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  • Paying for Medicare: The Politics of Reform

    Paying for Medicare by Smith, David G.;

    The Politics of Reform

    Series: Social Institutions and Social Change Series;

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    Product details:

    • Edition number 1
    • Publisher Routledge
    • Date of Publication 31 December 1992
    • Number of Volumes Paperback

    • ISBN 9780202303949
    • Binding Paperback
    • See also 9780202303932
    • No. of pages286 pages
    • Size 229x152 mm
    • Weight 385 g
    • Language English
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    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

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    Long 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.

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    Table of Contents:

    Acknowledgments1 IntroductionThe Policy Environment2 Prospective Payment System: DevelopmentHospital Cost ContainmentA Decisive Turning PointA Decade of DevelopmentDeveloping a ProposalLegislating the Prospective Payment SystemInitial ImplementationChronology: Prospective Payment SystemNotes3 Prospective Payment System: ImplementationImplementation ActivitiesSubstantive PolicyPPS: The FutureChronology: ImplementationNotes4 Physician Payment Reform: BackgroundMedicare: Early ImplementationThe Reagan AdministrationAction by CongressChronological: Physicians Payment: BackgroundNotes5 Physicians Payment: Designing the SystemIntroduction— The PPRCPolitics and the DeficitElements of a Fee ScheduleLegislating the Medicare Fee ScheduleChronology: Physician Payment: Designing the SystemNotes6 ConclusionTwo Payment Reforms: Alike and Not AlikeMedicare and the American Political SystemNotesGlossaryTermsMajor LegislationSelected BibliographyIndex

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