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health care reimbursement

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Journal Article
J Health Polit Policy Law (2021) 46 (1): 117–145.
Published: 01 February 2021
...Olga Löblová Abstract Member states have consistently limited the European Union's competences in the area of health care reimbursement. Despite these efforts, there has been a slow but steady tendency toward harmonization of a key tool in reimbursement decision-making: health technology assessment...
Journal Article
J Health Polit Policy Law (1990) 15 (4): 887–913.
Published: 01 August 1990
... of Universal Access: The Massachusetts Health Security Act o. 1988. Journal of Health Politics, Policy and Law 15 ( 4 ): 857 -85. Kronick , Richard . 1990 . The Slippery Slope of Health Care Finance: Business Interests, Hospital Reimbursement, and Health Care for the Poor in Massachusetts, Ph.D...
Journal Article
J Health Polit Policy Law (2000) 25 (2): 283–308.
Published: 01 April 2000
... dormant until 1986, when Congress amended the FCA to revive their use. Following the 1986 amendments, and paralleling the rapid increase in fed- eral reimbursements for health care costs, private qui tam claims have far expanded beyond their traditional purview...
Journal Article
J Health Polit Policy Law (2008) 33 (2): 225–247.
Published: 01 April 2008
... variables, among which is budget impact. Budget impact refers to the total costs that drug reimbursement and use entail with respect to one part of the health care system, pharmaceutical care, or to the entire health care system, taking into account the possible reallocation of resources across budgets...
Journal Article
J Health Polit Policy Law (2013) 38 (6): 1081–1102.
Published: 01 December 2013
... of interest. The impact of economic evaluation on the allocation of health care resources is hard to ascertain because little is known about the extent to which reimbursement decisions actually lead to changes in health care practice. However, there is evidence that economic evaluation has assisted price...
FIGURES
Journal Article
J Health Polit Policy Law (2012) 37 (3): 469–512.
Published: 01 June 2012
... on Medicaid Reimbursement for Nursing Facility Care . American Journal of Public Health 87 : 1211 – 1213 . Thompson F. J. 1998 . Federalism and the Medicaid Challenge . In Medicaid and Devolution: A View from the States , ed. Thompson F. J. Dilulio J. J. , chap. 8 . Washington...
Journal Article
J Health Polit Policy Law (1980) 5 (1): 120–141.
Published: 01 February 1980
... general categories: (1) controls on reimbursement; (2) controls on the supply of facilities; and (3) controls on utilization. Events surrounding them reveal that any effort to constrict the flow of resources to the health care industry will engender serious opposition. In addition, there are serious...
Journal Article
J Health Polit Policy Law (1985) 10 (3): 565–578.
Published: 01 June 1985
... alliances with cost-cutters can bring reform, health policy reformers are discovering that they may have to accept a lot of bathwater along with the baby. Medicare reimbursement for hospice care, authorized by Section 122 of PL 97-248, the Tax Equity and Fiscal Responsibility Act of 1982, provides one...
Journal Article
J Health Polit Policy Law (1980) 4 (4): 619–641.
Published: 01 August 1980
... of reimbursement policies, and improved methods of allocating existing nursing home beds among persons desiring care. Copyright © 1980 by the Department of Health Administration, Duke University 1980 The research forming the basis for this paper was funded by the Administration on Aging (Grant Number 90...
Journal Article
J Health Polit Policy Law (1997) 22 (1): 23–47.
Published: 01 February 1997
... as members. An ECP provision may also require networks to reimburse ECPs dif- ferently than other providers (e.g., on a cost basis). Reimbursement of providers who serve medically underserved populations is an important policy issue in light of the failure of national health care reform, the reluctance...
Journal Article
J Health Polit Policy Law (1993) 18 (2): 491–502.
Published: 01 April 1993
... support, the rate of personnel turnover, and the professionalism and expertise of regulatory policymakers. Second, if the governmental actors in the reimbursement process share a sense of mission, it improves a state’s ability to control health care costs; if they do not agree over either...
Journal Article
J Health Polit Policy Law (2008) 33 (1): 3–37.
Published: 01 February 2008
... for State Health Policy. National Assembly on School-Based Health Care (NASBHC). 1999 . Critical Issues in School-Based Health Care Financing . September. www.nasbhc.org/Membership/Publications/ci3.pdf (site has been discontinued). ———. 2000 . Medicaid Reimbursement in School-Based Health...
Journal Article
J Health Polit Policy Law (1993) 18 (4): 937–965.
Published: 01 August 1993
... Kenney m Long-Term Care 939 patients to its own long-term care unit or home health agency may be able to reduce hospital costs by shortening the hospital stay, receive the same reimbursement from Medicare under the PPS as hospitals who do not have this option, and then receive additional...
Journal Article
J Health Polit Policy Law (1987) 12 (3): 391–408.
Published: 01 June 1987
...Kenneth E. Thorpe By 1983, four states had received waivers from the Health Care Financing Administration and adopted experimental reimbursement programs covering all third-party payers. In general, these programs were designed to moderate cost growth as well as to promote a number of broader...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 847–874.
Published: 01 August 2015
... to refine their approach in two fundamental ways. First, in addition to focusing on whether particular transactions or conduct will increase prices above competitive levels, a more pressing concern should be on assuring that health care markets are conducive to fundamental changes in how care is reimbursed...
Journal Article
J Health Polit Policy Law (1992) 17 (3): 509–516.
Published: 01 June 1992
... of a change from cost-related reimbursement to pro- spective payment as greatly as the general health delivery system (Gibson and Namerow 1988). The TEFRA payment system established incentives for cost control in the context of a fair payment system based on a mental health care facility’s...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1135–1172.
Published: 01 December 2014
.... Second, not all social service organizations or low-income individuals can participate in the Medicaid program. Client eligibility criteria and administrative requirements for Medicaid reimbursement favor certain population subgroups, services (e.g., home care and mental health), and types of nonprofit...
FIGURES
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1980) 4 (4): 675–690.
Published: 01 August 1980
...Andrew K. Dolan This article surveys recent developments in federal antitrust law regarding the health professions and the delivery of medical care. In the last four years there has been a steady erosion of the affirmative defenses traditionally available to health care providers, both...
Journal Article
J Health Polit Policy Law (1982) 7 (3): 648–666.
Published: 01 June 1982
... of payment for existing depreciation reimbursement—could have significant impact on the structure of the health care system and on government expenditures. While such reforms are likely to engender substantial political opposition, they may be facilitated by broader changes in the reimbursement system...
Journal Article
J Health Polit Policy Law (1998) 23 (4): 687–695.
Published: 01 August 1998
... of and payers for health care) stands in stark contrast to the current contractual model of health insurance purchase, but is more coherent with consumer expectations and with the provider role of such organizations. Such trust is likely to differ from that between doctors and patients. Financial reimbursement...