... 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...

... Implications. Health Affairs 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...

... each group 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...

...Theodore R. Marmor © 2004 by Duke University Press 2004 Comments on the Retrospective Issue Theodore R. Marmor Yale University The occasion of this special issue provided a good reason to review what...

...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...

... 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, to the...

.... Medical Practice Guidelines in Malpractice Litigation: An Early Retrospective Andrew L. Hyams Harvard School of Public Health David W...

... 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 of...

...Figure 3 Confidence Intervals for Personal Retrospective Variables in Samples Split by Insurance Insecurity Figure 3. Confidence Intervals for Personal Retrospective Variables in Samples Split by Insurance Insecurity ...

... 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...

...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 to...

...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 and...

... 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...

... amount of payment which 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...

... mental health care system in the U.S. The dominant provider 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...

... were grouped by the type of reimbursement system used in their state (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...

... “the ineluctable out- come of an illusory opportunity” (123)? Certainly it did not appear so in 1993, when Clinton commanded over 70 percent of popular support for such an initiative. It is relatively simple to identify such “windows of opportunity” in retrospect, but devilishly difficult to do so...

...-Counterpoint on the effectiveness of public health obesity policies. The special section editor, Harold Pollack, provides an introduction to this important debate. Finally, to close the issue, I offer a retrospective essay, looking at the origins of JHPPL forty years ago. Enjoy! Reference...