Redesigning the Medicare Contract

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Author :
Publisher : University of Chicago Press
ISBN 13 : 9780226470344
Total Pages : 290 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis Redesigning the Medicare Contract by : Edward F. Lawlor

Download or read book Redesigning the Medicare Contract written by Edward F. Lawlor and published by University of Chicago Press. This book was released on 2003-12-06 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent debates on Medicare reform focus on prescription drug coverage, expanding managed-care choices, or technical issues of payment policy. Despite all the heat generated by these issues, Edward F. Lawlor's new book, Redesigning the Medicare Contract, demonstrates that fundamental questions of purpose and policy design for Medicare have been largely ignored. Challenging conventional ideas, Lawlor suggests that we look at Medicare as a contract between the federal government, the program's beneficiaries, and health care providers. Medicare reform, then, would involve rewriting this contract so that it more successfully serves the interests of both beneficiaries and taxpayers. To do this, Lawlor argues that we must improve the agency of the program—the informational, organizational, and incentive elements that assure Medicare program carries out beneficiary and taxpayer interests in providing the most appropriate, high-quality care possible. The book includes a chapter devoted solely to concepts and applications that give definition to this brand of agency theory. Lawlor's innovative agency approach is matched with lucid explanation of the more comprehensive groundwork in the history and politics of the Medicare program. Lawlor's important and timely book reframes the Medicare debate in a productive manner and effectively analyzes alternatives for reform. Lawlor argues that effective policy design for Medicare requires greater appreciation of the vulnerability of beneficiaries, the complexity of the program itself, its wide geographical variations in services and financing, and the realistic possibilities for government and private sector roles. Tackling difficult problems like end-of-life and high-tech care—and offering sensible solutions—Redesigning the Medicare Contract will interest political scientists, economists, policy analysts, and health care professionals alike.

Medicare's Quality Improvement Organization Program

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Author :
Publisher : National Academies Press
ISBN 13 : 0309101085
Total Pages : 543 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicare's Quality Improvement Organization Program by : Institute of Medicine

Download or read book Medicare's Quality Improvement Organization Program written by Institute of Medicine and published by National Academies Press. This book was released on 2006-09-17 with total page 543 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare's Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement Organization (QIO) program and its potential to promote quality improvement within a changing health care delivery environment that includes standardized performance measures and new data collection and reporting requirements. This book carefully examines the QIOs that serve every state as well as the national program that guides and supports them. In addition, it highlights the important roles that a national program with private organizations in each state can play in promoting higher quality care. Medicare's Quality Improvement Organization Program looks closely at the technical assistance role of the QIO program and the need to encourage and support providers to improve their performance. By providing an in-depth assessment of the federal experience with quality improvement and recommendations for program improvement, this book helps point the way for those who strive to create higher quality and better value in health care. Intended for multiple audiences, Medicare's Quality Improvement Organization Program is essential reading for members of Congress, the federal executive branch, the QIOs, health care providers and clinicians, and stakeholder groups.

Medicare : Uncertainties Surround Proposal to Expand Prepaid Health Plan Contracting

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Author :
Publisher :
ISBN 13 :
Total Pages : 22 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicare : Uncertainties Surround Proposal to Expand Prepaid Health Plan Contracting by : United States. General Accounting Office

Download or read book Medicare : Uncertainties Surround Proposal to Expand Prepaid Health Plan Contracting written by United States. General Accounting Office and published by . This book was released on 1987 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The New Medicare Law

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Publisher :
ISBN 13 :
Total Pages : 464 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The New Medicare Law by : Jerrold J. Hercenberg

Download or read book The New Medicare Law written by Jerrold J. Hercenberg and published by . This book was released on 1989 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Designing a Premium Support System for Medicare

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Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Designing a Premium Support System for Medicare by : Lyle Nelson

Download or read book Designing a Premium Support System for Medicare written by Lyle Nelson and published by . This book was released on 2006 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: And introduction -- Traditional Medicare and private health plans -- Issues in designing a premium support system for Medicare -- Health care systems that are similar to premium support -- Potential effects of selected approaches to premium support -- Technical aspects of the analysis -- Supplementary tables.

Issues in Designing a Prescription Drug Benefit for Medicare

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Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Issues in Designing a Prescription Drug Benefit for Medicare by :

Download or read book Issues in Designing a Prescription Drug Benefit for Medicare written by and published by . This book was released on 2002 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:

ADP Modernization

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Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis ADP Modernization by : United States. General Accounting Office

Download or read book ADP Modernization written by United States. General Accounting Office and published by . This book was released on 1989 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Rewarding Provider Performance

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Publisher : National Academies Press
ISBN 13 : 9780309102162
Total Pages : 282 pages
Book Rating : 4.1/5 (21 download)

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Book Synopsis Rewarding Provider Performance by : Institute of Medicine

Download or read book Rewarding Provider Performance written by Institute of Medicine and published by National Academies Press. This book was released on 2007-02-17 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

Shredding the Social Contract

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Author :
Publisher :
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Shredding the Social Contract by : John P. Geyman

Download or read book Shredding the Social Contract written by John P. Geyman and published by . This book was released on 2006 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Encyclopedia of Health Services Research

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Author :
Publisher : SAGE
ISBN 13 : 1412951798
Total Pages : 1457 pages
Book Rating : 4.4/5 (129 download)

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Book Synopsis Encyclopedia of Health Services Research by : Ross M. Mullner

Download or read book Encyclopedia of Health Services Research written by Ross M. Mullner and published by SAGE. This book was released on 2009-05-20 with total page 1457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Within two volumes, more than 400 signed entries and their associated bibliographies and recommended readings authoritatively cover issues in both the historical and contemporary context of health services research.

Health Care Politics, Policy, and Services

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Publisher : Springer Publishing Company
ISBN 13 : 0826104797
Total Pages : 364 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Health Care Politics, Policy, and Services by : Gunnar Almgren, MSW, PhD

Download or read book Health Care Politics, Policy, and Services written by Gunnar Almgren, MSW, PhD and published by Springer Publishing Company. This book was released on 2006-11-07 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! Winner of an AJN Book of the Year Award! Who Has a Right to Health Care? What Is the Government's Role in Providing Accessible Health Care? How Are Corporations, Insurance Companies, and Health Care Providers Affecting the Quality of Health Care? And, Most Importantly, Can We Reform the U.S. Health Care System? We often debate these issues in health care policy or public health courses, yet we do so without the proper knowledge of the underlying structure of the U.S. health care system--or a framework by which it can be judged. Many health care workers entering the system are ill-equipped to address the issues faced in direct health care practice, in part because they have no ability to evaluate it. In this innovative text, Gunnar Almgren provides all the tools necessary to understand and critique a health care policy in dire need of change. First, he describes the historical evolution of U.S. health care, explaining how the early roles of hospitals, doctors, and nurses still influence today's system. He explains the complex financial aspects of health care, including the concerns of all its major stakeholders. He looks at the government's role in regulating and funding health care, and how that role has expanded and contracted through various political administrations. An entire chapter describes the facilities and services available for the elderly--an issue that will continue to rise in importance as America ages. Finally, he examines the many causes of disparities in the U.S. health care system. In addition, Almgren offers a unique social justice analysis as a framework by which the current system--and proposed reforms--can be judged. By analyzing the health care system through various models of social justice, we can begin to understand and address the urgent issues of economic, racial, and geographic disparities that plague our current system. With its clear, thorough, and comprehensive coverage of U.S. health care, this unique text is accessible to all those in public health, nursing, social work, public policy, or public administration. No other book addresses the underlying issues of the U.S. health care system alongside a variety of social justice models that we can use to evaluate, and perhaps eventually, change it.

A Republic No More

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Author :
Publisher : Encounter Books
ISBN 13 : 1594038686
Total Pages : 408 pages
Book Rating : 4.5/5 (94 download)

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Book Synopsis A Republic No More by : Jay Cost

Download or read book A Republic No More written by Jay Cost and published by Encounter Books. This book was released on 2016-07-12 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: After the Constitutional Convention, Benjamin Franklin was asked, “Well, Doctor, what have we got—a Republic or a Monarchy?” Franklin’s response: “A Republic—if you can keep it.” This book argues: we couldn’t keep it. A true republic privileges the common interest above the special interests. To do this, our Constitution established an elaborate system of checks and balances that disperses power among the branches of government, which it places in conflict with one another. The Framers believed that this would keep grasping, covetous factions from acquiring enough power to dominate government. Instead, only the people would rule. Proper institutional design is essential to this system. Each branch must manage responsibly the powers it is granted, as well as rebuke the other branches when they go astray. This is where subsequent generations have run into trouble: we have overloaded our government with more power than it can handle. The Constitution’s checks and balances have broken down because the institutions created in 1787 cannot exercise responsibly the powers of our sprawling, immense twenty-first-century government. The result is the triumph of special interests over the common interest. James Madison called this factionalism. We know it as political corruption. Corruption today is so widespread that our government is not really a republic, but rather a special interest democracy. Everybody may participate, yes, but the contours of public policy depend not so much on the common good, as on the push-and-pull of the various interest groups encamped in Washington, DC.

Handbook of Health Social Work

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119420733
Total Pages : 640 pages
Book Rating : 4.1/5 (194 download)

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Book Synopsis Handbook of Health Social Work by : Sarah Gehlert

Download or read book Handbook of Health Social Work written by Sarah Gehlert and published by John Wiley & Sons. This book was released on 2019-07-09 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: The updated third edition of the definitive text on health social work Thoroughly revised and updated, the third edition of Handbook of Health Social Work is an authoritative text that offers a comprehensive review of the diverse field of health social work. With contributions from a panel of international experts in the field, the book is theory driven and solidly grounded in evidence-based practice. The contributors explore both the foundation of social work practice and offer guidance on effective strategies, policies, and program development. The text provides information that is essential to the operations of social workers in health care including the conceptual underpinnings and the development of the profession. The authors explore the practice issues such as theories of health behavior, assessment, communication and the intersections between health and mental health. The authors also examine a wide range of examples of social work practices including settings that involve older adults, nephrology, oncology, and chronic diseases such as diabetes, heart disease, HIV/AIDS, genetics, end of life care, pain management and palliative care, as well as alternative treatments, and traditional healers. This is the only handbook of its kind to unite the body of health social work and: • Offers a wellness, rather than psychopathological perspective and contains treatment models that are evidence-based • Includes learning exercises, further resources, research suggestions, and life-course information. • Contains new chapters on topics such as international health, insurance and payment systems, and implementation of evidence-based practice • Presents information on emerging topics such as health policy in an age of reform, and genomics and the social environment • Reviews new trends in social work and health care including genetics, trans-disciplinary care, and international, national, and state changes in policy Written for social work educators, administrators, students, and practitioners, the revised third edition of Handbook of Health Social Work offers in one volume the entire body of health social work knowledge.

Boomer Bust?

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Publisher : Bloomsbury Publishing USA
ISBN 13 : 027599550X
Total Pages : 572 pages
Book Rating : 4.2/5 (759 download)

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Book Synopsis Boomer Bust? by : Robert B. Hudson

Download or read book Boomer Bust? written by Robert B. Hudson and published by Bloomsbury Publishing USA. This book was released on 2008-11-03 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seventy-six million Baby Boomers are careening toward retirement in the United States. Demographic shifts toward aging populations are taking place around the Western world, as a variety of factors—biological, technological, medical, and sociocultural—are extending life spans. Meanwhile, birth rates are declining. The scaremongers argue that this generational shift is going to be disastrous: It will result in skyrocketing tax rates, lower retirement and health benefits, higher inflation, increased unemployment and poverty, political instability, and a host of other societal ills. But will it? In Boomer Bust?, Robert Hudson assembles leading authors from fields such as economics, political science, and finance to separate fact from fiction, highlight the terms of debate, and showcase innovative policies that will prevent disaster from occurring. From topics like Social Security to older people rejoining the workforce to the elderly as a political lobby, this two-volume set covers the gamut of economic, political, financial, and business issues related to aging. The Boomer generation will leave one of the largest footprints the world has yet seen. In retirement, as in all else, this generation is blazing a path affecting succeeding generations profoundly. Boomer Bust? charts a path through the thicket of personal and public policy choices facing not just Baby Boomers but all of society.

Medicare Governance

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Publisher :
ISBN 13 :
Total Pages : 182 pages
Book Rating : 4.:/5 (51 download)

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Book Synopsis Medicare Governance by : United States. Congress. Senate. Committee on Finance

Download or read book Medicare Governance written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2001 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The CMS Hospital Conditions of Participation and Interpretive Guidelines

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Author :
Publisher :
ISBN 13 : 9781683086857
Total Pages : 546 pages
Book Rating : 4.0/5 (868 download)

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Book Synopsis The CMS Hospital Conditions of Participation and Interpretive Guidelines by :

Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

Get What's Yours for Medicare

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Author :
Publisher : Simon and Schuster
ISBN 13 : 1501124013
Total Pages : 304 pages
Book Rating : 4.5/5 (11 download)

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Book Synopsis Get What's Yours for Medicare by : Philip Moeller

Download or read book Get What's Yours for Medicare written by Philip Moeller and published by Simon and Schuster. This book was released on 2016-10-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money. Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance. Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules? Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.