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Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 683–704.
Published: 01 August 1988
...Danny Ermann Utilization review (UR) programs seek to determine whether specific services are medically necessary and whether they are delivered at an appropriate level of intensity and cost. Although UR programs have been operating for more than 40 years, they have changed dramatically during the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1977) 2 (3): 304–309.
Published: 01 June 1977
...William E. Corley Copyright © 1977 by the Dept. of Health Administration, Duke University 1977 Position Paper Hospitals as a Public Utility: or “Work with Us Now or Work for Us Later’’ William E. Corley, The Milton S. Hershey Medical Center The...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1996) 21 (1): 69–98.
Published: 01 February 1996
... article I focus on an alternative: Who shall decide how to ration health care, and how shall this be done to respect autonomy, pluralism, liberalism, and fairness? I explore three processes for making rationing decisions: cost-utility analysis, informed democratic decision making, and applications of the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1980) 5 (1): 152–166.
Published: 01 February 1980
... information to improve program decisions. Copyright © 1980 by the Dept. of Health Administration, Duke University 1980 Research Note Decision Making Strategy Utilizing Priority Setting and Program Data Patricia Haeuser, The University of Wisconsin-Milwaukee...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1999) 24 (1): 91–114.
Published: 01 February 1999
...Thomas P. O'Toole; Jeanette L. Gibbon; Barbara H. Hanusa; Michael J. Fine The objective of this study was to describe health services utilization by homeless and housed poor adults stratified by six-month primary sheltering arrangements. The primary method used in this study was a cross-sectional...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2000) 25 (4): 653–688.
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...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1980) 4 (4): 619–641.
Published: 01 August 1980
...William J. Scanlon Nursing homes represent the fastest growing component of health care expenditures, over half of which come from public funds. This paper reviews research on nursing home utilization with regard to several policy issues concerning the subsidization of long-term care by Medicaid...
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Published: 01 August 2014
Figure 2 CHA Patient Utilization in One Managed Care Organization Compared with Rest of Network (FY2011–13)   Source : Medicaid Managed Care Organization and Cambridge Health Alliance data, courtesy of Cambridge Health Alliance, Cambridge, MA (2013) Figure 2. CHA Patient Utilization in One More
Journal Article
Journal of Health Politics, Policy and Law (1 February 1976) 1 (1): 22–68.
Published: 01 February 1976
..., alternative delivery systems under universal coverage; the public utility allocation model (alias the British system); and the public utility hospital model. It is concluded that substantial changes in the existing structure of the medical care system will be very difficult to achieve politically. Further...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 613–623.
Published: 01 August 1986
... maintenance organizations (HMOs) which, in their opinion, will result in the market better determining efficient levels of utilization and costs. Extending this argument, the larger the percent of the population in a market area who enroll in HMOs, the greater the market-forcing effect of HMOs in reducing...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 97–118.
Published: 01 February 1992
... OLS regression analyses of cross-sectional data indicate that these policies exert significant influences on enrollees' access to health services but have a weaker direct effect on their use of them. However, we find evidence that utilization is affected indirectly (through increased access) by state...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 49–71.
Published: 01 February 1997
... particular, those without private or public supplementary insurance, those with low incomes, African Americans, and the oldest old had lower utilization before the MFS. The impact after implementation of the MFS on vulnerable populations was similar, for the most part, to that for other beneficiaries...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1994) 19 (1): 7–26.
Published: 01 February 1994
... link clinical guidelines to reimbursement, will likely prevail. We examine the utilization review programs of Medicare Part B carriers and the carriers' attempts to use clinical guidelines to determine medical necessity for the purpose of payment. We find that because the utilization review programs...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1291–1324.
Published: 01 December 2001
... births in birth files and matched birth-death files for 1993 and 1995 in both states were used to analyze a number of variables related to maternal behavior during pregnancy,utilization of care before and after labor-delivery, patterns of obstetrical care at delivery, and birth outcomes. Under TennCare...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1998) 23 (5): 795–832.
Published: 01 October 1998
...Ruth E. Malone The problem of emergency department (ED) overutilization or “inappropriate” utilization is commonly conceptualized in terms of inadequate access to appropriate primary medical care. Although medical care access is a critical issue, a focus on increased access to medical care as the...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2017) 42 (5): 901–924.
Published: 01 October 2017
...Rashawn Ray; Abigail A. Sewell; Keon L. Gilbert; Jennifer D. Roberts Abstract Blacks and Latinos are less likely than whites to access health insurance and utilize health care. One way to overcome some of these racial barriers to health equity may be through advances in technology that allow people...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2008) 33 (3): 617–638.
Published: 01 June 2008
...Russ Lopez; Richard Campbell; James Jennings The Boston Schoolyard Initiative (BSI) is a policy effort to rebuild school yards in Boston through innovative citywide public-private partnerships. At the center of the initiative is a commitment to engage multiple stakeholders and utilize a bottom-up...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1996) 21 (4): 697–750.
Published: 01 August 1996
... five forms of community benefit that might be associated with nonprofit forms of managed care. Using data from a national survey of firms providing third-party utilization review services in 1993, we test for ownership-related differences in these five dimensions. The results suggest that ownership...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2004) 29 (6): 1153–1186.
Published: 01 December 2004
... need to be developed and tested in real-world situations. When possible, HIA should build on the methods that have been utilized successfully in EIA. The most fruitful avenue is demonstration projects that test, refine, and demonstrate different methods and models to maximize their utility and...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 659–674.
Published: 01 August 1986
... HERF's major findings surrounding three key questions: (1) do the HMOs in Minneapolis/St. Paul use fewer hospital resources relative to conventional payers?; (2) do recent overall community trends in inpatient use suggest evidence of hospital utilization-reducing effects attributable to HMOs?; and (3...