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Journal Article
Journal of Health Politics, Policy and Law (1 February 1988) 13 (1): 103–127.
Published: 01 February 1988
... describes the process of implementing the Illinois Competitive Access and Reimbursement Equity (ICARE) program signed into law in 1984. The article examines hospital data and access implications for recipients and compares the Illinois program with other Medicaid contracting programs. A more thoughtful...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 932–933.
Published: 01 August 1990
..., prospective payment reform notwithstanding. But she argues that these savings are real, neither negated by higher out-of-pocket expenditures by beneficiaries nor by cost shifting to other payers, including Med- icare’s own Part B. Rosier still is the profit record of hospitals, which reflects the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1989) 14 (3): 621–625.
Published: 01 June 1989
.... Our theory predicts that quantity of Med- icare services will increase during periods of fee freeze. The data presented by Wedig and colleagues indicate that quantity per beneficiary (in 1983 dollars) in- creased by 16 percent during 7 quarters when the 1984- 1986 freeze applied to all...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1989) 14 (1): 237–238.
Published: 01 February 1989
... Roger M. Smith), and Suing Gov- ernment: Citizen Remedies for OfJicial Wrongs (Yale University Press, 1983). Richard A. Rettig, Ph.D., currently directs a congressionally mandated study of the Med- icare end-stage renal disease program for the Institute of Medicine, National Academy of Sciences...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1988) 13 (1): 53–81.
Published: 01 February 1988
.... Despite the fact that the costs of existing Med- icare benefits are projected to rapidly outstrip estimated revenues, very important gaps in coverage of the Medicare program remain and will continue to stimulate Holahan & Palmer Medicare’s Fiscal Problems 63 demand for program...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1989) 14 (1): 1–4.
Published: 01 February 1989
..., as spelled out in the National Organ Transplantation Act of 1984 and the 1986 Budget Reconciliation Act; in the U.S. Department of Health and Human Services (DHHS) regulations concerning Med- icare and Medicaid reimbursement for organ procurement and transplantation ser- vices in 1987 and...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 217–219.
Published: 01 February 1987
... International in Menlo Park, CA. Dr. Rice has published extensively on such topics as physician reimbursement, Med- icare, and alternative payment systems. Arden R. Hall is Assistant Vice President, Financial Analysis, at the Federal Home Loan Bank of San Francisco. Prior to joining the bank he was a...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1987) 12 (2): 387–389.
Published: 01 April 1987
... Social Service Administration, University of Chicago. Her research interests include maternal and child health, primary care, Med- icare and Medicaid policy, and policy issues related to educating health professionals. Phillip R. Kletke is a research associate in the Department of Manpower and...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1988) 13 (1): 206–208.
Published: 01 February 1988
... North American quality to it. How is that so? It is because the authors each discuss their subjects with an eye t.0 policy concerns on both sides of the border. The chapter on the costs of Canadian Med- icare proceeds from the knowledge that health care cost inflations-the rate of which is...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 933–935.
Published: 01 August 1990
... expenditures have still ballooned, prospective payment reform notwithstanding. But she argues that these savings are real, neither negated by higher out-of-pocket expenditures by beneficiaries nor by cost shifting to other payers, including Med- icare’s own Part B. Rosier still is the profit record of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 663–681.
Published: 01 August 1988
... to PPS in a manner sub- stantially different from that of other private hospitals (Guterman and Dobson 1. The Tax Equity and Fiscal Responsibility Act, or TEFRA, constrained rates of increase in Med- icare payments but limited both the rewards for cost control and penalties for cost...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 189–192.
Published: 01 February 1987
... authors do not explore the conceptual sound- ness of this belief or consider its pros and cons. The text does not distinguish clearly between policy as a general guide for public action in diverse specific actions and legislation which authorizes a discrete service. For example, Med- icare...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 35–52.
Published: 01 February 1987
... supplemental Medicare (or ‘‘medigap”) insurance, this factor is largely irrelevant for our purposes. Higher Medicare cost sharing andlor lower Medicare benefits translate into higher out-of-pocket outlays either for direct payments or indirectly for higher medigap premiums. Thus the Med- icare-only...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 513–532.
Published: 01 June 1985
... paid to providers are the primary source of cost inflation in Med- icare-and thus of the predicament in which the program is currently thought to be. Reforms in payment methods appear to offer the best prospect for maintaining some reasonable level of program solvency, at least in the short to...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 565–578.
Published: 01 June 1985
... illness. Such a person probably would have been at the lower end of the cost curve under conventional hospital- care or home-health benefits. Hospices which are part of, or affiliated with, Med- icare-certified organizations such as hospitals and home-health agencies can con- tinue to use...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1990) 15 (3): 656–664.
Published: 01 June 1990
... States. Recent developments such as the willingness of Med- icare and Medicaid to reimburse hospitals for depreciation and interest on debt and to provide a return on equity have brought new life to proprietary hospitals (Hollingsworth and Hollingsworth, p. 62). The proprietary share of total...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 579–599.
Published: 01 June 1985
... how to proceed. The argument of this essay may be summarized briefly as follows. When Med- icare’s political founders decided to create an entitlement program, based on Social Security, that would reconcile the harmonious participation of providers with cost- containment, the program’s...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1989) 14 (1): 169–190.
Published: 01 February 1989
... in payment authority, and may pay for liver as well as kidney and heart transplants. Medicare: Kidney transplants. The largest of these three programs is Med- icare’s coverage of kidney transplants, which applies to all individuals covered 1. Although no data are available...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2008) 33 (1): 3–37.
Published: 01 February 2008
... for Health Care Strategies. ICARE. 2007 . ICARE Partnership . www.icarenc.org/ (accessed July 4, 2007). Institute of Medicine. 2002 . The Future of the Public's Health in the Twenty-First Century . Washington, DC: National Academies Press. Kaplan, D. W., C. D. Brindis, S. L. Phibbs, P...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 533–547.
Published: 01 June 1985
... about national health insurance despite the existence of significant gaps in the availability of health insurance to both the working and nonworking poor has generated doubts about the legitimacy of Med- icare’s universal protection of the elderly. Rather than a first step toward com...