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Health Care Financing Review最新文献

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End of life Medicare and Medicaid expenditures for dually eligible beneficiaries. 为双重合格受益人提供的临终医疗保险和医疗补助支出。
Health Care Financing Review Pub Date : 2006-01-01
Korbin Liu, Joshua M Wiener, Marlene R Niefeld
{"title":"End of life Medicare and Medicaid expenditures for dually eligible beneficiaries.","authors":"Korbin Liu,&nbsp;Joshua M Wiener,&nbsp;Marlene R Niefeld","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1995, combined Medicare and Medicaid spending in the last year of life for dually eligible beneficiaries was more than $40,000 per beneficiary. Medicaid's share, primarily for long-term care (LTC), constituted about 40 percent of the total. Beneficiaries under age 65, Black persons, and individuals who died in a hospital had higher than average expenditures. The vast majority (86 percent) received some form of supportive services (nursing home, home care, hospice services). It is critical that policy deliberations consider both acute and LTC use concurrently because of their extensive use by dually eligible beneficiaries, as well as the interaction of the two funding sources (Medicare and Medicaid) that cover them.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 4","pages":"95-110"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Origins and elaboration of the national health accounts, 1926-2006. 1926-2006年国家卫生帐户的起源和编制。
Health Care Financing Review Pub Date : 2006-01-01
Bruce Fetter
{"title":"Origins and elaboration of the national health accounts, 1926-2006.","authors":"Bruce Fetter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Health Statistics Group (NHSG) has managed to keep the national health accounts (NHA) apolitical and highly respected. NHSG strategies have included the careful acquisition and presentation of statistics relating to health costs and payers; the use of scholarly journals to disseminate ideas to other government offices and, beyond them, to industry, labor, the professions, and universities; and the promotion of cooperation with related U.S., statistical agencies, provider groups, contractors, and international organizations. Responding to an increasingly complex system of third-party payers in the U.S. health system and controversies over methods, the NHA has continually evolved to meet the demands of health care decisionmakers. Historically, these dialogues have forced health accountants to refine their methods to ensure that their portrayal of spending and financing trends presents information that can inform the decisionmaking process in a non-partisan way.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"28 1","pages":"53-67"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare beneficiaries' use of computers and internet: 1998-2005. 医疗保险受益人使用电脑和互联网:1998-2005。
Health Care Financing Review Pub Date : 2006-01-01
Ronnie L Tan
{"title":"Medicare beneficiaries' use of computers and internet: 1998-2005.","authors":"Ronnie L Tan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"28 2","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26660550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HMO penetration, hospital competition, and growth of ambulatory surgery centers. HMO的渗透、医院竞争和门诊手术中心的增长。
Health Care Financing Review Pub Date : 2006-01-01
John Bian, Michael A Morrisey
{"title":"HMO penetration, hospital competition, and growth of ambulatory surgery centers.","authors":"John Bian,&nbsp;Michael A Morrisey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Using metropolitan statistical area (MSA) panel data from 1992-2001 constructed from the 2002 Medicare Online Survey Certification and Reporting (OSCAR) System, we estimate the market effects of health maintenance organization (HMO) penetration and hospital competition on the growth of freestanding ambulatory surgery centers (ASCs). Our regression models with MSA and year fixed effects suggest that a 10-percentage-point increase in HMO penetration is associated with a decrease of 3 ASCs per 1 million population. A decrease from 5 to 4 equal-market-shared hospitals in a market is associated with an increase of 2.5 ASCs per 1 million population.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 4","pages":"111-22"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of SCHIP in serving children with special health care needs. 儿童健康保险计划在服务有特殊保健需要的儿童方面的作用。
Health Care Financing Review Pub Date : 2006-01-01
Hao Yu, Andrew W Dick, Peter G Szilagyi
{"title":"Role of SCHIP in serving children with special health care needs.","authors":"Hao Yu,&nbsp;Andrew W Dick,&nbsp;Peter G Szilagyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this article is to provide new information about two policy issues: (1) Is the State Children's Health Insurance Program (SCHIP) an important source of health insurance for children with special health care needs (CSHCN)? and (2) Does SCHIP provide CSHCN with better access to care, compared with other insurance coverage? Using the 2001 National Survey of CSHCN, we found that a limited fraction of CSHCN were eligible for SCHIP while a relatively small proportion of SCHIP-eligible CSHCN were uninsured. Access to care for CSHCN under SCHIP was better than those SCHIP-eligible but uninsured, and similar to those income-eligible for SCHIP but privately insured.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"28 2","pages":"53-64"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26660551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resource utilization and costs of age-related macular degeneration. 老年性黄斑变性的资源利用和成本。
Health Care Financing Review Pub Date : 2006-01-01
Michael T Halpern, Jordana K Schmier, David Covert, Krithika Venkataraman
{"title":"Resource utilization and costs of age-related macular degeneration.","authors":"Michael T Halpern,&nbsp;Jordana K Schmier,&nbsp;David Covert,&nbsp;Krithika Venkataraman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data were analyzed from the 1999-2001 Medicare Beneficiary Encrypted Files for patients with age-related macular degeneration (AMD), an ophthalmic condition characterized by central vision loss. Classifying AMD subtype by International Classification of Diseases, Ninth Revision, Clinical Modifications (ICD-9-CM) (Centers for Disease Control and Prevention, 2003) code, resource utilization rates increased with disease progression. Individuals with more severe disease (wet only or wet and dry AMD) had greater costs than did those with less severe disease (drusen only or dry only). Costs among patients with wet disease increased yearly at rates exceeding inflation, possibly due in part to increased rates of treatment with photodynamic therapy among these individuals and the aging of the population.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 3","pages":"37-47"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of nonresponse on Medicare Current Beneficiary Survey estimates. 无响应对医疗保险当前受益人调查估计值的影响。
Health Care Financing Review Pub Date : 2006-01-01
John Kautter, Galina Khatutsky, Gregory C Pope, James R Chromy, Gerald S Adler
{"title":"Impact of nonresponse on Medicare Current Beneficiary Survey estimates.","authors":"John Kautter, Galina Khatutsky, Gregory C Pope, James R Chromy, Gerald S Adler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare Current Beneficiary Survey (MCBS) has been used by policymakers and research analysts to provide information on a wide array of topics about the Medicare Program. Nonresponse bias is potentially one of the most important threats to the validity of the estimates from the MCBS. In this article we present results of our methodological study that analyzes the impact of nonresponse on MCBS estimates, including initial round unit nonresponse, panel attrition, and item nonresponse. Our findings indicate that for most of the measures studied, the bias caused by differences between nonrespondents and respondents in the MCBS was substantially reduced or eliminated by the nonresponse procedures currently employed.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 4","pages":"71-93"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing colorectal cancer testing: translating physician interventions into population-based practice. 增加结直肠癌检测:将医生干预转化为基于人群的实践。
Health Care Financing Review Pub Date : 2006-01-01
Anna P Schenck, Sharon Peacock, Michael Pignone, Eric Jackson, Nelson Gunter, Carrie N Klabunde
{"title":"Increasing colorectal cancer testing: translating physician interventions into population-based practice.","authors":"Anna P Schenck,&nbsp;Sharon Peacock,&nbsp;Michael Pignone,&nbsp;Eric Jackson,&nbsp;Nelson Gunter,&nbsp;Carrie N Klabunde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Colorectal cancer (CRC) screening in the Medicare population remains low despite Medicare coverage. We describe a population-based effort to increase CRC testing of Medicare enrollees in two States through promotion and distribution of office-based tools to primary care physicians and gastroenterologists. Small increases in colonoscopy test use by primary care physicians were observed, but the differences were not statistically significant. Results in one State were stronger than the other, and two components of the intervention appeared more promising than others. Use of CRC tests can be increased, but additional approaches are needed.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 3","pages":"25-35"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alcohol consumption in older adults and Medicare costs. 老年人饮酒与医疗保险费用
Health Care Financing Review Pub Date : 2006-01-01
Kenneth J Mukamal, Thomas Lumley, Russell V Luepker, Pauline Lapin, Murray A Mittleman, A Marshall McBean, Rosa M Crum, David S Siscovick
{"title":"Alcohol consumption in older adults and Medicare costs.","authors":"Kenneth J Mukamal,&nbsp;Thomas Lumley,&nbsp;Russell V Luepker,&nbsp;Pauline Lapin,&nbsp;Murray A Mittleman,&nbsp;A Marshall McBean,&nbsp;Rosa M Crum,&nbsp;David S Siscovick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We determined the relationship of alcohol consumption and Medicare costs among 4,392 participants in the Cardiovascular Health Study (CHS), a longitudinal, population-based cohort study of adults age 65 or over in four U.S. communities. We assessed 5-year Parts A and B costs and self-reported intake of beer, wine, and liquor at baseline. Among both sexes, total costs were approximately $2,000 lower among consumers of > 1-6 drinks per week than abstainers. The lower costs associated with moderate drinking were most apparent among participants with cardiovascular disease (CVD) and for hospitalization costs for CVD among healthy participants. Former drinkers had the highest costs.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 3","pages":"49-61"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends and current drug utilization patterns of Medicaid beneficiaries. 医疗补助受益人的趋势和当前药物使用模式。
Health Care Financing Review Pub Date : 2006-01-01
Terry R Lied, Julio Gonzalez, Wendy Taparanskas, Tejas Shukla
{"title":"Trends and current drug utilization patterns of Medicaid beneficiaries.","authors":"Terry R Lied,&nbsp;Julio Gonzalez,&nbsp;Wendy Taparanskas,&nbsp;Tejas Shukla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study used national Medicaid data from 1994-2003 to investigate trends in noninstitutional drug utilization and expenditures in the Medicaid Program. We found that there was a substantial increase in both drug utilization and expenditures during this timeframe. Increased utilization resulted from increases in Medicaid enrollment, the mean number of prescriptions per enrollee, mean nominal and inflation-adjusted reimbursement per prescription, and the tendency for increased use of more expensive drugs. The top 40 drugs accounted for nearly $14.4 billion, roughly 43 percent of the total drug reimbursements for calendar year (CY) 2003.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"27 3","pages":"123-32"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26544783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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