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Published: 01 December 2014
Figure 1 Variation in Average Fee-for-Service Primary Care Fee Ratios, Medicaid to Medicare, 2012 Source : Authors' map, drawing on data from Zuckerman and Goin 2012 Note : Alaska and North Dakota have not implemented the fee bump because their primary care fees already exceeded Medicare More
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 623–633.
Published: 01 August 1988
...Mark A. Hall State and federal prohibitions of referral fees have long plagued the health care sector because their broadly worded provisions threaten established and socially valuable business arrangements. Congress has recently instructed the Department of Health and Human Services to issue...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 49–71.
Published: 01 February 1997
...Sally Trude; David C. Colby Implementation of the Medicare Fee Schedule (MFS) introduced concerns about the potential for reduced access to care, especially for vulnerable populations. These analyses show differences in access before and after the MFS that cannot be explained by health status. In...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1982) 7 (3): 686–706.
Published: 01 June 1982
...Carl G. Homer This paper examines four propositions inherent in competitive approaches to containing the growth of health care expenditures: (1) that health maintenance organizations can deliver health care less expensively than the fee-for-service system; (2) that under certain competitive...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 109–127.
Published: 01 February 2018
...Adam S. Wilk; Leigh C. Evans; David K. Jones Abstract Six states that have rejected the Patient Protection and Affordable Care Act's (ACA) Medicaid expansion nonetheless extended the primary care “fee bump,” by which the federal government increased Medicaid fees for primary care services up to 100...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1263–1275.
Published: 01 December 2014
...Figure 1 Variation in Average Fee-for-Service Primary Care Fee Ratios, Medicaid to Medicare, 2012 Source : Authors' map, drawing on data from Zuckerman and Goin 2012 Note : Alaska and North Dakota have not implemented the fee bump because their primary care fees already exceeded Medicare...
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Published: 01 December 2014
Figure 4 Medicaid Physician Fee Ratios Sources : Norton 1999 ; Zuckerman et al. 2004 ; Zuckerman, Williams, and Stockley 2009 Note : Medicaid physician fees as a percentage of Medicare physician fees Figure 4. Medicaid Physician Fee Ratios. / Sources: Norton 1999; Zuckerman et al. 2004 More
Journal Article
Journal of Health Politics, Policy and Law (1 April 2009) 34 (2): 157–179.
Published: 01 April 2009
...Miriam J. Laugesen Physicians' fees under Medicare are updated by regulation annually based on a formula called the Sustainable Growth Rate (SGR). Since 2003 Congress has reversed impending cuts to fees in response to physician calls for reform of the SGR, yet physician groups supported the SGR...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1992) 17 (4): 689–714.
Published: 01 August 1992
.... Patients can choose where to seek medical services. Providers are paid by a nationally uniform method and rate, which are decided by one central agency. Increases in payment rates are tied to the ceiling set by the government's general expenditure limitations. A uniform fee schedule has helped to control...
Journal Article
Journal of Health Politics, Policy and Law (1 December 1999) 24 (6): 1307–1330.
Published: 01 December 1999
.... We use data from 182 hospitals for seventeen major procedures groups, covering a forty-five-month period between 1988 and 1991 that encompasses a twenty-four-month period before the reduction in Medicare fees and twenty-one months after the reduction. Our findings are consistent with the predictions...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 745–760.
Published: 01 August 2015
...Roger Feldman Abstract A remarkable consensus has developed that the fee-for-service (FFS) approach for paying medical providers must be replaced. This payment approach is said to increase the volume of services without improving care coordination. In response to these calls, Medicare and private...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1981) 5 (4): 593–607.
Published: 01 August 1981
... adjustments in both fee levels and waiting time. Competitive markets require unequal fee levels among providers in the same community and differing provider-to-population ratios across communities. The evidence from dentistry presented supports this expanded theory. Fees and waiting time are inversely related...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1994) 19 (2): 449–463.
Published: 01 April 1994
...Timothy E. Cook; David A. Hansell; John D. Piette; Paula A. Treichler; Thomas H. Murray; Elizabeth Fee Jonathan Demme, director. And the Band Played On: Politics, People, and the AlDS Epidemic . HBO Pictures, 1993. Copyright © 1994 by Duke University Press 1994...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2004) 29 (3): 397–430.
Published: 01 June 2004
...Mary K. Olson This article examines the effects of the user fee reform on the speed of drug review in the U.S. Food and Drug Administration. The results show that even after controlling for increased agency resources, the reform reduced review times among new-drug approvals by 34 percent (95...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2004) 29 (6): 1187–1226.
Published: 01 December 2004
... premiums charged by different health plans. Beneficiaries could choose something akin to the traditional fee-for-service option or a privately sponsored health plan such as a health maintenance organization. The article simulates the expected distributional impacts in three areas: among beneficiaries who...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1981) 5 (4): 610–630.
Published: 01 August 1981
... number of dental hygienists per dentist; and (3) restrictions on the form of organization and ownership of dental practices. The empirical results suggest that limits on number of offices per dentist and absence of reciprocal licensing arrangements are associated with higher fees and net incomes among...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 937–939.
Published: 01 August 1990
... regulatory initiatives, wherever physicians were paid more by states in fees for service than by Medicare and private insurance, participation levels stayed constant. A major strength of the book is its detailed description of surveys undertaken and its summaries of more extensive case...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1994) 19 (4): 895–902.
Published: 01 August 1994
Journal Article
Journal of Health Politics, Policy and Law (1 December 1997) 22 (6): 1413–1431.
Published: 01 December 1997
..., Alberta, and British Columbia. Early negotiations between physicians over changes in relative fees favored general practitioners because they were the dominant voting block within the associations. Despite fewer gains in the fee arena, specialists were willing to remain in the associations because all...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1993) 18 (1): 27–42.
Published: 01 February 1993
...Thomas Fanning; Martin de Alteriis In January 1985, New York State implemented legislation that allowed for a 30 percent increase in Medicaid fees for physicians providing primary care services. This was intended to increase their levels of participation. Yet the outcome was not as expected. In...