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Product details:
- Edition number 1
- Publisher Routledge
- Date of Publication 31 December 1991
- Number of Volumes Hardback
- ISBN 9780202303932
- Binding Hardback
- See also 9780202303949
- No. of pages277 pages
- Size 235x152 mm
- Weight 544 g
- Language English 0
Categories
Short description:
** Paying for Medicare received the American Risk and Insurance Association's Elizur Wright Award for itsoutstanding contribution to risk management and insurance literature
MoreLong description:
** Paying for Medicare received the American Risk and Insurance Association's Elizur Wright Award for itsoutstanding contribution to risk management and insurance literature.
The Prospective Payment System and the Medicare Fee Schedule, two of the most effectively sustained and successful efforts at policy innovation in history continue to shape decisions about Medicare and cost containment efforts.
Smith shows how particular policy alternatives were developed; why chosen or rejected; and how provider interests and American political institutions have shaped their design and implementation.
MoreTable of Contents:
Acknowledgments
1 Introduction
The Policy Environment
2 Prospective Payment System: Development
Hospital Cost Containment
A Decisive Turning Point
A Decade of Development
Developing a Proposal
Legislating the Prospective Payment System
Initial Implementation
Chronology: Prospective Payment System
Notes
3 Prospective Payment System: Implementation
Implementation Activities
Substantive Policy
PPS: The Future
Chronology: Implementation
Notes
4 Physician Payment Reform: Background
Medicare: Early Implementation
The Reagan Administration
Action by Congress
Chronological: Physicians Payment: Background
Notes
5 Physicians Payment: Designing the System
Introduction— The PPRC
Politics and the Deficit
Elements of a Fee Schedule
Legislating the Medicare Fee Schedule
Chronology: Physician Payment: Designing the System
Notes
6 Conclusion
Two Payment Reforms: Alike and Not Alike
Medicare and the American Political System
Notes
Glossary
Terms
Major Legislation
Selected Bibliography
Index
