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fee-for-service

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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
J Health Polit Policy Law (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
J Health Polit Policy Law (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
J Health Polit Policy Law (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
J Health Polit Policy Law (2004) 29 (6): 1187–1226.
Published: 01 December 2004
... on the 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
J Health Polit Policy Law (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...
FIGURES
Journal Article
J Health Polit Policy Law (1985) 10 (1): 119–139.
Published: 01 February 1985
...), was used to study insurance plan selection when multiple fee-for-service options as well as HMOs are available. There is evidence of biased selection of health risks in the FEHBP, yet historically the program has exhibited considerable stability. The stability may be attributable partly to control over...
Journal Article
J Health Polit Policy Law (1989) 14 (3): 601–620.
Published: 01 June 1989
... supply and lead to rationing and de- teriorating quality (e. g., rent-controlled housing). Recently, this critique has been extended to the market for physician services by several prominent theorists. Bau- rnol (1988) has argued, for example, that fee controls will only reduce the long- run...
Journal Article
J Health Polit Policy Law (1985) 10 (3): 513–532.
Published: 01 June 1985
...Bruce C. Vladeck The basic thesis of this paper is that, in the short to medium term (that is to say, the politically relevant term), fee-for-service payment will be the dominant form of Medicare transaction–and that is not such a bad thing. Capitated arrangements will grow, and should...
Journal Article
J Health Polit Policy Law (1997) 22 (1): 49–71.
Published: 01 February 1997
...: reduced utilization in areas with fee increases and increased utilization in areas with fee decreases. An exception was that African Americans, those without supplemental insurance, and those with low incomes in areas of fee decrease saw reductions in the use of surgical services relative...
Journal Article
J Health Polit Policy Law (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...
FIGURES
Journal Article
J Health Polit Policy Law (1979) 4 (1): 48–86.
Published: 01 February 1979
... as among physicians in the setting of fees. Moreover, the alleged benefits of professionally sponsored relative value studies could be achieved by alternative means that do not similarly restrict competition in the provision of medical services. This essay considers the implications...
Journal Article
J Health Polit Policy Law (2016) 41 (4): 743–762.
Published: 01 August 2016
... residents enrolled in health plans were covered under risk-based payment models tied to global budgets. But the expansion of payment reform in Massachusetts slowed between 2012 and 2015 because some commercial enrollment shifted from risk-based health maintenance organization products to fee-for-service...
Journal Article
J Health Polit Policy Law (1981) 5 (4): 610–630.
Published: 01 August 1981
... services. 2 The relief being sought by the FTC is an order prohibiting the respon- dents from publishing or enforcing any agreement, principles of ethics, or interpretations which would restrict a dentist’s freedom to advertise, solicit patients, or independently determine fees for services...
Journal Article
J Health Polit Policy Law (1979) 4 (2): 142–154.
Published: 01 April 1979
..., introduction of fees for services, disruption of program continuity, service delays, demoralization of public employees, termination of contracts with community clinics, and drastic reductions in staff and services by special districts. Copyright © 1979 by the Dept. of Health Administration, Duke University...
Journal Article
J Health Polit Policy Law (2021) 46 (4): 731–745.
Published: 01 August 2021
...Isabel M. Perera Abstract Organized medicine's persistent demand for high payments is one factor that contributes to the rising costs of health care. The profession's long-standing preference for private and fee-for-service practice has pressured payers to increase reimbursement rates in fee-based...
Journal Article
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (1999) 24 (6): 1307–1330.
Published: 01 December 1999
... Adams , E. K. 1995 . Effect of Increased Medicaid Fees on Physician Participation and Enrollee Service Utilization in Tennessee, 1985–1988. Inquiry 31 ( 2 ): 173 -187. Christensen , S. 1992 . Volume Responses to Exogenous Changes in Medicare’s Payment Policies. Health Services Research...
Journal Article
J Health Polit Policy Law (1992) 17 (1): 71–96.
Published: 01 February 1992
..., the policies, intended to save costs, limited the ability of new HMOs to achieve financial independence. New plans that emphasize Medicaid participation have few, if any, options on benefit design or in setting capitation rates. Relative to fee-for-service Medicaid programs, their costs to provide services may...
Journal Article
J Health Polit Policy Law (1979) 3 (4): 497–518.
Published: 01 August 1979
... to accurately budget program expenditures, simplify management, eliminate abusive practices directly linked to fee-for-service (e.g., billing for undelivered services or providing unnecessary care) and, most important, contain costs. At the same time it has promised to increase access to mainstream medicine...