYNS.) Since these phy- sicians are a basic element in many IPAs, we present in Table 1 the enrolleees per primary care physician. The percentage of physician practices that are cap- itated is estimated as the number of IPA enrollees per IPA primary care physician divided by the number...
Journal Article
J Health Polit Policy Law (1987) 12 (1): 1–34.
Published: 01 February 1987
...Jerry Cromwell; Sylvia Hurdle; Rachel Schurman This paper explores the access and equity implications to the poor and taxpayers of further defederalizing Medicaid program administration. New data on enrollees and tax incidence indicates little horizontal, let alone vertical, equity in the system...
Journal Article
J Health Polit Policy Law (2023) 48 (1): 1–34.
Published: 01 February 2023
... for medical/surgical benefits in commercial health plans. State insurance departments oversee enforcement for certain plans. Insufficient enforcement is one potential source of continued MH/SUD treatment gaps among commercial insurance enrollees. This study explored state-level factors that may drive...
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