Medicaid managed care payment methods and capitation rates in 2001 [0.03%]
美国 Medicaid 管理保健的支付方式和人均经费(2001)
John Holahan,Shinobu Suzuki
John Holahan
We present results from a survey of Medicaid managed care payment methods and rates in 2001 for AFDC/TANF and poverty-related Medicaid populations, updating a similar survey of 1998 rates. Rates were adjusted for differences in age-sex grou...
Comparative Study
Health affairs (Project Hope). 2003 Jan-Feb;22(1):204-18. DOI:10.1377/hlthaff.22.1.204 2003
Where's David? [0.03%]
大卫在哪里？
Janette H Kurie
Janette H Kurie
Jack M Colwill,James M Cultice
Jack M Colwill
Throughout the past century rural health care has been dependent upon general practitioners (GPs) and their successors, family physicians (FPs). Only FPs and GPs have practiced in rural areas in proportion to the population, then and now. A...
How are health plans supporting physician practice? The physician perspective [0.03%]
美国医生对医疗计划支持其行医方式的看法
Jon B Christianson,Douglas R Wholey,Louise Warrick et al.
Jon B Christianson et al.
IPA-model HMOs are now the dominant organizational structures for delivering "managed care" in the United States. Are they taking advantage of opportunities to support physician practices in ways that arguably could improve care? In this pa...
Carolyn Watts,Jon B Christianson,Lance Heineccius et al.
Carolyn Watts et al.
Public employers provide health insurance coverage to nearly 16 percent of all U.S. workers. Their reactions to rapidly rising premiums can have an important effect on local markets for health insurance because of their size, their visibili...
What drove private health insurance spending on mental health and substance abuse care, 1992-1999? [0.03%]
1992～1999年私人健康保险的精神病学和吸毒治疗开支分析
Tami L Mark,Rosanna M Coffey
Tami L Mark
Trends in MH/SA treatment spending from 1992 to 1999 were examined using employer claims data from approximately 1.7 million covered lives in each year. The analysis finds that employer-based private insurance spending on MH/SA treatment di...
Katharine Levit,Cynthia Smith,Cathy Cowan et al.
Katharine Levit et al.
U.S. health care spending grew 8.7 percent to $5,035 per capita in 2001. Total public funding continued to accelerate, increasing 9.4 percent and exceeding private funding growth by 1.2 percentage points. This acceleration was due in part t...
Timothy Stoltzfus Jost
Timothy Stoltzfus Jost
Although Medicaid is regarded as a federal entitlement program, nowhere does the Medicaid statute explicitly recognize a federal right of action to enforce recipients' rights. Arguably, the Supreme Court, rather than Congress, first recogni...
Diane Rowland,James R Tallon Jr
Diane Rowland
Drawing on a decade of analysis and examination of the Medicaid program, this paper assesses what we have learned about Medicaid--its role, its successes, and its setbacks. In the absence of universal coverage for health and long-term care,...
Norman Daniels,J Russell Teagarden,James E Sabin
Norman Daniels
We propose an ethical template for pharmacy benefits and a fair process for using it. The template delineates four levels of decisions about pharmacy coverage, connecting ethically acceptable types of rationales for limits with decisions ma...