Health Care Financing Review

Publication covering business and finance issues in the health care industry.

Articles from Vol. 22, No. 4, Summer

Access to Care and Use of Health Services by Low-Income Women
INTRODUCTION The Medicaid program is an important source of insurance coverage for low-income women. In 1997, 19.0 percent of low-income women, that is those with incomes below 200 percent of the Federal poverty level (FPL), had Medicaid coverage,...
ACHCA Membership and Certification Linked to High-Quality Care
In a recently released study of 17,000 nursing homes, investigators found a strong association between membership in the American College of Health Care Administrators (ACHCA) and a higher quality of care on their annual State surveys. ACHCA is the...
Administrator's Decisions
Numeric Index of Administrator's Final Decisions Rendered on Review of PRRB Decisions--October 1, 2000 through June 30, 2001 2000-D80 California Hospitals 90-91 Outpatient Crossover Bad Debts Group-Crossover bad debts ...
An Overview: Expanding the Women's Health Research Frontier
BACKGROUND The health of women of all ages is a priority for the Nation. With the release of the Department of Health and Human Services' (DHHS) Healthy People 2010 report (U.S. Department of Health and Human Services, 2000), there is a national...
Consumer Research on Messages to Prevent Medical Errors
INTRODUCTION Are Medicare beneficiaries able to play an active role in preventing medical errors? In response to the Institute of Medicine's report documenting the prevalence of medical errors, the Federal Government has begun to develop messages...
Factors Affecting Physician Provision of Preventive Care to Medicaid Children
INTRODUCTION Medicaid is known to increase beneficiary access, but this depends critically on a supply of providers in office as well as clinic settings in the areas in which enrollees reside. This is especially true for Medicaid children, who have...
Factors Influencing Mammography Use among Women in Medicare Managed Care
INTRODUCTION In the continuing effort to understand factors that facilitate or act as barriers to older women's use of mammography screening, especially under managed care, and to develop interventions that will address these concerns, a mail survey...
Genetic Testing Explored in Congressional Briefing
The American Association for the Advancement of Science (AAAS) led a briefing on Capitol Hill on June 13 to examine concerns that genetic information could be used to discriminate unfairly against people, particularly those seeking employment and insurance...
Global AIDS Program Expanded to Caribbean and Latin America
CDC will expand its Global AIDS Program to address the HIV/AIDS epidemic in the Caribbean and Latin America. The announcement was made by HHS Secretary Thompson following a June meeting with Sir George Alleyne, director of the Pan American Health Organization...
Health Care Executives Honor Book and Article of Year
Carson F. Dye recently was awarded the American College of Healthcare Executives (ACHE) 2001 James A. Hamilton book of the year award for Leadership in Healthcare: Values at the Top. The award is given annually to the author or authors of a management...
Health Disparities among Older Women Enrolled in Medicare Managed Care
INTRODUCTION The Medicare Health Outcomes Survey (HOS) provides comprehensive information about the health and functional status of Medicare beneficiaries enrolled in Medicare managed care organizations. The survey's core instrument contains items...
HHS Launches Diabetes Education Program for Older Americans
The National Diabetes Education Program (NDEP), a joint Federal program run by the NIH and the CDC, has joined forces with CMS to help older adults understand that routine self-monitoring of blood sugar levels can help delay or prevent the complications...
Hospital Stays Shorten, with Heart Disease Leading Hospitalization Cause
The latest data on national trends in hospitalization show that the number of hospital discharges stabilized during the 1990s--after peaking in the early 1980s--but that the average length of a hospital stay continued to decline over the past decade....
Mammography Rescreening among Older California Women
INTRODUCTION Breast cancer incidence and mortality increase as women age (Kerlikowske et al., 1996). Women age 65 or over are more likely to be diagnosed with and to die of breast cancer than younger women. Regular mammography screening has been...
Medicare Hospital Insurance Solvency Looks Good Only Short-Term
The Medicare trustees recently delivered their annual reports on the fiscal health of the Medicare trust funds, finding that longterm trends are leading toward a much larger gap than previously projected between revenues and spending for Medicare....
Medicare's Competitive Bidding Demonstration for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Legislative Mandate Section 4319 of Public Law 105-33, the Balanced Budget Act of 1997 (BBA 1997), directs the Secretary of Health and Human Services to report annually on the impact of competitive bidding projects authorized in the BBA. This report...
National Health Expenditures, 1999
INTRODUCTION In this article, we present historical health spending in the United States using a matrix structure to describe trends in the size, growth, and distribution of health care expenditures for the period 1960-1999. This matrix represents...
Report Identifies States with Highest Rate of Tuberculosis
The number of new tuberculosis (TB) cases reported in the United States declined by 7 percent from 1999 to 2000, continuing an 8-year downward trend since the TB epidemic peaked in 1992, according to final data released in June by the CDC. A total...
Satisfaction with Health Care of Dually Eligible Older Beneficiaries
INTRODUCTION Federal and State health policymakers face a significant challenge in purchasing high quality, cost efficient medical care for dually eligible older beneficiaries who receive both Medicare and Medicaid. In addition to cost efficiency...
Secretary Thompson Promotes Medicare Modernization
On a recent tour of a Fort Lauderdale nursing and rehabilitation center, Health and Human Services (HHS) Secretary Tommy G. Thompson urged support of Medicare reform and President Bush's Immediate Helping Hand (IHH) prescription drug proposal. During...
State Medicaid Programs Offering Personal Care Services
INTRODUCTION The purpose of this research was to systematically describe the two predominant means through which Medicaid participants receive personal care services: the Medicaid Title XIX PCS optional State plan benefit; and the Medicaid 1915(c)...
Trends in State Health Care Expenditures and Funding: 1980-1998
INTRODUCTION State health expenditure accounts (SHEA) are measures of personal spending for health care services and products by the State in which providers are located. Levels of spending, growth in spending over time, and the mix of services...
Use of Preventive Care Services, Beneficiary Characteristics, and Medicare HMO Performance
The superior performance of HMOs in providing preventive care--both in the population at-large (Miller and Luft, 1994), and within the elderly Medicare population (Ballard et al., 1997; Potosky et al., 1998; Retchin and Brown, 1990)--may be due to...