Author : Jennifer Stuber
Publisher :
Page : 36 pages
File Size : 29,76 MB
Release : 2001
Category : Managed care plans (Medical care)
ISBN :
Author : William J. Scanlon
Publisher : DIANE Publishing
Page : 70 pages
File Size : 33,77 MB
Release : 2001-04
Category : Medical
ISBN : 9780756708931
Following the implementation of Medicare+Choice, many health care plans terminated their contracts & fully withdrew from the program or partially withdrew by reducing the geographic areas they served, & more have announced that they will withdraw for the 2001 contract year. This report (1) determines the geographic distribution & the distribution among plans of enrollees affected by the recent plan withdrawals, (2) identifies the factors associated with plans that terminated or reduced their participation in the program, & (3) examines the likely role of payment rates in affecting plans' decisions. Analyzes enrollment & plan participation data. Tables.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 161 pages
File Size : 41,44 MB
Release : 2018-04-02
Category : Medical
ISBN : 030946921X
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 : Institute of Medicine
Publisher : National Academies Press
Page : 213 pages
File Size : 28,22 MB
Release : 2002-06-20
Category : Medical
ISBN : 0309083435
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 : Institute of Medicine
Publisher : National Academies Press
Page : 240 pages
File Size : 18,4 MB
Release : 1993-02-01
Category : Medical
ISBN : 0309047420
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Author : Institute of Medicine
Publisher : National Academies Press
Page : 536 pages
File Size : 49,74 MB
Release : 2003-02-01
Category : Medical
ISBN : 0309133181
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author :
Publisher :
Page : 614 pages
File Size : 22,5 MB
Release : 2004
Category : Medical care
ISBN :
Author : Institute of Medicine
Publisher : National Academies Press
Page : 206 pages
File Size : 36,47 MB
Release : 2003-05-21
Category : Medical
ISBN : 0309168880
The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.
Author : Charlene Harrington
Publisher : Jones & Bartlett Publishers
Page : 483 pages
File Size : 34,75 MB
Release : 2008
Category : Business & Economics
ISBN : 0763746576
The Fifth Edition of this best-selling health policy text is updated with a collection of new articles on various health policies. Health Policy provides a basic overview of the health policy and political process as it relates to thte health status of the US, the organization and issues of the healthcare system, and healthcare economics.
Author : Institute of Medicine
Publisher : National Academies Press
Page : 384 pages
File Size : 26,12 MB
Release : 1996-11-01
Category : Medical
ISBN : 0309175364
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
