Medicare Prospective Payment and the Shaping of U.S. Health Care

Author:   Rick Mayes, PhD (Clinical Professor, University of Virgina) ,  Robert A. Berenson (Senior Fellow in Health Policy, The Urban Institute)
Publisher:   Johns Hopkins University Press
Edition:   annotated edition
ISBN:  

9780801884542


Pages:   264
Publication Date:   14 February 2007
Recommended Age:   From 17
Format:   Hardback
Availability:   To order   Availability explained
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Medicare Prospective Payment and the Shaping of U.S. Health Care


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Author:   Rick Mayes, PhD (Clinical Professor, University of Virgina) ,  Robert A. Berenson (Senior Fellow in Health Policy, The Urban Institute)
Publisher:   Johns Hopkins University Press
Imprint:   Johns Hopkins University Press
Edition:   annotated edition
Dimensions:   Width: 15.20cm , Height: 2.20cm , Length: 22.90cm
Weight:   0.499kg
ISBN:  

9780801884542


ISBN 10:   0801884543
Pages:   264
Publication Date:   14 February 2007
Recommended Age:   From 17
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   To order   Availability explained
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

Table of Contents

"Acknowledgments List of Acronyms Introduction 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 Appendix: Interviews Notes References Index"

Reviews

This slender volume offers value on several dimensions. First, it is an explication of recent history that connects the dots from prospective payment to Medicare-based deficit reduction to cost shifting to managed care. By the same token, the story here serves as a bracing corrective to the mythology of market-based reform and the assumption that government's role in health is inescapably a negative one. Health Affairs 2007 Whether discussing the Social Security Amendments of 1972 or the Balanced Budget Act of 1997, Mayes and Berenson entertain readers with insider anecdotes about the ideological and practical battles government policymakers fought with powerful provider lobbies. New England Journal of Medicine A highly readable book that traces the history of Medicare prospective payment systems from their enactment in 1983 until today. Journal of Health Politics, Policy and Law This book provides an excellent primer for physician leaders on the recent history of Medicare and the politics of elected officials using it as a cash cow. The authors challenge practicing physicians to carefully consider what may work in society's best interests to improve health outcomes, rather than primarily focusing on how Medicare benefits their net incomes. JAMA 2008 Mayes and Berenson offer an admirable product in this book, one that we should use to improve our own studies of the state and the agents who help define it. -- Andrew B. Whitford International Public Management Journal 2009


This book provides an excellent primer for physician leaders on the recent history of Medicare and the politics of elected officials using it as a cash cow. The authors challenge practicing physicians to carefully consider what may work in society's best interests to improve health outcomes, rather than primarily focusing on how Medicare benefits their net incomes. -- JAMA


This slender volume offers value on several dimensions. First, it is an explication of recent history that connects the dots from prospective payment to Medicare-based deficit reduction to cost shifting to managed care. By the same token, the story here serves as a bracing corrective to the mythology of market-based reform and the assumption that government's role in health is inescapably a negative one. Health Affairs Whether discussing the Social Security Amendments of 1972 or the Balanced Budget Act of 1997, Mayes and Berenson entertain readers with insider anecdotes about the ideological and practical battles government policymakers fought with powerful provider lobbies. New England Journal of Medicine A highly readable book that traces the history of Medicare prospective payment systems from their enactment in 1983 until today. Journal of Health Politics, Policy and Law This book provides an excellent primer for physician leaders on the recent history of Medicare and the politics of elected officials using it as a cash cow. The authors challenge practicing physicians to carefully consider what may work in society's best interests to improve health outcomes, rather than primarily focusing on how Medicare benefits their net incomes. JAMA Mayes and Berenson offer an admirable product in this book, one that we should use to improve our own studies of the state and the agents who help define it. -- Andrew B. Whitford International Public Management Journal


<p>Mayes and Berenson offer an admirable product in this book, one that we should use to improve our own studies of the state and the agents who help define it.--Andrew B. Whitford International Public Management Journal (01/01/0001)


Author Information

Rick Mayes, Ph.D., is an associate professor of public policy at the University of Richmond and a faculty research fellow at the Petris Center on Healthcare Markets and Consumer Welfare at the UC-Berkeley School of Public Health. He is the author of Universal Coverage: The Elusive Quest for National Health Insurance and the coauthor of Medicating Children: ADHD and Pediatric Mental Health. Robert A. Berenson, M.D., is a senior fellow at the Urban Institute and coauthor of The Managed Care Blues and How to Cure Them. From 1998 to 2000, he was in charge of Medicare payment policy and managed care contracting in the Health Care Financing Administration (now the Centers for Medicare and Medicaid Services).

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