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physician participation

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Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (1982) 6 (4): 703–717.
Published: 01 August 1982
... of Medicaid participation by office-based primary care physicians is described, and a number of obstacles to their participation are identified. The obstacles include state policies regarding eligibility, coverage, and provider compensation. The article recommends actions pertaining to these policies...
Journal Article
J Health Polit Policy Law (2016) 41 (2): 211–224.
Published: 01 April 2016
...Benjamin D. Sommers; Richard Kronick Abstract Policy makers continue to debate Medicaid expansion under the Affordable Care Act, and concerns remain about low provider participation in the program. However, there has been little research on how various measures of physician participation may...
FIGURES
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Published: 01 August 2015
Figure 2a ACO Participation in Physician Performance Management/Accountability, Percentage within Cluster That Participate More
Journal Article
J Health Polit Policy Law (1987) 12 (2): 221–236.
Published: 01 April 1987
...Janet D. Perloff; Phillip R. Kletke; Kathryn M. Neckerman Although most primary care physicians participate in state Medicaid programs, they may accept all Medicaid patients, or they may choose to limit their participation. This decision allows physicians to adjust their Medicaid caseloads...
Journal Article
J Health Polit Policy Law (1993) 18 (1): 27–42.
Published: 01 February 1993
...Thomas Fanning; Martin de Alteriis In January 1985, New York State implemented legislation that allowed for a 30 percent increase in Medicaid fees for physicians providing primary care services. This was intended to increase their levels of participation. Yet the outcome was not as expected...
Journal Article
J Health Polit Policy Law (1982) 7 (1): 128–162.
Published: 01 February 1982
...Rickard F. Pfizenmayer This article examines the role of collective physician participation in the third-party reimbursement system. It critiques the Havighurst-Kissam analysis of the antitrust implications of professionally-developed relative value guides and using lessons derived from the only...
Journal Article
J Health Polit Policy Law (1997) 22 (1): 5–21.
Published: 01 February 1997
...Gail Silverstein Physician participation in fee-for-service Medicaid programs has been declining nationally since the mid-1970s. Numerous studies have documented the reasons for this decline, including poor reimbursement, payment delays, and administrative burdens. Most are now incorporating...
Journal Article
J Health Polit Policy Law (2010) 35 (5): 797–828.
Published: 01 October 2010
... demonstrates that major challenges stand in the way of achieving mediation's full benefits. Absence of physician participation minimizes the chances that mediated discussion of adverse events and medical errors can lead to improved quality of care. Change will require medical leaders, hospital administrators...
Journal Article
J Health Polit Policy Law (1992) 17 (1): 71–96.
Published: 01 February 1992
... often lose their Medicaid eligibility. Traditional HMOs control the amount of services provided through physician selec- tion, financial incentives on physicians, and monitoring and utilization review. Lack of information and the difficulty inherent in attracting sufficient provider participation...
Journal Article
J Health Polit Policy Law (1990) 15 (1): 69–99.
Published: 01 February 1990
...-governmental advisory body. Aspects of this structure could be adopted by Medicare in order to determine conversion factors for resource-based relative value scales or to create expenditure control and incentive structures for Medicare-participating physicians. Copyright © 1990 by Duke University Press 1990...
Journal Article
J Health Polit Policy Law (1989) 14 (2): 309–325.
Published: 01 April 1989
.... 1989 . Physician Supply and Medicaid Participation: The Causes of Market Failure. Medical Care 27 . Freeman , H. , R. Blendon, and L. Aiken, et al. 1987 . Americans Report on Their Access to Care. Health Affairs 6 : 6 -19. Garner , D. , W. Liao, and T. Sharpe. 1979 . Factors...
Journal Article
J Health Polit Policy Law (1993) 18 (1): 43–66.
Published: 01 February 1993
... Research. Davidson , S. 1982 . Physician Participation in Medicaid: Background and Issues. Journal of Health Politics, Policy and Law 6 : 703 -17. Davidson , S. 1985 . Regional Differences in Medicaid: Their Origins and Effects. Unpublished manuscript. Davidson , S. 1992...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1263–1275.
Published: 01 December 2014
... the principal goal of the fee bump provision is to increase Medicaid beneficiaries' access to primary care services, achieving this goal may be possible through other means. While fee increases have not been shown to dramatically increase physician participation in Medicaid, efforts to reduce payment delays...
FIGURES
Journal Article
J Health Polit Policy Law (1993) 18 (1): 71–74.
Published: 01 February 1993
... the reader should concentrate on one point. While we don’t know if substantially higher fees would be sufficient to raise physician participation in the program, we do know that substantially higher fees should be a necessary part of any policy directed toward that goal. We have no doubt...
Journal Article
J Health Polit Policy Law (1999) 24 (6): 1307–1330.
Published: 01 December 1999
... Adams , E. K. 1995 . Effect of Increased Medicaid Fees on Physician Participation and Enrollee Service Utilization in Tennessee, 1985–1988. Inquiry 31 ( 2 ): 173 -187. Christensen , S. 1992 . Volume Responses to Exogenous Changes in Medicare’s Payment Policies. Health Services Research...
Journal Article
J Health Polit Policy Law (1992) 17 (1): 3–24.
Published: 01 February 1992
... was not correlated with ability to pay. We conclude that policies aimed at altering consumer demand may not be the most effective way to control Medicare costs. Copyright © 1992 by Duke University Press 1992 References Burney , I. , and J. Paradise. 1987 . Medicare Physician Participation. Health...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1173–1183.
Published: 01 December 2014
... of the American Academy of Dermatology 68 , no. 5 : 738 – 48 . Coburn Andrew F. , Long Stephen H. , and Marquis M. Susan . 1999 . “ Effects of Changing Medicaid Fees on Physician Participation and Enrollee Access .” Inquiry 36 , no. 3 : 265 – 79 . Cunningham Peter J...
Journal Article
J Health Polit Policy Law (1990) 15 (4): 935–937.
Published: 01 August 1990
... analyses of what continues to be a critical factor in Medicaid-physician participation, which is a leading indicator of access to medical care for this pop- ulation. The book deals with pediatricians, one of the most important groups of 936 Journal of Health Politics, Policy and Law physicians...
Journal Article
J Health Polit Policy Law (2018) 43 (1): 109–127.
Published: 01 February 2018
.... Consequently, most states were playing catch-up and did not fully implement the fee bump until late 2013. This meant that evidence about its effect on physicians' Medicaid participation levels was severely limited by mid-2014, when states were setting reimbursement levels for 2015, after the fee bump would...
FIGURES