Download or read book The Impact of Federal Policy on Oregon s Health Care Reform Efforts written by and published by . This book was released on 2008 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Reform Policy to Practice written by Ronald Stock and published by Academic Press. This book was released on 2017-08-04 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Reform Policy to Practice: Oregon as a Case Study for a Path to a Comprehensive and Sustainable Health Delivery Model offers a real world example of an innovative, successful and comprehensive program conducted by the U.S. State of Oregon. In 1991, Oregon embarked on a journey to improve health for all its citizens by radically re-thinking how to approach health care for long-term benefits. Over more than two decades, Oregonians have participated in a dialogue to create a new approach to solve the dilemma of providing high quality health care that is affordable and effective. Traditionally, health care reform looked at cutting people from care, cutting provider rates or cutting services. Oregon’s approach is unique in that it built a new system of delivery from the ground (community) up. The Oregon model took a “Fourth Path to health care by redesigning the clinical delivery system through reducing waste, improving individual health and prevention, and therefore reducing utilization of services, creating local accountability, aligning financial incentives and creating fiscal accountability. This is not only an Oregon story, but a national one as other states, payers and purchasers implement health care reform. Written by content experts who have been actively involved in health care reform efforts Provides clear translation of current information and experience to implementation Explores the potential impact of the Oregon experience on national and international health care reform efforts
Download or read book What the Oregon Health Plan Can Teach Us About Managed Mental Health Care written by Rupert R. Goetz and published by Jossey-Bass. This book was released on 2000-04-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is coming to Medicaid mental health programs, with many states replacing a fee-for-service system with capitation. What is the impact of this change on mental health care? What special challenges do consumers, providers, and others face as a result? In this issue, the contributors examine the development of Oregon's bold approach to health care reform, providing valuable insights into the full range of issues that arise when states integrate mental health into a larger effort to provide health care for the uninsured. The contributors explore a full range of qualitative, quantitative and financial outcomes, offering insights into what is working, where improvement is needed, and what other states can learn from Oregon's experience. They address such areas as consumer involvement in shaping the mental health phase in of the plan, the impact of the plan on minorities, the financial results for mental health care contractors, and more. This is the 85th issue of the quarterly journal New Directions for Mental Health Services.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book Federal Health Reform in Oregon written by and published by . This book was released on 2010 with total page 3 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Oregon Health Plan written by Theodore R. Marmor and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oregon Health Plan (OHP) has been widely heralded as an important innovation in medical care policy. Oregon's pioneering model of prioritizing funding through systematically ranking services drew an extraordinary amount of national and international attention. Indeed, the Oregon story has seemed so compelling and by now is so familiar that it has attained what Rudolf Klein termed "nearly mythical status" in the health policy community. The article proceeds in three sections. First, we very briefly review the original proposals and ensuing (and misleading) debate over rationing in Oregon. Next, we explore how the politics of rationing unfolded in Oregon from the enactment of OHP to its implementation. Finally, we consider the character of Oregon's innovation and the broader lessons that it holds for reform efforts elsewhere.
Download or read book Rationing America s Medical Care written by Martin A. Strosberg and published by Brookings Institution Press. This book was released on 2010-12-01 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: As Americans struggle with the dual problems of exploding health care costs and ensuring access to health care for the uninsured, health care rationing has moved to the center of the public policy debate. A prime example of this is the intense public discussion surrounding the proposal by the state of Oregon to provide universal health care at a price: the explicit rationing of which diagnoses and treatments will be covered. Focusing largely on the Oregon proposal, this volume examines a wide range of ethical, methodological, legal, and political issues that must be addressed by any serious program of health care reform.
Download or read book Health Policy Federalism and the American States written by Robert F. Rich and published by The Urban Insitute. This book was released on 1996 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the ongoing struggle between those favoring centralized and those favoring decentralized government, health care policy is an important issue. This book has three goals: (1) to illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to "divide up the job" in the health care area, (2) to assess the capacity of the states to actually implement health care policy changes, and (3) to weigh the merits of alternative visions of the future role of states and the federal government in health care policy.
Download or read book The New Politics of State Health Policy written by Robert B. Hackey and published by . This book was released on 2001 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: State governments in the past decade have had to take on the problem of health care, with mixed results. This collection of 11 essays (of which two are an introduction and conclusion) by academics and policy makers consider the many issues that concern health care in the US and their effects at the state level, including managed care, health insurance expansion, mental health care, public health administration, and bureaucratic reactions to health policy. Hackey teaches health policy and management at Providence College in Rhode Island; Rochefort teaches political science and public administration at Northeastern U. in Boston. c. Book News Inc.
Download or read book An Examination of Health Care Reform Policy in the State of Oregon written by Timothy V. Ross and published by . This book was released on 1992 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oregon Health Policy Commission Road Map for Health Care Reform written by and published by . This book was released on 2007 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Health Care Quality Improvement System for Medicaid Managed Care written by and published by . This book was released on 1993 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evaluation of the Oregon Medicaid Proposal written by and published by . This book was released on 1992 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: As part of an eventual statewide set of health insurance reform measures, the State of Oregon has proposed implementing a demonstration program, with Federal cofunding, that would change the State's existing Medicaid program in three fundamental ways. It would: 1) expand coverage to include all persons with incomes up to 100 percent of the Federal poverty level; 2) enroll all covered persons in some form of managed care, such as with a health maintenance organization or a "gatekeeper" primary care physician; and 3) determine acute and primary health care benefits according to a ranked list of services, with actual benefits dependent on the level of program funding. Concern about the effects of Oregon's Medicaid proposal on program recipients, and the potential ramifications of the proposal for the ongoing national health care debate, prompted Congress to ask the Office of Technology Assessment to examine the proposal in detail. The goals of this study are to describe and analyze the specifics of the proposed program and to discuss its most likely implications for the Federal Government, the State of Oregon, and Medicaid beneficiaries. The role of this report is not to critique the existing Medicaid program in detail. Rather, it is to examine the proposed program and especially its relevance to issues of particular interest to the Federal Government: the impact of the program on Medicaid beneficiaries, in whom the Federal Government has a fiduciary interest; and the potential usefulness of Oregon's program if applied in other States.
Download or read book The Future of Healthcare Reform in the United States written by Anup Malani and published by University of Chicago Press. This book was released on 2015-10-15 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the Supreme Court's majority ruling in NFIB v. Sebelius upheld the Patient Protection and Affordable Care Act (the PPACA, or Obamacare), it was clear that this major shift in American health care provision was here to stay. For better or worse, the PPACA is now both a target for, and a constraint on, the next wave of reformist ideas. Driven by curiosity about how the American health care regime will continue to evolve in the near and medium term, Dean Michael Schill and Professor Anup Malani of the University of Chicago Law School commissioned fourteen essays from leading scholars of law, economics, medicine, and public health that offer predictions for the most important issues and debates in health-care reform over the next five to seven years. Essays are arranged in five sections. Part I, ACA and the Law, sets the stage with three essays on legal challenges and justifications for the Act. Part II, ACA and the Federal Budget, explores the variety of potential fiscal consequences resulting from Obamacare. Part III, ACA and Health Care Delivery, offers competing viewpoints on what the Act will ultimately mean for consumers of health care. Part IV, Health Care Costs, Innovation, and the ACA speculates about what the altered financial structure of health care will mean for the pace of development of new medical technologies. Part V, ACA and Health Insurance Markets, concludes the volume with a pair of contrasting assessments of the prospects for the new insurance "exchange" markets.
Download or read book Abdruck Der in anno 1431 und 1518 zwischen weyland denen Herrn Hertzogen zu Mecklenburg und denen Herrn Hertzogen zu Sachsen Lauenburg gestiffteten und und vollenzogen Erbverbr derungen written by and published by . This book was released on 1689 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Payment Reform written by Nicole Merrithew and published by . This book was released on 2009 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO reviewed Oregon's current Medicaid managed care program and the state's proposed expansion of the program as part of a larger demonstration. GAO found that: (1) Oregon's current managed care program provides adequate access to health services, despite indications of strained capacity, which the state is working to address by recruiting more health plans; (2) Oregon's current program incorporates safeguards that help protect Medicaid managed care clients against inappropriate reductions in access to care; (3) the Oregon program meets federal requirements for safeguarding the quality of care through reviews of the quality assurance efforts of individual health plans and through annual reviews of patients' medical records; (4) the Oregon program also attempts to determine client views and problems through a grievance process, satisfaction surveys, and special hearings; (5) in 1991, Oregon officials found quality assurance activities at most participating health plans to be substantially in compliance and Oregon's opinion surveys and grievance procedures likewise disclosed few problems; (6) Oregon's independent medical record review process identified few quality problems in the program, but concluded that health screening services for children should be improved; (7) the effectiveness of Oregon's financial oversight systems could be improved by providing guidance on financial reporting, defining the state's solvency indicators and evaluation criteria, and extending reporting requirements to subcontractors; (8) Oregon could require contracting plans to disclose ownership, control, and other information, which could help program managers ensure that Medicaid funds are not diverted from the delivery of health services; and (9) concerns exist over whether Oregon's proposed demonstration project can develop adequate health plan and physician capacity within 1 year to serve three times its current managed care enrollment.
