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Managed Care



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
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
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
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
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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