Research Catalog

Medicare prospective payment and the shaping of U.S. health care

Title
Medicare prospective payment and the shaping of U.S. health care / Rick Mayes and Robert A. Berenson.
Author
Mayes, Rick, 1969-
Publication
Baltimore : Johns Hopkins University Press, 2006.
Supplementary Content
  • Contributor biographical information
  • Publisher description

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StatusFormatAccessCall NumberItem Location
TextRequest in advance RA412.3 .M39 2006Off-site
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Details

Additional Authors
Berenson, Robert A.
Description
xiv, 245 pages : illustrations; 24 cm
Summary
"This is the definitive work on Medicare's prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare's innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system."--BOOK JACKET.
Subjects
Bibliography (note)
  • Includes bibliographical references (p. [211]-235) and index.
Contents
1. Origins and policy gestation -- 2. Development, growing appeal, and passage of prospective payment -- 3. The phase-in years and beginning of "rough justice" for hospitals -- 4. Medicare policy's subordination to budget policy, increased hospital cost shifting, and the rise of managed care -- 5. The resource-based relative-value scale reforms for physician payment -- 6. The calm before the storm -- 7. The reckoning and reversal -- Conclusion : how Medicare does and should shape U.S. health care.
ISBN
  • 0801884543 (hardcover : alk. paper)
  • 9780801884542 (hardcover : alk. paper)
LCCN
2006010566
OCLC
  • ocm65617326
  • SCSB-5310984
Owning Institutions
Columbia University Libraries