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Medicare Payment Policy: Does Cost Shifting Matter?, Jason S. Lee, Robert A. Berenson, Rick Mayes, Anne K. Gauthier
Medicare Payment Policy: Does Cost Shifting Matter?, Jason S. Lee, Robert A. Berenson, Rick Mayes, Anne K. Gauthier
Political Science Faculty Publications
We examine cost shifting within the context of Medicare payment policy. We briefly review economic theory and available data and discuss the importance of cost shifting for policy. Then we present four central findings on cost shifting based on the views of former high-level policymakers. First, Medicare’s early (pre-prospective) payment policy was a boon to hospitals. Second, Medicare payment policy is a “top-down” affair, driven by budgetary and special-interest politics. Third, federal policymakers may not consciously consider cost shifting, but state policymakers do. Fourth, Medicare payment policy requires constant adjustment, but we are “getting it right” most of the time.
Justice For A Genocide?, Sandra F. Joireman
Justice For A Genocide?, Sandra F. Joireman
Political Science Faculty Publications
In Rwanda today it is considered poor manners to cry at funerals. Public grieving for the death of a single person is thought to minimize the grief people felt after the genocide when many people lost entire families. That genocide was eight years ago and to date little has been done to bring the perpetrators to justice. The newly established gacaca courts are meant to rectify this situation and assess the guilt or innocence of some of the tens of thousands of people now held in Rwandan jails.