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Medicare Advantage Company Ejected From Program For First Time - Huffingtonpost.com
One of the central GOP objections to health care reform is that the Democratic plan cuts "half a billion dollars from Medicare." That's a reference to cuts to Medicare Advantage, the privatized Medicare delivery system -- reform aims to reduce the ...
Publ.Date : Tue, 09 Mar 2010 20:56:00 GMT

Five Questions About President Obama's Proposed Changes To The ... - Kaiser Health News
Should affluent Americans have to pay Medicare payroll tax on their investment income? President Barack Obama, to help pay for his health care overhaul package, is proposing that high-income Americans pay Medicare taxes on the money they make on ...
Publ.Date : Tue, 09 Mar 2010 21:46:00 GMT

Medicare for all- Simple Public Option Bill - 4 pages - Democratic Underground.com
Congressman Alan Grayson, D-Fla., today introduced a bill (H.R. 4789) which would give the option to buy into Medicare to every citizen of the United States. The “Public Option Act,” also known as the “Medicare You Can Buy Into Act,” would ...
Publ.Date : Wed, 10 Mar 2010 02:47:00 GMT

Rural Health Clinics: Answer to Medicare Crisis? - KFDA
Claude, Texas - It's one of the most hotly contested issues among our area's oldest residents... And now there may be an answer to problems with medicare coverage. That answer can be found at the clinic in Claude, along with about half a dozen other ...
Publ.Date : Wed, 10 Mar 2010 00:52:00 GMT

Medicare terminates contract with Fox; 3,000 enrollees in Hawaii ... - Honolulu Advertiser
HONOLULU — Medicare has terminated its contract with Fox Insurance Co.'s drug plan. The Centers for Medicare and Medicaid Services said Tuesday that it determined the plan's deficiencies jeopardized the health and safety of Fox enrollees, including ...
Publ.Date : Tue, 09 Mar 2010 23:26:00 GMT

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Higher Medicaid Payments are Good, but Not Great

by Jill Yablonski

Increased Medicaid payments can improve access and care for beneficiaries, but the effects are not dramatic.

(PRWEB) June 4, 2005 -- A study published in the current issue of Health Services Research re-examines the effects of Medicaid payment generosity on access and care. The authors found that higher payments improve the probability of adult beneficiaries having at least one doctor/healthcare professional visit in a year, but does not affect their use of the emergency department or dentist. Among the adult population, higher payments also lead to increased beneficiary satisfaction and better communication between doctors and patients. There was no effect to the preventative care or immediate medical care among children. The results show, the limited impact of Medicaid rates on beneficiary access and use suggests that modest pay cuts might be an appropriate policy option when state budgets get tight, co-author Stephen Zuckerman explains.

The authors examined the National Surveys of Americas Families for years 1997, 1999, and 2002 and the Urban Institute Medicaid capitation rate surveys. The authors conclude that states that are able and willing to set higher payment rates can enhance Medicaid for their beneficiaries and increase its attractiveness to potential employees. However, given the limited impact of rates on access and use, modest pay cuts may also be an option that will not adversely affect users when state budgets tighten. Fees can be reduced by five to ten percent without serious, negative results. In all cases where we detected significant payment effects, we found that higher rates improved access and use for Medicaid beneficiaries, state the authors.    

This study is publishing in the latest issue of Health Services Research. Media wishing to receive a PDF, please contact e-mail protected from spam bots

Health Services Research (HSR) provides those engaged in research, public policy formulation, and health services management with the latest findings, methods, and thinking on important policy and practice issues. HSR is published by the Health Research and Educational Trust in cooperation with AcademyHealth.

Stephen Zuckerman is a principal research associate in the Health Policy Center at the Urban Institute. During his twenty years as a health economist, he has studied issues related to physician payment, hospital rate setting, insurance coverage and market reforms, the health care safety net, and medical malpractice.

Dr. Zuckerman is available for questions and interviews.

http://www.blackwellpublishing.com/hsr

 

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Managed Care magazine
A guide for health plan executives and physicians on capitation and other health
insurance and delivery issues.

National Health Information's Managed Care Library
Publisher of specialized, targeted information for health care executives on a
variety of topics, from capitation to disease management.

HRSA Center for Managed Care
To enable HRSA's providers, programs, and other safety-net providers to effectively
participate in managed care systems so that they can meet the health care ...

AMCP.org - Academy of Managed Care Pharmacy
A national professional society dedicated to the concept and practice of
pharmaceutical care in managed health care environments.

Managed Care On-Line
Information resources for professionals involved with managed care.

Managed Care and Healthcare Terminology
Hundreds of managed healthcare definitions.

Managed Care Jokes
Humorous stories and jokes about the business side of medicine.

HealthWorld Online - Home of Self-Managed Care - Healthy Living ...
Mega site of resource on wellness, natural health, traditional, complementary
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CCN
[USA] Offers national provider networks and clinical management services in group
health, auto injury management, and workers' compensation.

AMERICAN ASSOCIATION OF MANAGED CARE NURSES
Established in 1994 in response to an identified need to educate nurses about
managed healthcare. Membership, chapter, certification and conference information.

 

 

 

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