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reimbursement

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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 February 2009) 34 (1): 93–135.
Published: 01 February 2009
...Edward Alan Miller; Vincent Mor; David C. Grabowski; Pedro L. Gozalo There is great variability in how much nursing home providers are paid for a day of care for a Medicaid recipient, how the payment level is set, and what mechanisms are used to reimburse facilities. Given the absence of recent...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1986) 11 (3): 445–461.
Published: 01 June 1986
...Robert E. Schlenker Nursing home care is growing in importance as the population ages and as Medicare's prospective payment system encourages earlier discharges from acute care settings to nursing homes. Nursing home reimbursement policy is primarily a Medicaid issue, since Medicaid pays for about...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2013) 38 (6): 1081–1102.
Published: 01 December 2013
...Michael Drummond Abstract The objective of this article is to examine the impact of economic evaluation on the reimbursement process for pharmaceuticals. The changes in the structure of reimbursement policies necessary to incorporate economic evaluation have been accomplished without major...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1987) 12 (3): 391–408.
Published: 01 June 1987
...Kenneth E. Thorpe By 1983, four states had received waivers from the Health Care Financing Administration and adopted experimental reimbursement programs covering all third-party payers. In general, these programs were designed to moderate cost growth as well as to promote a number of broader...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2008) 33 (2): 225–247.
Published: 01 April 2008
...Joshua Parsons Cohen; Elly Stolk; Maartje Niezen There are three known criteria that underlie drug reimbursement decisions: therapeutic value, cost-effectiveness, and burden of disease. However, evidence from recent reimbursement decisions in several jurisdictions points to residual, unexplained...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1981) 6 (3): 444–462.
Published: 01 June 1981
...Sara Wriston This article addresses problems related to nurse practitioner reimbursement and the Rural Health Clinic Services Act of 1977. An overview of payor policies prior to the passage of P.L. 95-210 is presented, followed by a discussion of some of the difficulties in implementing the statute...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1982) 7 (3): 648–666.
Published: 01 June 1982
...Eleanor D. Kinney; Bonnie Lefkowitz Issues in current capital cost reimbursement to community hospitals by Medicare and Medicaid are described, and options for change analyzed. Major reforms in the way the federal government pays for capital costs—in particular substitution of other methods of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1982) 7 (2): 407–420.
Published: 01 April 1982
..., Duke University Press 1982 Cost-Based Reimbursement and Prospective Payment: Reassessing the Incentives Richard W. Foster, University of Chicago Abstract. Prospective payment is distinguished from the imposition of a regula- tory ceiling on hospital costs. While a regulatory ceiling...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1983) 7 (4): 911–926.
Published: 01 August 1983
...Jack Hadley This paper examines current Medicaid policies on the reimbursement of hospitals' medical education expenses. These policies are of interest because of the pressure on Medicaid programs to reduce expenditures. Data for the paper come mainly from two sources: a survey of Medicaid programs...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1991) 16 (3): 553–572.
Published: 01 June 1991
...Heidi Boerstler; Tom Carlough; Robert E. Schlenker The way in which states reimburse for nursing home capital costs can create incentives for nursing home owners to use the home primarily as a vehicle for real estate speculation, with potentially adverse consequences for patient care. In order to...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 887–913.
Published: 01 August 1990
... years which progressively improved access to care for the uninsured. The policy process which led to the enactment of these laws was strongly influenced by the interests of large employers. This article describes the series of access-expanding hospital reimbursement changes in Massachusetts in the 1980s...
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Published: 01 June 2014
Figure 1 Reimbursement System in Russia Source : Cegedim Strategic Data, Pharmexpert database data as of January 2, 2012 Figure 1. Reimbursement System in Russia. / Source: Cegedim Strategic Data, Pharmexpert database data as of January 2, 2012 More
Journal Article
Journal of Health Politics, Policy and Law (1 August 1985) 9 (4): 647–667.
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 in...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1980) 4 (4): 619–641.
Published: 01 August 1980
.... As a background, the paper defines and contrasts three concepts; need, demand, and utilization. It then indicates how Medicaid policies regarding reimbursement of homes and eligibility for support can result in a chronic shortage of beds and describes the estimated effects on utilization of eight...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2008) 33 (1): 3–37.
Published: 01 February 2008
... whether and how SBHCs can best integrate with existing resources to fill unmet local needs. Furthermore, despite the cautions of experts that third-party reimbursement (via traditional fee-for-service insurance or participation in health maintenance organizations) cannot cover clinic expenses and is...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2009) 34 (2): 157–179.
Published: 01 April 2009
... when fee increases outstripped medical inflation. Physician groups are partly culpable for the failure of cost containment because physician groups have resisted efforts to regulate their practice or link effectiveness research to coverage and reimbursement decisions. In the story of Ulysses and the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2019) 44 (1): 67–85.
Published: 01 February 2019
... federal policies supported by the AMA that gave it a central role in recommending Medicare reimbursement policies have established a membership pipeline for the AMA partly because specialty societies need to influence reimbursement policies. Commercial products have also helped subsidize AMA lobbying...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2012) 37 (3): 469–512.
Published: 01 June 2012
... other economic and political factors, is associated with adopting wage pass-through (WPT) policies, which direct a portion of Medicaid reimbursement or its increase toward nursing home staff in an effort to reduce staff turnover, thereby increasing efficiency and the quality of care provided. Contrary...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2014) 39 (1): 239–246.
Published: 01 February 2014
...Perry W. Payne, Jr. Abstract I argue that the provision of the Patient Protection and Affordable Care Act (ACA) of 2010, which eliminates cost sharing for preventive services, should be utilized as a pathway for reimbursing whole genome sequencing (WGS) and making it widely available to most...