The Impact of Medicaid Managed Care on Physician Participation in Medicaid PDF Download
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Author: Jessica Greene
Publisher:
ISBN:
Category :
Languages : en
Pages : 254
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Author: Jessica Greene
Publisher:
ISBN:
Category :
Languages : en
Pages : 254
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Book Description
Author: Sunday E. Ubokudom
Publisher: Garland Science
ISBN: 9780815329053
Category : Medical
Languages : en
Pages : 199
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Book Description
Health care policy and proposals for national health care reform have become some of the most contentious political issues of the decade. Garland Publishing announces a new series addressing the most significant issues in the area of health care policy and the business of health care in the United States. books in this multidisciplinary series will include studies of health care practice, the health care business, the implications of multicultural perspectives on health care for public policy, the impact of insurance on health care, and debates over national health care policy, including health care reform. This collection of timely works will offer significant scholarly perspectives on one of the most important issues in public policy.Vital information for policy makingThis book analyzes factors influencing physician participation in the Kansas Primary Care Network (PCN), a case management program for Medicaid beneficiaries. Studies of Medicaid managed care programs have examined the ability of these programs to control program expenditures, but there has been little research on physician participation. Since 1981, enrollees in the managed care programs of Medicaid have increased by 4,204 percent. A study that identifies the factors that enhance or impede physician participation in a Medicaid managed care plan is vital to health care policy making.What influences doctor participationThe study finds nine factors that influence physician participation in the PCN program -- receptivity to capitation-based reimbursement; county per capita income; relative fees; delayed payment; specialty referrals; practice organization; years in practice; the intermittent eligibility ofclients for Medicaid; and the perception that Medicaid clients are likely to be late for appointments. These findings reaffirm the two-market theory of the United States health care system. Because most providers treat patients with private health insurance coverage, which off
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 44
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Author:
Publisher: DIANE Publishing
ISBN: 9781568065885
Category :
Languages : en
Pages : 124
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Book Description
Focuses on: states' use of managed care programs; the difficulty states face in implementing certain program components; the effect of the managed care approach on health care access, quality, & cost; & the presence of features that assure the quality of health services & providers' financial stability. Charts, tables & map.
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 152
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Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 160
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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: Stephen Davidson
Publisher: Jossey-Bass
ISBN:
Category : Health & Fitness
Languages : en
Pages : 424
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Book Description
Written for health care executives, physicians, nurses, policymakers, health services researchers, and scholars, Remaking Medicaid offers a vision of the future to which conscientious policymakers and provider organizations, working together, can aspire.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author: Jennifer Baldwin
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 110
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Book Description
