Geography and destiny: local-market perspectives on developing Medicare Advantage regional plans [0.03%]
地理与命运：关于发展地方医疗保险优势区域计划的地方市场观点
Robert E Hurley,Bradley C Strunk,Joy M Grossman
Robert E Hurley
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 established regional preferred provider organizations (PPOs) as a new private-plan option for beneficiaries in the Medicare Advantage (MA) program, starting in...
Steven A Schroeder
Steven A Schroeder
Despite their huge health toll, substance abuse disorders remain underappreciated and underfunded. Reasons include stigma, tolerance of personal choices, acceptance of youthful experimentation, pessimism about treatment efficacy, fragmented...
Racing toward the integration of complementary and alternative medicine: a marathon or a sprint? [0.03%]
走向补充与替代医学整合之路：马拉松还是短跑？
Richard L Nahin,Carol H Pontzer,Margaret A Chesney
Richard L Nahin
Health care opinion leaders concur that integration of complementary and alternative medicine (CAM) into the U.S. health care system must be based on strong supporting evidence of safety and efficacy. As others have pointed out, integration...
Robert M Veatch
Robert M Veatch
Two disputed cases about withholding life support (Terri Schiavo and Son Hudson) call for greater public discussion. Confusion arises from intermixing three kinds of cases: those (1) in which demanded treatment is physiologically futile, (2...
Lindsay A Hampson,Ezekiel J Emanuel
Lindsay A Hampson
Americans have reached consensus that (1) people have a right to refuse life-sustaining medical interventions, and (2) interventions that can be terminated include artificial nutrition and hydration. The one unresolved issue is how to decid...
Opening Pandora's pillbox: using modern information tools to improve drug safety [0.03%]
开启“潘多拉药盒”：利用现代信息技术提高药物安全性
Scott Gottlieb
Scott Gottlieb
How the Food and Drug Administration (FDA) responds to criticism of its drug safety process will determine whether drug safety actually improves. Propping up the Office of Drug Safety with more bureaucratic prominence or adding new requirem...
David J Malenka,Aaron V Kaplan,Sandra M Sharp et al.
David J Malenka et al.
The current system of postmarketing surveillance of high-risk medical devices could be improved by taking advantage of the administrative billing data collected by the Centers for Medicare and Medicaid Services (CMS) to systematically monit...
Bradley C Strunk,Paul B Ginsburg,John P Cookson
Bradley C Strunk
Health care spending increased 8.2 percent in 2004. This was virtually unchanged from 2003, which suggests that health care cost trends have stabilized. Hospital spending grew 10.1 percent in 2004, also virtually unchanged from 2003, reflec...
The rising prevalence of treated disease: effects on private health insurance spending [0.03%]
日益增长的经治疾病流行率：对私人医疗保险支出的影响
Kenneth E Thorpe,Curtis S Florence,David H Howard et al.
Kenneth E Thorpe et al.
In this paper we present a new framework for understanding the factors driving the growth in private health insurance spending. Our analysis estimates how much of the rise in spending is attributable to a rise in treated disease prevalence ...
How changes in the Medicare coverage process have facilitated the spread of new technologies [0.03%]
医疗保险报销流程的变化是如何促进新技术的推广的
Barry M Straube
Barry M Straube
The Medicare coverage decision process can affect the availability and use of new technologies. The Centers for Medicare and Medicaid Services (CMS) has recently made advances in making its coverage decision process speedier, predictable, a...