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fee-for-service

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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...
Image
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 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 February 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...
Journal Article
Journal of Health Politics, Policy and Law (1 June 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 be...
Journal Article
Journal of Health Politics, Policy and Law (1 August 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
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 April 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
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 71–96.
Published: 01 February 1992
... 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
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 489–514.
Published: 01 August 2016
... and defining new research areas and perspectives in health care policy. His early work on how methods of physician payment by capitation and fee-for-service in England and the United States affected physicians' responses to patients and patient care addressed present challenges and many ongoing...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1979) 3 (4): 497–518.
Published: 01 August 1979
... 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...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2008) 33 (5): 883–905.
Published: 01 October 2008
... care. Use of preventive dental care is abysmally low and has declined over time. Enrollment in managed care rather than fee for service improves the likelihood that special-needs children receive recommended preventive dental services, whereas residing farther from the Metro is an impediment to receipt...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 633–666.
Published: 01 April 1997
... adoption. These features apply to all states, but they often operate differently in each. Many of these concerns also exist in Medicaid fee for service. Thus our research suggests that in moving to managed care and market-based solutions, states gain some tools but remain faced with the same challenge: How...
Journal Article
Journal of Health Politics, Policy and Law (1 April 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
Journal of Health Politics, Policy and Law (1 December 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
Journal of Health Politics, Policy and Law (1 August 2007) 32 (4): 685–731.
Published: 01 August 2007
... measures of the political environment, public interest, and special interests, a distinction is made between capitated and fee-for-service managed care enrollment. The results show that cost containment within the context of the Medicaid program is perceived as strongly favored by voters. Accordingly, the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1996) 21 (3): 461–488.
Published: 01 June 1996
... populations. We discuss the constraints and opportunities that CHCs face in a health care system that is rapidly moving away from fee-for-service medical care toward a model of managed competition. We describe the role that the National Association of Community Health Centers has played in advocating for CHCs...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1990) 15 (1): 69–99.
Published: 01 February 1990
...Bradford L. Kirkman-Liff The West German health care system pays ambulatory care physicians on a fee-for-service basis but employs a national relative value scale and regional capitation-based revenue pools to achieve expenditure controls on total physician reimbursement. Physician-controlled...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 613–623.
Published: 01 August 1986
... overall hospital expenditures; that is, if HMOs are providing lower-cost care, then the fee-for-service system will be forced to reduce costs in order to be competitive. The authors studied the 25 largest SMSAs from 1971-1981, and controlling for environmental conditions in each market, they examined the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 5–21.
Published: 01 February 1997
...Gail Silverstein Physician participation in fee-for-service Medicaid programs has been declining nationally since the mid-1970s. Numerous studies have documented the reasons for this decline, including poor reimbursement, payment delays, and administrative burdens. Most are now incorporating...