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Journal Article
Journal of Health Politics, Policy and Law (1 December 2002) 27 (6): 927–946.
Published: 01 December 2002
... each also will have an effect on financial performance. To assess the effect of AWP laws on HMO financial performance, we estimate the following equation using OLS: HMO Financial Performanceint = c0 + c1AWPit + c2HMO MARKETit + c3HMO CHARACTERISTICSint + c4STATE & YEAR...
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 1981) 5 (4): 742–768.
Published: 01 August 1981
... reimbursement policies. Findings are presented with respect to the relative importance of these obstacles and options are developed for the reform of existing subsidy programs. Copyright © 1981 by the Dept. of Health Administration, Duke University 1981 Financial Viability of Community Health Centers...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2001) 26 (1): 81–106.
Published: 01 February 2001
... financial data (per- sonal communication, AHA, August 1999). JHPPL 26.1-04 Kane 1/25/01 10:11 AM Page 89 Kane and Magnus ■ Improving Financial Accounting Data 89 Another problem is that the Form 990 does not conform with the princi- ples of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2012) 37 (2): 201–226.
Published: 01 April 2012
...Adam Oliver; Lawrence D. Brown Health inequalities and user financial incentives to encourage health-related behavior change are two topical issues in the health policy discourse, and this article attempts to combine the two; namely, we try to address whether the latter can be used to reduce the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1989) 14 (3): 565–585.
Published: 01 June 1989
...Shoshanna Sofaer; Erin Kenney To reduce Medicare costs, Medicare beneficiaries are being encouraged to enroll in “risk contract” HMOs. This paper explores the financial consequences to the elderly of joining a Medicare risk HMO. Using a new method for estimating consumer financial vulnerability...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2003) 28 (6): 1003–1032.
Published: 01 December 2003
... proposals—and a few attempts—to increase the supply of organs through offering various financial inducements. Evans s Opinions Regarding Financial Incentives for Organ Donation 1005 The first attempt to introduce financial inducements came in 1983, when a physician attempted to recruit hospitals into a...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2008) 33 (2): 155–197.
Published: 01 April 2008
... Financial Mountains Samuel Y. Sessions University of California, Los Angeles Philip R. Lee University of California, San Francisco...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1984) 9 (2): 237–250.
Published: 01 April 1984
...Judith Feder; Jack Hadley; Ross Mullner In 1980, while most hospitals were in reasonably good financial health, hospitals heavily involved in serving the poor ran a considerable risk of financial trouble. Fewer than 9 percent of the nation's hospitals accounted for 40 percent of the nation's total...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1995) 20 (1): 49–74.
Published: 01 February 1995
... financial protection to beneficiaries. In 1986, more than 60 percent of expenditures for physician services were on assigned claims for which there could be no balance billing; by 1990, 80 percent of expenditures were on assigned claims. Balance billing decreased by about 30 percent during the same period...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1992) 17 (3): 483–508.
Published: 01 June 1992
...Maqbool Dada; William D. White; Houston H. Stokes; Paul Kurzeja The Medicare prospective payment system (PPS) was designed to create financial incentives for providers to contain costs, but it also places them at financial risk. The system includes provisions to mitigate the risk, but, because they...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2006) 31 (3): 623–642.
Published: 01 June 2006
...John D. Colombo The Federal Trade Commission and Department of Justice 2004 report on competition in health care raises the issue of nonprofit versus for-profit form in several contexts, including their relative financial performance, pricing behavior, and role in caring for the uninsured poor. The...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2014) 39 (4): 901–917.
Published: 01 August 2014
... embraced the concept of the accountable care organization to help improve quality and efficiency while addressing financial shortfalls. The experience of Cambridge Health Alliance (CHA) in Massachusetts, where health care reform began six years ago, provides insight into the opportunities and challenges of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1998) 23 (4): 635–659.
Published: 01 August 1998
... strategies on influencing physician decision making through financial incentives and guidelines. These two techniques have had some important contributions, especially in enhancing efficiency and standardizing care to a high level. Nevertheless, they pose a threat—and are perceived by the public to pose a...
Journal Article
Journal of Health Politics, Policy and Law (1 December 1998) 23 (6): 905–947.
Published: 01 December 1998
...Gwen Gray Health policy changes intended to achieve cost control in OECD countries run the risk of reintroducing financial barriers to health care. However, although the problems faced are similar, different countries are dealing with the situation in different ways. For example, Canada and...
Journal Article
Journal of Health Politics, Policy and Law (1 December 1998) 23 (6): 949–973.
Published: 01 December 1998
... efficiencies defense is shown to be difficult to make even when economies of scale make the likelihood of efficiencies high. The financial difficulties of many rural hospitals, especially in areas where too many exist, mean that mergers such as this one in Ukiah often are an efficient way to keep these...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1987) 12 (4): 723–739.
Published: 01 August 1987
... indicates that IPA physicians are rarely given financial incentives to control cost, such incentives are now common. In this decade IPAs have cut their hospital days per thousand enrollees. Furthermore, IPAs in which individual physicians or medical groups bear some of the financial risk of hospital costs...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 533–556.
Published: 01 April 1997
...Deborah A. Stone From just after the Civil War, when medicine began to professionalize, until the late 1970s, doctors and policy makers believed that clinical judgment should not be influenced by the financial interests of doctors. Physicians were highly entrepreneurial, and organized medicine...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 595–631.
Published: 01 April 1997
.... The following section reviews the existing empirical literature on Medicare and HMOs from 1982, when the TEFRA risk pro- gram began. I summarize the evidence on three dimensions of HMO per- formance: financial savings, benefit coverage, and quality of care. Financial Savings The evidence suggests...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2000) 25 (4): 717–742.
Published: 01 August 2000
...Iris Geva-May; Allan Maslove This article attempts to shed light on the complexity inherent in health care reform policies in the context of political power contests that trigger the changes imposed on the health care system. Rather than being solely a response to financial circumstances, as it is...