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health payment reform
J Health Polit Policy Law (2015) 40 (1): 245–255.
Published: 01 February 2015
... managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted...
J Health Polit Policy Law (2017) 42 (1): 53–71.
Published: 01 February 2017
... section of the article will consider the politics of payment reform as social reform. It will address proposals that health care payers and providers lead in addressing the social contributors to ill health and urge payment reformers to appreciate more fully the politics and policies of other sectors...
J Health Polit Policy Law (2016) 41 (4): 743–762.
Published: 01 August 2016
...Robert E. Mechanic Abstract Policy makers and private health plans are expanding their efforts to implement new payment models that will encourage providers to improve quality and deliver health care more efficiently. Over the past five years, payment reforms have progressed faster in Massachusetts...
J Health Polit Policy Law (2005) 30 (6): 1003–1026.
Published: 01 December 2005
...Soonman Kwon; Michael R. Reich Korea recently introduced three major health care reforms: in financing (1999), pharmaceuticals (2000), and provider payment (2001). In these three reforms, new government policies merged more than 350 health insurance societies into a single payer, separated drug...
J Health Polit Policy Law (2003) 28 (4): 585–614.
Published: 01 August 2003
... to prospective reimbursement,an increase of private payments, and a change in the health benefits of social health insurance. The article investigates the widespread assumption that reform programs have adverse effects on solidarity in social health insurance by looking at the concrete experience of four...
J Health Polit Policy Law (2015) 40 (2): 403–419.
Published: 01 April 2015
... net. Although there is some experimentation with payment reform and health information exchange, safety net providers identify significant policy and structural barriers to integrating service delivery. The enhanced Medicaid payments for CHCs and the federal requirement that CHCs retain independent...
J Health Polit Policy Law (2008) 33 (1): 93–115.
Published: 01 February 2008
... population health, it has remained unable to control the setting of patient co-payments. In this sense, the government’s reform strategy — to simply try and subsume private doctors within PHOs and to think about how to control patient charges after it had launched the reform program — was either...
J Health Polit Policy Law (2011) 36 (3): 475.
Published: 01 June 2011
... Association's role in the politics of Medicare physician payment reform and considers how Medicare payment reforms have impacted the entire politics of health care reform. © 2011 by Duke University Press 2011 The Politics of Cost Control...
J Health Polit Policy Law (2003) 28 (2-3): 289–316.
Published: 01 June 2003
... to influencing health policy. The essay begins with a review of the reasons for the growth and subsequent decline of physicians' influence. This is followed by a case study of physician payment reform under Medicare, which illustrates the ways in which organized medicine chooses when and when not to cooperate...
J Health Polit Policy Law (1995) 20 (3): 615–652.
Published: 01 June 1995
... of Health Care Financing in the Netherlands in 1988 (before the Reform) and in 1992 Percentage of Payments Percentage of Payments in 1988 in 1992 Corrected...
J Health Polit Policy Law (1999) 24 (6): 1331–1361.
Published: 01 December 1999
... Financing Administration. Cromwell , J. , M. Rosenbach, A. Pope, B. Butrica, and J. Pitcher. 1991 . CRNA Manpower Forecasts: 1990–2010. Medical Care 29 ( 7 ): 628 -644. Cromwell , J. , and M. L. Rosenbach. 1988 . Reforming Anesthesia Payment under Medicare. Health Affairs 7 ( 4 ): 5...
J Health Polit Policy Law (2017) 42 (6): 1113–1125.
Published: 01 December 2017
... . 2015 . “ Risk Adjustment for Retrospective Episode-Based Payment .” February . NY : McKinsey on Healthcare Center for US Health System Reform . Hanlon Carrie . 2012 . “ Minnesota and Ohio: Advancing Health Equity through Delivery System Reform .” National Academy for State Health Policy...
J Health Polit Policy Law (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 studies...
J Health Polit Policy Law (1990) 15 (1): 1–67.
Published: 01 February 1990
... to be a major source of expenditure growth. These findings cast serious doubt on the claim that cost containment can be achieved via market reforms that rely heavily on direct consumer payments and cost sharing as instruments of financing. A comparative analysis of the historic record of the United States...
J Health Polit Policy Law (2019) 44 (5): 789–806.
Published: 01 October 2019
...Sujoy Chakravarty; Kristen Lloyd; Jennifer Farnham; Susan Brownlee Abstract The Delivery System Reform Incentive Payment (DSRIP) program, an increasingly utilized payment strategy to foster population health management by hospitals and outpatient providers, may sometimes generate financial...
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J Health Polit Policy Law (2004) 29 (2): 203–236.
Published: 01 April 2004
...Thomas R. Oliver Over the past decade, state officials have pursued a variety of strategies to protect and expand health insurance coverage for their residents. This article examines the course of action in Maryland, where new initiatives were shaped around the state's unique hospital payment...
J Health Polit Policy Law (1993) 18 (3): 695–722.
Published: 01 June 1993
...William A. Glaser The United States has serious and worsening problems in the delivery and financing of health. The debate about reform has inspired many schemes that are persuasive in their presentation, but they are unrealistic: some cannot be enacted by Congress, others would not improve...
J Health Polit Policy Law (1994) 19 (4): 753–771.
Published: 01 August 1994
... the joint effects on shifting the burden of payment in nursing homes, investigate facility characteristics associated with payer-mix changes, and consider the implications of the MCCA passage and repeal for the promotion of health care reform, particularly the inclusion of long-term care benefits...
J Health Polit Policy Law (2012) 37 (4): 587–609.
Published: 01 August 2012
... by fee- for- service practice) was ﬁngered as the culprit generating the excess. Some analysts urged reforms that brought out- of- pocket payment — “more skin in the game” — back to center stage. (After all, the RAND experiment [Newhouse 1993] revealed that people use less health care when...
J Health Polit Policy Law (1995) 20 (1): 49–74.
Published: 01 February 1995
... for Medicare Beneficiaries under Physician Payment Reform. Washington, DC: Department of Health and Human Services. Hasnain , Romana , Judith H. Hibbard, and Edward C. Weeks. 1992 . Determinants of Physician Acceptance of Assignment: An Examination of Medicare Beneficiary Characteristics. Medical Care...