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Reimbursement Issues

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An Emerging Middle Ground?

July 6, 2009 | Report

The report identifies and explores eight areas in which diverse business, medical and consumer interests are beginning to find middle ground and earn the support of bipartisan lawmakers.

Disharmony of Inpatient and Outpatient Services Hampers Treatment of Schizophrenics

August 1, 2001 | Program Result Report

From 1991 to 1998, researchers from the Institute for Health, Health Care Policy, and Aging Research at Rutgers, The State University of New Jersey, studied the care of schizophrenia patients who are covered by Medicaid in New York State.

Deregulation Improves the Health of N.J. Hospitals' Bottom Lines

July 1, 2000 | Program Result Report

From 1994 to 1997, researchers at the Harvard University School of Public Health, Boston, studied the effects of deregulation on New Jersey hospitals.

How Managed Care Can Set Limits on Medical Technology - and Look Good

September 1, 2000 | Program Result Report

From 1996 to 1998, Harvard Pilgrim Health Care examined how insurers, employers and other purchasers of health care decide which medical technologies to provide to consumers under resource constraints.

Video Promotes Improved Wheelchair Seating for Nursing Home Residents

August 1, 1998 | Program Result Report

The Benedictine Institute for Long Term Care developed and marketed training materials on its Individualized Seating Program. It also studied the resource and cost implications of the program.

Reducing Payment for Imaging in Referring Doctor's Facility Does Not Reduce Utilization

August 31, 1998 | Program Result Report

From 1994 to 1996, researcher teams at the University of Virginia and the Primary Care Outcomes Research Institute (PCORI) at the New England Medical Center conducted two distinct but parallel studies.

Medical Technology Usually Equals Better Outcomes, Higher Costs

October 1, 1998 | Program Result Report

The National Bureau of Economic Research, Cambridge, Mass., an independent, nonprofit economic research organization, undertook research into a variety of health care cost-containment issues between September 1995 and May 1997.

1996 Working Group Finds Insurers and Health Plans Not Supporting Smoking-Cessation Treatment

June 1, 1998 | Program Result Report

Pinney Associates, Inc., a Bethesda, Md. health consulting firm. oversaw the creation of a working group on tobacco dependence treatment policy comprised of 18 experts in health policy, smoking cessation, and reimbursement.

State Attempts to Contain Medicaid Prescription Costs Need More Hard Data

January 1, 1997 | Program Result Report

From 1992 to 1995, researchers at Harvard Medical School collected a comprehensive cross-section of data on state Medicaid pharmaceutical programs and various models of cost-containment. They also investigated the impacts of five cost-containment methods.

Harvard-Based Center Explores Behavioral Health and Managed Care

March 1, 2007 | Program Result Report

From 1996 to 1999, staff at Harvard Medical School established the Managed Care Industry Center at Harvard University.

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