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Journal Article

Adoption of Retrospective Medicare Maximization Billing Practices by State Medicaid Home Care Programs

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Wayne L. Anderson, Genevieve S. Kenney, Donna J. Rabiner
J Health Polit Policy Law (2003) 28 (5): 859–882.
DOI: https://doi.org/10.1215/03616878-28-5-859
Published: 01 October 2003
... and increase beneficiary access to Medicare coverage. This article reports the findings of the first national study of these Medicare maximization billing practices for home care services. Primary data were collected to determine which states conduct retrospective Medicare billing practices and the amounts...
View articletitled, Adoption of <span class="search-highlight">Retrospective</span> Medicare Maximization Billing Practices by State Medicaid Home Care Programs View PDF for article titled, Adoption of <span class="search-highlight">Retrospective</span> Medicare Maximization Billing Practices by State Medicaid Home Care Programs
Journal Article

Medical Practice Guidelines in Malpractice Litigation: An Early Retrospective

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Andrew L. Hyams, David W. Shapiro, Troyen A. Brennan
J Health Polit Policy Law (1996) 21 (2): 289–313.
DOI: https://doi.org/10.1215/03616878-21-2-289
Published: 01 April 1996
.... Medical Practice Guidelines in Malpractice Litigation: An Early Retrospective Andrew L. Hyams Harvard School of Public Health David W...
View articletitled, Medical Practice Guidelines in Malpractice Litigation: An Early <span class="search-highlight">Retrospective</span> View PDF for article titled, Medical Practice Guidelines in Malpractice Litigation: An Early <span class="search-highlight">Retrospective</span>
Journal Article

Comments on the Retrospective Issue

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Theodore R. Marmor
J Health Polit Policy Law (2004) 29 (4-5): 569–574.
DOI: https://doi.org/10.1215/03616878-29-4-5-569
Published: 01 October 2004
...Theodore R. Marmor Comments on the Retrospective Issue Theodore R. Marmor Yale University The occasion of this special issue provided a good reason to review what led this journal, in early 1982...
View articletitled, Comments on the <span class="search-highlight">Retrospective</span> Issue View PDF for article titled, Comments on the <span class="search-highlight">Retrospective</span> Issue
Journal Article

Arrow's Concept of the Health Care Consumer: A Forty-Year Retrospective

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Frank A. Sloan
J Health Polit Policy Law (2001) 26 (5): 899–912.
DOI: https://doi.org/10.1215/03616878-26-5-899
Published: 01 October 2001
... 19 (2): 110 -28. JHPPL 26.5 05 Sloan 10/29/01 4:20 PM Page 899 Arrow’s Concept of the Health Care Consumer: A Forty-Year Retrospective Frank A. Sloan...
View articletitled, Arrow&#x27;s Concept of the Health Care Consumer: A Forty-Year <span class="search-highlight">Retrospective</span> View PDF for article titled, Arrow&#x27;s Concept of the Health Care Consumer: A Forty-Year <span class="search-highlight">Retrospective</span>
Image
Figure 3. Confidence Intervals for Personal Retrospective Variables in Samples Split by Insurance Insecurity

Confidence Intervals for Personal Retrospective Variables in Samples Split ...

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in Personal and Collective Evaluations of the 2010 Health Care Reform > Journal of Health Politics, Policy and Law
Published: 01 October 2013
Figure 3 Confidence Intervals for Personal Retrospective Variables in Samples Split by Insurance Insecurity More
Image
Figure 4. Predicted Probabilities of Support for Health Care Reform for Retrospective Evaluations

Predicted Probabilities of Support for Health Care Reform for Retrospective...

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in Personal and Collective Evaluations of the 2010 Health Care Reform > Journal of Health Politics, Policy and Law
Published: 01 October 2013
Figure 4 Predicted Probabilities of Support for Health Care Reform for Retrospective Evaluations More
Journal Article

Maximum Allowable Cost: Can the Government Control Drug Costs? A Retrospective Political Analysis of Events and Issues

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Michael Ira Smith, Albert I. Wertheimer
J Health Polit Policy Law (1979) 4 (2): 155–175.
DOI: https://doi.org/10.1215/03616878-4-2-155
Published: 01 April 1979
...? A Retrospective Political Analysis of Events and Issues Michuel Ira Smith, Long Island University and Albert I. Wertheimer, University of Minnesota Abstrrrct, In 1973 the federal government moved to limit drug reimbursement to providers in federally sponsored or supported programs...
View articletitled, Maximum Allowable Cost: Can the Government Control Drug Costs? A <span class="search-highlight">Retrospective</span> Political Analysis of Events and Issues View PDF for article titled, Maximum Allowable Cost: Can the Government Control Drug Costs? A <span class="search-highlight">Retrospective</span> Political Analysis of Events and Issues
Journal Article

Systemwide Effects of Medicaid Retrospective Drug Utilization Review Programs

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William J. Moore, Karen Gutermuth, Etienne E. Pracht
J Health Polit Policy Law (2000) 25 (4): 653–688.
DOI: https://doi.org/10.1215/03616878-25-4-653
Published: 01 August 2000
...William J. Moore; Karen Gutermuth; Etienne E. Pracht Aggregate pooled cross-sectional and time-series annual state data for 1985 to 1992 were used to estimate the systemwide effects of retrospective drug utilization review programs (Retro-DUR) on Medicaid drug and nondrug outcomes. The results...
View articletitled, Systemwide Effects of Medicaid <span class="search-highlight">Retrospective</span> Drug Utilization Review Programs View PDF for article titled, Systemwide Effects of Medicaid <span class="search-highlight">Retrospective</span> Drug Utilization Review Programs
Journal Article

A Retrospective on the “New Perspective”

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Robert Evans
J Health Polit Policy Law (1982) 7 (2): 325–344.
DOI: https://doi.org/10.1215/03616878-7-2-325
Published: 01 April 1982
... brought to bear on the report, and to the conflicting perspectives on the report which resulted. Copyright © 1982 by the Department of Health Administration, Duke University Press 1982 A Retrospective on the “New Perspective” Robert Evans, University of British Columbia...
View articletitled, A <span class="search-highlight">Retrospective</span> on the “New Perspective” View PDF for article titled, A <span class="search-highlight">Retrospective</span> on the “New Perspective”
Journal Article

Anniversary Narratives of the Health Care State: Institutional Entrenchment in Retrospect

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Carolyn Hughes Tuohy
J Health Polit Policy Law (2023) 48 (2): 269–298.
DOI: https://doi.org/10.1215/03616878-10234212
Published: 01 April 2023
View articletitled, Anniversary Narratives of the Health Care State: Institutional Entrenchment in <span class="search-highlight">Retrospect</span> View PDF for article titled, Anniversary Narratives of the Health Care State: Institutional Entrenchment in <span class="search-highlight">Retrospect</span>
Includes: Supplementary data
Journal Article

Personal and Collective Evaluations of the 2010 Health Care Reform

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Lilliard Richardson, David M. Konisky
J Health Polit Policy Law (2013) 38 (5): 921–956.
DOI: https://doi.org/10.1215/03616878-2334665
Published: 01 October 2013
...Figure 3 Confidence Intervals for Personal Retrospective Variables in Samples Split by Insurance Insecurity ...
FIGURES | View All (7)
View articletitled, Personal and Collective Evaluations of the 2010 Health Care Reform View PDF for article titled, Personal and Collective Evaluations of the 2010 Health Care Reform
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
... in states with flat-rate reimbursement systems were found to have lower rates of increase than homes in other states, while there were no consistent differences between the results of prospective and retrospective systems. Second, efficiency incentives, inflation-projection methods, and the level...
View articletitled, State Rate-Setting and Its Effects on the Cost of Nursing-Home Care View PDF for article titled, State Rate-Setting and Its Effects on the Cost of Nursing-Home Care
Journal Article

The Politics of Managed Competition: Public Abuse of the Private Interest

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James C. Robinson
J Health Polit Policy Law (2003) 28 (2-3): 341–354.
DOI: https://doi.org/10.1215/03616878-28-2-3-341
Published: 01 June 2003
...James C. Robinson The doctrine of managed competition in health care sought to achieve the social goals of access and efficiency using market incentives and consumer choice rather than governmental regulation and public administration. In retrospect, it demanded too much from both the public...
View articletitled, The Politics of Managed Competition: Public Abuse of the Private Interest View PDF for article titled, The Politics of Managed Competition: Public Abuse of the Private Interest
Journal Article

The Who, What, and Why of Risk Adjustment: A Technology on the Cusp of Adoption

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David Blumenthal, Joel S. Weissman, Melissa Wachterman, Evette Weil, Randall S. Stafford ...
J Health Polit Policy Law (2005) 30 (3): 453–474.
DOI: https://doi.org/10.1215/03616878-30-3-453
Published: 01 June 2005
... or explaining costs of health care for defined populations or for evaluating retrospectively the performance of providers who care for them. Although the federal government seems to have settled on an approach to RA for Medicare Advantage programs, adoption and implementation of RA techniques elsewhere have...
View articletitled, The Who, What, and Why of Risk Adjustment: A Technology on the Cusp of Adoption View PDF for article titled, The Who, What, and Why of Risk Adjustment: A Technology on the Cusp of Adoption
Journal Article

Has Solidarity Survived? A Comparative Analysis of the Effect of Social Health Insurance Reform in Four European Countries

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Hans Maarse, Aggie Paulus
J Health Polit Policy Law (2003) 28 (4): 585–614.
DOI: https://doi.org/10.1215/03616878-28-4-585
Published: 01 August 2003
...Hans Maarse; Aggie Paulus Social health insurance reform has evolved as an important public policy issue in several European countries. Some of the most important reform programs have been the introduction of managed competition, a shift from full retrospective reimbursement of health insurers...
View articletitled, Has Solidarity Survived? A Comparative Analysis of the Effect of Social Health Insurance Reform in Four European Countries View PDF for article titled, Has Solidarity Survived? A Comparative Analysis of the Effect of Social Health Insurance Reform in Four European Countries
Journal Article

What Moves Public Opinion on Health Care? Individual Experiences, System Performance, and Media Framing

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Stuart Soroka, Antonia Maioni, Pierre Martin
J Health Polit Policy Law (2013) 38 (5): 893–920.
DOI: https://doi.org/10.1215/03616878-2334656
Published: 01 October 2013
... that distinguishes between personal and collective, and prospective and retrospective assessments. This view helps make sense of the fact that those who use the system can have generally positive experiences even as there is decreasing confidence in the system's ability to meet future needs, and increasing demand...
FIGURES | View All (4)
View articletitled, What Moves Public Opinion on Health Care? Individual Experiences, System Performance, and Media Framing View PDF for article titled, What Moves Public Opinion on Health Care? Individual Experiences, System Performance, and Media Framing
Journal Article

Retrenchment or Realignment? U.s. Mental Health Policy and Drgs

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Mary Ruggie
J Health Polit Policy Law (1990) 15 (1): 145–167.
DOI: https://doi.org/10.1215/03616878-15-1-145
Published: 01 February 1990
... of mental health care before the 1960s, the government gradually became a buyer of services in the private sector, adopting the system of retrospective reimbursement prevalent among third-party payers. In the early 1980~~another shift took place when the government adopted a system of prospective...
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Journal Article

Cost-Based Reimbursement and Prospective Payment: Reassessing the Incentives

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Richard W. Foster
J Health Polit Policy Law (1982) 7 (2): 407–420.
DOI: https://doi.org/10.1215/03616878-7-2-407
Published: 01 April 1982
... is determined retrospectively. Indeed, the total absence of prospective elements would be alien to any method under active consideration.2 Finally, note that the definition specifies that the costs determining the amount of payment are those incurred by the individual provider; thus it excludes...
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Journal Article

PPS Waivers: Implications for Medicare, Medicaid, and Commercial Insurers

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Stephen Zuckerman, John Holahan
J Health Polit Policy Law (1988) 13 (4): 663–681.
DOI: https://doi.org/10.1215/03616878-13-4-663
Published: 01 August 1988
... (Laudicina 1985). Retrospective systems were considered as a separate category and served as a comparison group for all other payment systems. Five different kinds of alternative payment systems were analyzed. The first was Medicaid-only prospective systems with strong efficiency incentives, defined...
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Journal Article

Prospective Payment in Perspective

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Harvey M. Sapolsky
J Health Polit Policy Law (1986) 11 (4): 633–645.
DOI: https://doi.org/10.1215/03616878-11-4-633
Published: 01 December 1986
...- ment inherently cost-constraining. Much depends on how the systems are man- aged. Moreover, retrospective payment, the reimbursement system prospective payment replaced, served well certain societal goals that have not been abandoned despite the Reagan administration’s desire to focus...
View articletitled, Prospective Payment in Perspective View PDF for article titled, Prospective Payment in Perspective