Reform of the Medicare AAPCC: learning from previous proposals
Article Abstract:
The blended rate increases in the proposed reform of the average adjusted per capita cost in health care contribution in Medicare have several deficiencies. One is in the lack of risk adjustment for beneficiaries opting for fee-for-service plans or health maintenance organizations. Another is its implication of raising plan payment levels in the rural areas, which will not shift enrollment in Medicare to private plans.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1998
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The failed conversion of CareFirst BlueCross BlueShield to for-profit status: part 1, the whole story
Article Abstract:
The details of CareFirst's failed attempt to convert to for-profit status and be acquired by the for-profit company, Wellpoint Health Networks, Inc. are discussed. The case study is used as an example to translate these details into lesson for other states and all types of nonprofit health care organizations.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2004
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Government as reinsurer: potential impacts on public and private spending
Article Abstract:
The government on taking over the responsibility of paying reinsurance has the chance of incurring losses. The study shows that lower the threshold, higher is the overall expenditure.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2004
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- Abstracts: Risk adjustment for the Medicare program: lessons learned from research and demonstrations. The cost effectiveness of post-acute care for elderly Medicare beneficiaries
- Abstracts: Purchasing health care services from providers with unknown altruism. GPs' payment contracts and their referral practice
- Abstracts: The consequences of paying Medicare managed care plans their costs. Using encounter data from Medicaid HMOs for research and monitoring
- Abstracts: Health care: a leader or a follower? Reducing disposable waste. Environmental laws in health care
- Abstracts: The potential for marketing in the clinical services area. Market signaling for physicians. A hybrid approach for managing a medical record facility information system