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Journal Article

Does All-Payer Rate Setting Work? The Case of the New York Prospective Hospital Reimbursement Methodology

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Kenneth E. Thorpe
J Health Polit Policy Law (1987) 12 (3): 391–408.
DOI: https://doi.org/10.1215/03616878-12-3-391
Published: 01 June 1987
... of state rate setting; as a result, broader outcome measures are required to determine their overall impact. The New York Prospective Hospital Reimbursement Methodology (NYPHRM) is evaluated in this broader context. The NYPHRM successfully channeled revenues to fiscally blighted hospitals, increasing...
View articletitled, Does All-Payer <span class="search-highlight">Rate</span> Setting Work? The Case of the New York Prospective Hospital Reimbursement Methodology View PDF for article titled, Does All-Payer <span class="search-highlight">Rate</span> Setting Work? The Case of the New York Prospective Hospital Reimbursement Methodology
Journal Article

State Rate-Setting and Its Effects on the Cost of Nursing-Home Care

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John Holahan
J Health Polit Policy Law (1985) 9 (4): 647–667.
DOI: https://doi.org/10.1215/03616878-9-4-647
Published: 01 August 1985
...John Holahan The paper uses data from nursing-home cost reports to analyze the effectiveness of different approaches to nursing-home reimbursement. Our research has produced considerable evidence on the effect of states' efforts to reduce the rate of increase in nursing-home costs. First, homes...
View articletitled, State <span class="search-highlight">Rate</span>-Setting and Its Effects on the Cost of Nursing-Home Care View PDF for article titled, State <span class="search-highlight">Rate</span>-Setting and Its Effects on the Cost of Nursing-Home Care
Journal Article

Bad Debts and Hospital Rate-Setting

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Mark V. Pauly
J Health Polit Policy Law (1986) 11 (1): 67–81.
DOI: https://doi.org/10.1215/03616878-11-1-67
Published: 01 February 1986
... purchase of debt-averting coverage. In some circumstances, this subsidy equals the underwriting loss on the coverage minus any tax subsidy the insurer receives. Copyright © 1986 by Duke University Press 1986 Bad Debts and Hospital Rate-Setting Mark V, Pauly, University of Pennsylvania...
View articletitled, Bad Debts and Hospital <span class="search-highlight">Rate</span>-Setting View PDF for article titled, Bad Debts and Hospital <span class="search-highlight">Rate</span>-Setting
Journal Article

Regulating Hospital Labor Costs: A Case Study in the Politics of State Rate Commissions

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Carl J. Schramm
J Health Polit Policy Law (1978) 3 (3): 364–374.
DOI: https://doi.org/10.1215/03616878-3-3-364
Published: 01 June 1978
... absolute part of hospital resources devoted to labor costs, conservatively estimated to be about 55 percent of total budget. This paper examines the impact of state efforts in prospectively setting rates on collective bargaining outcomes in the hospital sector. Specifically, bargaining in New York...
View articletitled, Regulating Hospital Labor Costs: A Case Study in the Politics of State <span class="search-highlight">Rate</span> Commissions View PDF for article titled, Regulating Hospital Labor Costs: A Case Study in the Politics of State <span class="search-highlight">Rate</span> Commissions
Journal Article

Interests, Ideas, and Deregulation: The Fate of Hospital Rate Setting

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Thomas E. Getzen
J Health Polit Policy Law (1999) 24 (4): 840–843.
DOI: https://doi.org/10.1215/03616878-24-4-840
Published: 01 August 1999
...Thomas E. Getzen John E. McDonough. Interests, Ideas, and Deregulation: The Fate of Hospital Rate Setting. Ann Arbor: University of Michigan Press, 1997. 270 pp. $42.50 cloth. Copyright © 1999 by Duke University Press 1999 References Paul , Feldstein . 1988 . The Politics...
View articletitled, Interests, Ideas, and Deregulation: The Fate of Hospital <span class="search-highlight">Rate</span> Setting View PDF for article titled, Interests, Ideas, and Deregulation: The Fate of Hospital <span class="search-highlight">Rate</span> Setting
Journal Article

What Do We Know About Rate-Setting?

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Charles L. Eby, Donald R. Cohodes
J Health Polit Policy Law (1985) 10 (2): 299–327.
DOI: https://doi.org/10.1215/03616878-10-2-299
Published: 01 April 1985
... of rate-setting as support for their respective cases. This paper summarizes the evidence, concluding that mandatory rate-setting has generally constrained hospital costs where it has been implemented. However, were rate-setting established in additional states, it is not clear that comparable results...
View articletitled, What Do We Know About <span class="search-highlight">Rate</span>-Setting? View PDF for article titled, What Do We Know About <span class="search-highlight">Rate</span>-Setting?
Journal Article

Hospital Rate Regulation: American and Foreign Comparisons

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William A. Glaser
J Health Polit Policy Law (1984) 8 (4): 702–731.
DOI: https://doi.org/10.1215/03616878-8-4-702
Published: 01 August 1984
...William A. Glaser Rate regulation in the United States usually is inspired by widespread indignant pressures to protect the public against venal exploitation. Rate regulation of American hospitals does not ride such a wave of outrage but is motivated by the need to restrain Medicaid spending...
View articletitled, Hospital <span class="search-highlight">Rate</span> Regulation: American and Foreign Comparisons View PDF for article titled, Hospital <span class="search-highlight">Rate</span> Regulation: American and Foreign Comparisons
Journal Article

Method of Payment and the Cesarean Birth Rate in a Hospital in Northeast Brazil

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Barbara Janowitz, Sylvia Wallace, Galba Araujo, Lorena Araujo
J Health Polit Policy Law (1984) 9 (3): 515–526.
DOI: https://doi.org/10.1215/03616878-9-3-515
Published: 01 June 1984
...Barbara Janowitz; Sylvia Wallace; Galba Araujo; Lorena Araujo This paper examines factors associated with the cesarean birth rate, including medical condition and method of payment, in the largest maternity hospital of Fortaleza. Brazil. Data were collected on 5996 women who delivered...
View articletitled, Method of Payment and the Cesarean Birth <span class="search-highlight">Rate</span> in a Hospital in Northeast Brazil View PDF for article titled, Method of Payment and the Cesarean Birth <span class="search-highlight">Rate</span> in a Hospital in Northeast Brazil
Journal Article

All-Payer Rate-Setting and the Provision of Hospital Care to the Uninsured: The New Jersey Experience

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Michael D. Rosko
J Health Polit Policy Law (1990) 15 (4): 815–831.
DOI: https://doi.org/10.1215/03616878-15-4-815
Published: 01 August 1990
... the Partial-Payer Medicare PPS and State All-Payer Rate-Setting Systems. Inquiry 26 ( 1 ): 48 -69. Rosko , M. D. 1989b . Impact of the New Jersey All-Payer Rate-Setting System: An Analysis of Financial Ratios. Hospital and Health Services Administration 34 ( 1 ): 53 -69. Rosko , M. D...
View articletitled, All-Payer <span class="search-highlight">Rate</span>-Setting and the Provision of Hospital Care to the Uninsured: The New Jersey Experience View PDF for article titled, All-Payer <span class="search-highlight">Rate</span>-Setting and the Provision of Hospital Care to the Uninsured: The New Jersey Experience
Journal Article

Redefining Rate Regulation in a Competitive Environment

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Stanley S. Wallack, Kathleen Carley Skwara, John Cai
J Health Polit Policy Law (1996) 21 (3): 489–510.
DOI: https://doi.org/10.1215/03616878-21-3-489
Published: 01 June 1996
...Stanley S. Wallack; Kathleen Carley Skwara; John Cai Neither rate regulation nor market competition alone is likely to contain health care spending in the long run. We need an approach to cost containment that can simultaneously address the major causes of rising health expenditures: higher prices...
View articletitled, Redefining <span class="search-highlight">Rate</span> Regulation in a Competitive Environment View PDF for article titled, Redefining <span class="search-highlight">Rate</span> Regulation in a Competitive Environment
Journal Article

Rate Setting and Health Maintenance Organizations

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Paul B. Ginsburg
J Health Polit Policy Law (1996) 21 (3): 511–513.
DOI: https://doi.org/10.1215/03616878-21-3-511
Published: 01 June 1996
...Paul B. Ginsburg Copyright © 1996 by Duke University Press 1996 References Ginsburg , P. , and K. Thorpe. 1992 . Can All-Payer Rate Setting and the Competitive Strategy Coexist? Health Affairs 11:73–86. Gold , M. , R. Hurley, T. Lake, T. Ensor, and R. Berenson. 1995...
View articletitled, <span class="search-highlight">Rate</span> Setting and Health Maintenance Organizations View PDF for article titled, <span class="search-highlight">Rate</span> Setting and Health Maintenance Organizations
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Figure 2 Claim denial rate, 2016–2022.

Claim denial rate, 2016–2022.

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in Rationing by Inconvenience: How Insurance Denials Induce Administrative Burdens > Journal of Health Politics, Policy and Law
Published: 01 August 2024
Figure 2 Claim denial rate, 2016–2022. More
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Figure 3 Hospital closures: survival curve (a) and hazard rate (b) with variables held at their means (or modes)

Hospital closures: survival curve (a) and hazard rate (b) with variables he...

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in The Demise of Community Responsibility: Unintended Consequences of Coverage Expansions on California Public Hospitals > Journal of Health Politics, Policy and Law
Published: 01 April 2019
Figure 3 Hospital closures: survival curve (a) and hazard rate (b) with variables held at their means (or modes) More
Image
Figure 3 Hospital closures: survival curve (a) and hazard rate (b) with variables held at their means (or modes)

Hospital closures: survival curve (a) and hazard rate (b) with variables he...

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in The Demise of Community Responsibility: Unintended Consequences of Coverage Expansions on California Public Hospitals > Journal of Health Politics, Policy and Law
Published: 01 April 2019
Figure 3 Hospital closures: survival curve (a) and hazard rate (b) with variables held at their means (or modes) More
Image
Figure 2 Uninsured Rate among Nonelderly by Race/Ethnicity and State Medicaid Expansion Status Notes: NHOPI = Native Hawaiians and Other Pacific Islanders; AIAN = American Indians and Alaska Natives. All values reflect the statistically significant difference between expansion and nonexpansion states at the p &lt; 0.05 level. Source: Kaiser Family Foundation analysis of the 2017 American Community Survey.

Uninsured Rate among Nonelderly by Race/Ethnicity and State Medicaid Expans...

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in Race, Politics, and the Affordable Care Act > Journal of Health Politics, Policy and Law
Published: 01 August 2020
Figure 2 Uninsured Rate among Nonelderly by Race/Ethnicity and State Medicaid Expansion Status Notes: NHOPI = Native Hawaiians and Other Pacific Islanders; AIAN = American Indians and Alaska Natives. All values reflect the statistically significant difference between expansion More
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Figure 2 Trends in workers' coverage rates, by 2010 occupation coverage rate category, 2010–2017. Notes: Sample restricted to workers aged 19–64 years. Source: American Community Survey 2010–17.

Trends in workers' coverage rates, by 2010 occupation coverage rate categor...

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in How Workers Fared under the ACA > Journal of Health Politics, Policy and Law
Published: 01 October 2020
Figure 2 Trends in workers' coverage rates, by 2010 occupation coverage rate category, 2010–2017. Notes : Sample restricted to workers aged 19–64 years. Source : American Community Survey 2010–17. More
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Figure 4 Trends in labor market outcomes, by 2010 occupation coverage rate category, 2010–2017. Panel A. Percentage change in number of workers relative to 2010. Panel B. Hours worked per week. Panel C. Earnings per week. Notes: Sample restricted to workers aged 19–64 years. Sources: American Community Survey 2010–17 and Current Population Survey 2010–17.

Trends in labor market outcomes, by 2010 occupation coverage rate category,...

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in How Workers Fared under the ACA > Journal of Health Politics, Policy and Law
Published: 01 October 2020
Figure 4 Trends in labor market outcomes, by 2010 occupation coverage rate category, 2010–2017. Panel A. Percentage change in number of workers relative to 2010. Panel B. Hours worked per week. Panel C. Earnings per week. Notes : Sample restricted to workers aged 19–64 years. Sources More
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Figure 4 Trends in labor market outcomes, by 2010 occupation coverage rate category, 2010–2017. Panel A. Percentage change in number of workers relative to 2010. Panel B. Hours worked per week. Panel C. Earnings per week. Notes: Sample restricted to workers aged 19–64 years. Sources: American Community Survey 2010–17 and Current Population Survey 2010–17.

Trends in labor market outcomes, by 2010 occupation coverage rate category,...

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in How Workers Fared under the ACA > Journal of Health Politics, Policy and Law
Published: 01 October 2020
Figure 4 Trends in labor market outcomes, by 2010 occupation coverage rate category, 2010–2017. Panel A. Percentage change in number of workers relative to 2010. Panel B. Hours worked per week. Panel C. Earnings per week. Notes : Sample restricted to workers aged 19–64 years. Sources More
Image
Figure 4 Trends in labor market outcomes, by 2010 occupation coverage rate category, 2010–2017. Panel A. Percentage change in number of workers relative to 2010. Panel B. Hours worked per week. Panel C. Earnings per week. Notes: Sample restricted to workers aged 19–64 years. Sources: American Community Survey 2010–17 and Current Population Survey 2010–17.

Trends in labor market outcomes, by 2010 occupation coverage rate category,...

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in How Workers Fared under the ACA > Journal of Health Politics, Policy and Law
Published: 01 October 2020
Figure 4 Trends in labor market outcomes, by 2010 occupation coverage rate category, 2010–2017. Panel A. Percentage change in number of workers relative to 2010. Panel B. Hours worked per week. Panel C. Earnings per week. Notes : Sample restricted to workers aged 19–64 years. Sources More
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Trends in ESI and non-ESI coverage rates, by 2010 occupation coverage rate category, 2010–2017. Panel A. ESI coverage rate. Panel B. Non-esi coverage rate. Notes: ESI = Employer-sponsored insurance coverage. Non-ESI coverage refers to Medicaid, Marketplace, or other nonemployer-based coverage type. Sample restricted to workers aged 19–64 years. Sources: American Community Survey 2010–17.

Trends in ESI and non-ESI coverage rates, by 2010 occupation coverage rate ...

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in How Workers Fared under the ACA > Journal of Health Politics, Policy and Law
Published: 01 October 2020
Figure 6 Trends in ESI and non-ESI coverage rates, by 2010 occupation coverage rate category, 2010–2017. Panel A. ESI coverage rate. Panel B. Non-esi coverage rate. Notes : ESI = Employer-sponsored insurance coverage. Non-ESI coverage refers to Medicaid, Marketplace, or other nonemployer More