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Journal Article
J Health Polit Policy Law (1985) 10 (1): 141–156.
Published: 01 February 1985
...Gloria Ruby; H. David Banta; Anne Kesselman Burns One possible approach to containing Medicare costs involves explicit changes in Medicare's coverage policy with respect to medical technology. This paper first describes the development and diffusion of medical technology in general...
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Published: 01 June 2016
Figure 1 The Growth of Medicare Managed Care, 1985–2013. Enrollment in Medicare Managed Care as a Percent of Total Medicare Enrollment Sources : Jacobson et al. 2015 ; McGuire, Newhouse, and Sinaiko 2011 ; Lundy, Levitt, and Wang 2002 More
Journal Article
J Health Polit Policy Law (2023) 48 (1): 63–92.
Published: 01 February 2023
... a Medicare ACO program. In the decade since their launch, ACOs have grown into one of Medicare's flagship payment reform programs, with millions of beneficiaries receiving care from hundreds of ACOs. While great expectations surrounded ACOs' introduction into Medicare, their impacts to date have been modest...
FIGURES
Journal Article
J Health Polit Policy Law (2019) 44 (6): 885–910.
Published: 01 December 2019
...Jacqueline L. Angel; Ronald J. Angel; Phillip Cantu Abstract Context: States face increasing Medicaid expenditures largely as a result of growing dual-eligible populations. In this article we examine self-reported community-based Medicaid participation among Medicare recipients 65 and older...
FIGURES
Journal Article
J Health Polit Policy Law (1988) 13 (1): 206–208.
Published: 01 February 1988
...Theodore R. Marmor Robert G. Evans and Greg L. Stoddart, Medicare at Muturity: Achievements, Lessons and Challenges (Calgary, Alberta, Canada: University of Calgary Press, 1986). Copyright © 1988 by Duke University Press 1988 206 Journal of Health Politics, Policy and Law...
Journal Article
J Health Polit Policy Law (2018) 43 (4): 707–730.
Published: 01 August 2018
... intervening institutional change. This dynamic has unfolded three times: from the Progressive Era to the enactment of Medicare and Medicaid in 1965, from the late 1960s to the expansion of Medicaid in the 1980s, and from defeat of the 1993 Clinton plan to the enactment of the Children's Health Insurance Plan...
Journal Article
J Health Polit Policy Law (2018) 43 (4): 605–650.
Published: 01 August 2018
...Mark A. Peterson Abstract Nearly three decades before the Affordable Care Act (ACA) was put on the precipice of repeal by the 2016 election of a unified Republican government, the Medicare Catastrophic Coverage Act (MCCA) was enacted with fanfare by one Congress and dismantled by the next...
FIGURES
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Published: 01 August 2018
Figure 3 Public Support Minus Opposition for Medicare Catastrophic Coverage Act (MCCA), Affordable Care Act (ACA), and American Health Care Act (AHCA)/GOP Plans, Plotted at Comparable Times of Proposal, Enactment, and Repeal Effort Source : MCCA (65+), data from Himelfarb 1995 ; ACA KFF, data More
Journal Article
J Health Polit Policy Law (1977) 2 (2): 173–189.
Published: 01 April 1977
...Judith M. Feder This article argues that Medicare policy toward hospitals has been profoundly influenced by the perspectives and goals its administrators acquired in a social insurance agency. The social insurance perspective meant priority to efficient claims payment over controlling the impact...
Journal Article
J Health Polit Policy Law (1988) 13 (2): 384–386.
Published: 01 April 1988
...Rose M. Rubin Bruce C. Vladeck and Genrose J. Alfano, eds., Medicare and Extended Care: Issues, Problems and Prospects (Owings Mills, MD: National Health Publishing, 1987), 180 pp., $34.00. Copyright © 1988 by Duke University Press 1988 384 Journal of Health Politics, Policy and Law...
Journal Article
J Health Polit Policy Law (1988) 13 (4): 663–681.
Published: 01 August 1988
...Stephen Zuckerman; John Holahan This paper compares the Medicare prospective payment system (PPS) to four all-payer rate-setting systems that operated under HCFA waiver authority. The study examines the experience of Medicare, Medicaid, and commercial insurers under the two approaches. Data from...
Journal Article
J Health Polit Policy Law (1987) 12 (1): 189–192.
Published: 01 February 1987
...Katherine Swartz Karen Davis and Diane Rowland, Medicare Policy: New Directions for Health and Long-Term Care (Baltimore: The Johns Hopkins University Press, 1986), 137 pp., $19.50. Copyright © 1987 by Duke University Press 1987 Book Reviews...
Journal Article
J Health Polit Policy Law (1987) 12 (1): 53–76.
Published: 01 February 1987
...Nelda McCall; Thomas Rice; Arden Hall This paper examines the effects of state regulations on the quality of insurance policies sold to Medicare beneficiaries and on the amount of sales abuse reported in the sale of such policies. State regulations regarding such policies relate to policy content...
Journal Article
J Health Polit Policy Law (1997) 22 (1): 49–71.
Published: 01 February 1997
...Sally Trude; David C. Colby Implementation of the Medicare Fee Schedule (MFS) introduced concerns about the potential for reduced access to care, especially for vulnerable populations. These analyses show differences in access before and after the MFS that cannot be explained by health status...
Journal Article
J Health Polit Policy Law (2003) 28 (5): 859–882.
Published: 01 October 2003
...Wayne L. Anderson; Genevieve S. Kenney; Donna J. Rabiner Home care services funded by Medicare and Medicaid grew rapidly throughout most of the 1990s. During this period some state Medicaid programs transferred costs for home care claims to the Medicare program to reduce their liability...
Journal Article
J Health Polit Policy Law (2004) 29 (6): 1187–1226.
Published: 01 December 2004
...Thomas Rice; Katherine A. Desmond This article analyzes the distributional consequences of enacting a particular premium support proposal known as Breaux-Frist I. Under the proposal, the federal government would contribute a certain amount toward the purchase of Medicare coverage, based...
Journal Article
J Health Polit Policy Law (2004) 29 (6): 1238–1241.
Published: 01 December 2004
...Andrea Louise Campbell Jonathan Oberlander. The Political Life of Medicare. Chicago: University of Chicago Press, 2003. 288 pp. $45.00 cloth; $18.00 paper. © 2004 by Duke University Press 2004 Books...
Journal Article
J Health Polit Policy Law (1984) 9 (1): 41–62.
Published: 01 February 1984
...James Bautz Bonanno; Terrie Wetle Although there has been increased interest in use of the health maintenance organization (HMO) model to resolve a variety of problems relating to provision of health care to older individuals, less than 2 percent of Medicare beneficiaries are currently enrolled...
Journal Article
J Health Polit Policy Law (1985) 9 (4): 669–681.
Published: 01 August 1985
...Robert W. Rosenblum This paper examines the elderly's out-of-pocket health care expenditures by category of expense, before and after the inception of Medicare. It describes the shifting of out-of-pocket expenses from hospital care to nursing-home care, while physician services and drugs have...
Journal Article
J Health Polit Policy Law (1994) 19 (1): 7–26.
Published: 01 February 1994
..., to link clinical guidelines to reimbursement, will likely prevail. We examine the utilization review programs of Medicare Part B carriers and the carriers' attempts to use clinical guidelines to determine medical necessity for the purpose of payment. We find that because the utilization review programs...