检索结果-内蒙古大学图书馆

Results of the assessment of kentucky's medicaid home- and community-based services waiver

Home Health Care Services Quarterly 1991年第3期12卷 33-57页

作者： Beaulieu, Joyce E. Health Administration and Public Administration Associate Sanders-Brown Center on Aging University of Kentucky Lexington KY 40536-0080 United States

In states where a Home- and Community-based Services Waiver is operating under the medicaid program, HCFA requires an independent assessment of the program. This paper reports on two assessments of the costs and use of services under Kentucky's HCBS waiver;one comparing waiver clients to a matched control group of regular medicaid home health clients, and the other comparing elderly female waiver clients to a matched control group from nursing homes. Analyses of costs and use of home health services, hospital care, physician services, nursing home admission, and other services showed little difference between waiver clients and control groups. Waiver clients used more home health, but used other services at the same rate. Their costs were lower overall. © 1991 Taylor & Francis Group, LLC.

关键词：卡方分布费用效益分析/方法数据收集卫生服务研究/方法家庭医疗保健服务/经济学家庭医疗保健服务/统计学和数值数据家庭医疗保健服务/利用肯塔基 medicaid/统计学和数值数据 medicaid/利用医护疗养所/经济学医护疗养所/统计学和数值数据医护疗养所/利用方案评价/方法研究设计州卫生计划/经济学州卫生计划/统计学和数值数据美国老年人女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

medicaid claims data comparisons for nurse practitioners, physician assistants, and primary care physicians in New Mexico.

引用

Journal of the American Academy of Nurse Practitioners 1999年第1期11卷 3-10页

作者： Birkholz, G. Viens, D.C. College of Nursing University of New Mexico Albuquerque United States

来源：评论

学校读者我要写书评

暂无评论

Psychiatric hospitalization characteristics associated with insurance type

引用

ADMINISTRATION AND POLICY IN MENTAL HEALTH 1998年第4期25卷 437-448页

作者： Hendryx, MS DeRyan, J Washington State Univ Washington Inst Mental Illness Res & Training Spokane WA USA Washington State Univ Dept Psychol Spokane WA USA Washington State Univ Program Hlth Policy & Adm Spokane WA USA

This study examines the relationship among types of insurance and characteristics of inpatient psychiatric treatment. Data include 46,998 adult psychiatric or substance abuse cases from all 1991-1992 Washington State discharges from short-stay general hospitals. Large and significant differences among payers exist in treatment characteristics, controlling for diagnosis and patient age. For example, length of stay is longest among commercial and Medicare payers. Emergency admissions are more common among public payers, and elective admissions are more common among private payers, including HMOs, Results are discussed in light of policy and administration issues that will arise as financing for mental health services comes under greater capitation.

来源：评论

学校读者我要写书评

暂无评论

Determining cost savings from attempted cephalic version in an inner city delivering population

引用

Health Care Management Science 2000年第3期3卷 185-192页

作者： Adams, E. Kathleen Mauldin, Patrick D. Mauldin, Jill G. Mayberry, Robert M. Rollins School of Public Health Emory University Atlanta GA 30322 United States Medical University of South Carolina Charleston SC United States Medical Treatment Effectiveness Center Morehouse School of Medicine Atlanta GA United States

The use of external cephalic version (ECV) is increasingly seen as an important clinical management strategy for breech presentation infants. Currently, 75% of women with breech presentation at term undergo Cesarean delivery risking adverse outcomes and incurring higher costs. ECV, if successful, reduces the rate of breech presentation at delivery and the need for Cesarean delivery. Data from an inner-city population of delivering women were examined to determine the effectiveness of ECV among these minority, low income women. Hospital clinical and medicaid claims data for 679 deliveries with breech presentation were studied. Decision tree analysis indicated ECV was successful for 48% of those attempted. Based on amounts billed medicaid, attempting ECV reduced the use of resources by a little over $3,000 per delivery. Sensitivity analysis showed, however, that the savings may be as low as $906. Multivariate analysis confirmed the independent effect of attempting ECV on the probability of Cesarean delivery. © Baltzer Science Publishers BV.

关键词：臀先露费用节省/统计学和数值数据决策支持技术佐治亚医院市区/经济学 medicaid/统计学和数值数据妇产科医院/经济学贫困市区人口倒转术胎位/经济学女(雌)性人类妊娠

来源：评论

学校读者我要写书评

暂无评论

A RANDOMIZED TRIAL TO EVALUATE THE EFFECTIVENESS OF A medicaid HMO

引用

JOURNAL OF HEALTH ECONOMICS 1992年第3期11卷 235-257页

作者： LEIBOWITZ, A BUCHANAN, JL MANN, J RAND CORP 1700 MAIN STPOB 2138SANTA MONICACA 90407 USA

The value of health-care services used by AFDC medicaid patients receiving care in a voluntary enrollment HMO is contrasted with that of health care services used by medicaid patients receiving fee-for-service (FFS) care. The randomized assignment of medicaid recipients to the HMO or to FFS allows the authors to conclude that the apparent lower use of HMO enrollees results from the HMO's selection of patients with lower needs for care rather than from technical efficiency. Patients had lower use while in the HMO, but disenrollees and those who refused enrollment had significantly higher use than FFS participants. In contrast to the effect of HMOs on non-medicaid populations, the medicaid HMO studied provided significantly fewer outpatient services, but the same level of inpatient services as the FFS sector. Overall, voluntary enrollment of medicaid eligibles into the HMO resulted in higher state expenditures for medicaid because of favorable selection.

关键词：门诊医疗/利用按人收费卫生服务范围/经济学卫生服务范围/统计学和数值数据费用医疗健康维护组织/经济学健康维护组织/利用卫生资源/利用卫生服务研究医院/利用 medicaid/组织和管理 medicaid/统计学和数值数据 medicaid/利用多元分析试点项目回归分析美国人类

来源：评论

学校读者我要写书评

暂无评论

A time series study of the impact of eligibility expansion on medicaid financing of births

引用

Journal of Health and Social Policy 1993年第2期4卷 1-17页

作者： Mayer, J.P. Nat Assoc County Health Officials Washington D C 20001 440 First Street N W Suite 500 United States

In a major reform addressing declines in coverage over the prior decade, Congress in 1986 allowed states to expand medicaid eligibility to all pregnant women in poverty. However, at the outset of the expansions uncertainty existed as to whether eligibility expansion alone would result in greater coverage without aggressive outreach designed to bring more low-income pregnant women into the program. Using interrupted time series methods, the analyses presented in this paper show a significant increase in medicaid financing of deliveries in two states that expanded eligibility and also made efforts to simplify application procedures and publicize the expansions. Policy implications of the findings are discussed.

关键词：出生率数据收集接生产科/经济学合格鉴定/立法和法学佛罗里达 medicaid/统计学和数值数据 medicaid/利用模型理论俄勒冈贫困产前保健/经济学方案评价州卫生计划/统计学和数值数据美国女(雌)性人类妊娠

来源：评论

学校读者我要写书评

暂无评论

medicaid Formularies: A Critical Review of the Literature

引用

Journal of Pharmaceutical Marketing & Management 1988年第3期2卷 39-61页

作者： Jang, Raymond Pharmacy Adminisgtration College of Pharmacy University of Cincinnati OH 45267 United States

Studies on the impact of restricted medicaid formularies were reviewed to assess whether other drugs on the formulary were substituted for restricted drugs, the cost of the substitutes, whether the substitutes were therapeutically appropriate, whether restricted drugs continued to be prescribed, what incremental administrative costs accompanied restrictions, what indirect costs occurred and how the cost-effectiveness of pharmaceuticals impinged on the total cost of illness. The assumption that restriction of specific drugs results in savings in the drug costs proportional to prior usage was shown to be questionable, numerous studies found alternate formulary drugs to the restricted drugs being prescribed, or patients were paying out-of-pockel for denied drugs. There was a tendency for alternate drugs to be more expensive. Little information exists as to the incremental administrative costs of restricted formularies or the therapeutic appropriateness of substituted drugs. One study suggests that major shifts in costs occur due to restrictive formularies through substitution of more expensive services such as hospitalization in lieu of pharmaceuticals. It is concluded that restricting formularies leads to dynamic changes in the total medicaid program of a complex and often costly nature. Plans to implement formulary restrictions require considerable careful thought. © 1988, Informa UK Ltd. All rights reserved.

关键词：费用控制处方集/经济学保险药剂师工作/统计学和数值数据 medicaid/统计学和数值数据治疗等效美国

来源：评论

学校读者我要写书评

暂无评论

Covering uninsured children and their parents: Estimated costs and number of newly insured

引用

MEDICAL CARE RESEARCH AND REVIEW 1999年第2期56卷 197-214页

作者： Thorpe, KE Florence, CS Tulane Univ Sch Publ Hlth & Trop Med New Orleans LA 70118 USA

The Child Health Insurance Program (CHIP) supplies $20.4 billion over 5 years and nearly $50 billion over 10 years to extend health insurance to uninsured children with family incomes up to 200 percent of poverty. This article analyzes the March 1997 Current Population Survey estimating the number of children likely to be eligible for CHIP or currently eligible for medicaid. Of the 8.6 million parents of uninsured children,four out of five were uninsured at the time of the survey. Expanding coverage to parents as well as children could make program participation more attractive and simplify the enrollment process. If 75 percent of uninsured parents of CHIP eligible children participated, 1.7 million parents could be insured, costing federal and state governments 3.4 billion. Another 3.4 million parents would be insured by expanding medicaid to cover uninsured parents of Medical-eligible children.

关键词： medicaid/立法和法学 medicaid/统计学和数值数据未参加医疗保险者/统计学和数值数据美国

来源：评论

学校读者我要写书评

暂无评论

Reasons for lack of health insurance explored

引用

AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY 2000年第17期57卷 1573-1573页

作者： [Anonymous]

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：