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medicare
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in Boutique to Booming: Medicare Managed Care and the Private Path to Policy Change
> Journal of Health Politics, Policy and Law
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 Figure 1. The Growth of Medicare Managed Care, 1985
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Journal Article
Journal of Health Politics, Policy and Law (1 February 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 and then...
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in Reversing Course on Obamacare: Why Not Another Medicare Catastrophic?
> Journal of Health Politics, Policy and Law
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
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Journal Article
Journal of Health Politics, Policy and Law (1 February 2001) 26 (1): 37–80.
Published: 01 February 2001
...Michael Gusmano; Mark Schlesinger The Medicare program incorporates a number of functions that go beyond providing health insurance to its beneficiaries. These activities, which we refer to as “collateral” functions, may have important health consequences but are also an increasing source of...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 3–24.
Published: 01 February 1992
...Thomas Rice; Lyle Nelson; David C. Colby We assess the potential of increased economic competition by examining whether Medicare beneficiaries are willing to switch to physicians who agree to accept all services on assignment. Data come from a survey of Medicare beneficiaries conducted in November...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 39–70.
Published: 01 February 1992
...David P. Fan; Lois Norem We examine the Medicare Catastrophic Extension Act of 1988, which was repealed in 1989, finding a broad range of messages on this controversial legislation in the press. The time needed to craft compromise legislation in response to objections to the original bill was cut...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1995) 20 (1): 49–74.
Published: 01 February 1995
...David C. Colby; Thomas Rice; Jill Bernstein; Lyle Nelson Medicare's experience with balance billing provides valuable lessons for policy making for national or state health care reform. Medicare developed several policies to encourage physicians to become participating providers who accept Medicare...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2009) 34 (2): 157–179.
Published: 01 April 2009
...Miriam J. Laugesen Physicians' fees under Medicare are updated by regulation annually based on a formula called the Sustainable Growth Rate (SGR). Since 2003 Congress has reversed impending cuts to fees in response to physician calls for reform of the SGR, yet physician groups supported the SGR...
Journal Article
Journal of Health Politics, Policy and Law (1 December 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
Review Essay
Jacquelyn Beth Frank. The...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2004) 29 (3): 538–544.
Published: 01 June 2004
...Joseph White David G. Smith. Entitlement Politics: Medicare and Medicaid, 1995–2001 . New York: Aldine de Gruyter, 2002. 432 pp. $49.95 cloth;$24.95 paper. © 2004 by Duke University Press 2004 Smith, David G. 1992 . Paying for Medicare:The Politics of Reform . Hawthorne, NY: Aldine de Gruyter...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2018) 43 (4): 605–650.
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...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2013) 38 (3): 479–504.
Published: 01 June 2013
...Kip Sullivan The Centers for Medicare and Medicaid Services (CMS) annually publishes two measures of Medicare's administrative expenditures. One of these appears in the reports of the Medicare Boards of Trustees and the other in the National Health Expenditure Accounts (NHEA). The latest trustees...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 489–511.
Published: 01 June 1985
...Alicia H. Munnell Although the hospital insurance (HI) trust fund acted as a source of strength for the old-age, survivors, and disability insurance program during its recent financial crises, projections by HCFA and CBO reveal that the Medicare program will experience financing problems of its own...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 513–532.
Published: 01 June 1985
...Bruce C. Vladeck The basic thesis of this paper is that, in the short to medium term (that is to say, the politically relevant term), fee-for-service payment will be the dominant form of Medicare transaction–and that is not such a bad thing. Capitated arrangements will grow, and should be...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 533–547.
Published: 01 June 1985
...Ronald Bayer; Daniel Callahan Despite Medicare's success as a social program, its future is in question because of the program's enormous costs. Because the issue of Medicare reform has been forced upon us at this juncture by a crisis of finance rather than by the longstanding inequities in the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 549–564.
Published: 01 June 1985
...Christine K. Cassel The role of the physician in the allocation of health care resources has come under renewed scrutiny in recent years. Doctors have always had to face the reality of scarce resources and to do their work in the context of social injustices. With the advent of Medicare and...
Journal Article
Journal of Health Politics, Policy and Law (1 June 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
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 579–599.
Published: 01 June 1985
...Lawrence D. Brown For two decades administrators of Medicare have tried to reconcile the competing goals adopted by the program's political creators–meeting obligations to the beneficiaries of a social insurance system, maintaining peace with and the participation of providers, and protecting the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 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 in...
Journal Article
Journal of Health Politics, Policy and Law (1 August 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...
