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Full-Text Articles in Medicine and Health Sciences

What's Happening: December 28, 2000, Maine Medical Center Dec 2000

What's Happening: December 28, 2000, Maine Medical Center

What's Happening

No abstract provided.


What's Happening: December 20, 2000, Maine Medical Center Dec 2000

What's Happening: December 20, 2000, Maine Medical Center

What's Happening

No abstract provided.


The Federal-State Medicaid Match: An Ongoing Tug-Of-War Over Practice And Policy, Karen Matherlee Dec 2000

The Federal-State Medicaid Match: An Ongoing Tug-Of-War Over Practice And Policy, Karen Matherlee

National Health Policy Forum

Reviewing Medicaid match issues since the latter 1980s, this issue brief traces ways in which some states have used creative financing to get more Medicaid matching dollars than they otherwise would qualify for from the federal government. It explores the latest mechanism, states' use of so-called intergovernmental transfers of funds (to avoid established upper payment limits) to increase their matches, triggering efforts by the Senate Finance Committee and the federal Medicaid agency to ban such transfers.


What's Happening: December 6, 2000, Maine Medical Center Dec 2000

What's Happening: December 6, 2000, Maine Medical Center

What's Happening

No abstract provided.


The Role Of Institutional And Market Forces In Divergent Organizational Change, Thomas D'Aunno, Melissa Succi, Jeffrey A. Alexander Dec 2000

The Role Of Institutional And Market Forces In Divergent Organizational Change, Thomas D'Aunno, Melissa Succi, Jeffrey A. Alexander

Business Faculty Articles and Research

This paper focuses on a radical change, in which organizations abandon an institutionalized template for arranging their core activities, that is likely to occur in organizational fields that have strong, local market forces and strong but heterogeneous institutional forces. We examine the role of market forces and heterogeneous institutional elements in promoting divergent change in core activities among all U.S. rural hospitals from 1984 to 1991. Results support the view that divergent change depends on both market forces (proximity to competitors, disadvantages in service mix) and institutional forces (state regulation, ownership and governance norms, and mimicry of models of divergent …


What's Happening: November 22, 2000, Maine Medical Center Nov 2000

What's Happening: November 22, 2000, Maine Medical Center

What's Happening

No abstract provided.


Caring For The Elderly: Oregon's Pioneers (Portland, Oregon), Nora Super, Lisa Sprague Nov 2000

Caring For The Elderly: Oregon's Pioneers (Portland, Oregon), Nora Super, Lisa Sprague

National Health Policy Forum

This site visit looked at the continuum of care for its elderly and disabled citizens in the first state ever to secure Section 1915(c) and (d) waivers under Medicaid to support home- and community-based services. More than three-quarters of Oregon's Medicaid clients now receive care in these settings. Site visitors were briefed on the history and development of long-term care in the state as well as the various care settings available. Panels discussed strategies and partnerships focused on alleviating workforce shortages and highlighted Oregon nurses' authority to delegate certain caregiving tasks to laypeople. Multnomah County staff described county-level activities, especially …


What's Happening: November 8, 2000, Maine Medical Center Nov 2000

What's Happening: November 8, 2000, Maine Medical Center

What's Happening

No abstract provided.


Emerging Issues In The Use Of Binding Arbitration To Resolve Disputes Between Individuals And Health Plans, Karl Polzer Nov 2000

Emerging Issues In The Use Of Binding Arbitration To Resolve Disputes Between Individuals And Health Plans, Karl Polzer

National Health Policy Forum

After briefly describing the federal legal framework fostering the growth of binding arbitration, this paper identifies controversies surrounding arbitration as well as arguments supporting and opposing its use. The paper describes the use of arbitration among certain types of collectively bargained employee health plans regulated under the Employee Retirement Income Security Act of 1974 (ERISA), by health maintenance organizations (HMOs) in California, and by a large employer operating a self-insured ERISA health plan. Evidence cited by the California Supreme Court that the largest HMO in California operated its mandatory arbitration program in an unfair way is presented, along with the …


What's Happening: October 25, 2000, Maine Medical Center Oct 2000

What's Happening: October 25, 2000, Maine Medical Center

What's Happening

No abstract provided.


The Leader Who Serves (Duluth, Mn), C. William Pollard Oct 2000

The Leader Who Serves (Duluth, Mn), C. William Pollard

C. William Pollard Papers

Speaking to a gathering of the Benedictine Health System's leaders in Duluth, MN, Pollard applauds the Benedictine tradition's emphasis on hospitality and encourages servant leadership as model for the system going forward.


What's Happening: October 11, 2000, Maine Medical Center Oct 2000

What's Happening: October 11, 2000, Maine Medical Center

What's Happening

No abstract provided.


Understanding Medicaid Home And Community Services: A Primer, Gary Smith, Janet O'Keeffe, Letty Carpenter, Pamela Doty, Brian Burnwell, Robert Mollica, Loretta Williams, George Washington University, Center For Health Policy Research Oct 2000

Understanding Medicaid Home And Community Services: A Primer, Gary Smith, Janet O'Keeffe, Letty Carpenter, Pamela Doty, Brian Burnwell, Robert Mollica, Loretta Williams, George Washington University, Center For Health Policy Research

Center for Health Policy Research

No abstract provided.


Caring To Death: Health Care Professionals And Capital Punishment, Cary H. Federman, Dave Holmes Oct 2000

Caring To Death: Health Care Professionals And Capital Punishment, Cary H. Federman, Dave Holmes

Department of Justice Studies Faculty Scholarship and Creative Works

The aim of this article is to describe the role of health care professionals in the capital punishment process. The relationship between the protocol of capital punishment in the United States and the use of health care professionals to carry out that task has been overlooked in the literature on punishment. Yet for some time, the operation of the medical sciences in prison have been `part of a disciplinary strategy' `intrinsic to the development of power relationships'. Many capital punishment statutes require medical personnel to be present at, if not actively involved in, executions. Through analyses of these statutes, show …


What's Happening: September 26, 2000, Maine Medical Center Sep 2000

What's Happening: September 26, 2000, Maine Medical Center

What's Happening

No abstract provided.


Schip In The Formative Years: An Update, Judith D. Moore Sep 2000

Schip In The Formative Years: An Update, Judith D. Moore

National Health Policy Forum

This issue brief examines the status of the State Children's Health Insurance Program (SCHIP) three years after authorizing legislation was enacted. Topics addressed include enrollment and retention of children in new programs, funding allotments and expenditures, evaluation activities planned and underway, the interaction of Medicaid and SCHIP, and problems common across many states.


Medicare+Choice: Where To From Here?, Nora Super Sep 2000

Medicare+Choice: Where To From Here?, Nora Super

National Health Policy Forum

This issue brief examines Medicare+Choice (M+C) plan participation, benefit coverage, and enrollment and the factors that have contributed to plans' decisions to participate in or withdraw from certain markets. In addition, the issue brief explores what has been happening to M+C enrollees in terms of costs, benefits, and continuity of care. Lastly, the issue brief examines the reasons that alternative plan options — such as preferred provider organizations (PPOs) and provider-sponsored organizations (PSOs) — have not taken hold. Legislative proposals that might affect the future of M+C are also discussed.


The Asthma Epidemic: Prospects For Controlling An Escalating Public Health Crisis, Richard Hegner Sep 2000

The Asthma Epidemic: Prospects For Controlling An Escalating Public Health Crisis, Richard Hegner

National Health Policy Forum

This background paper examines the dimensions of the recent asthma epidemic and what could be done to contain it. Information about the prevalence and consequences of asthma across demographic groups is presented. Factors that impede the control of asthma are also identified. The paper also examines the possible causes of asthma and the asthma epidemic as well as new theories about the relationship of asthma to overall advances in health care and economic development. It also discusses the economic implications of asthma and possible cost avoidances linked to better asthma management. The paper concludes with discussions of asthma and public …


What's Happening: August 30, 2000, Maine Medical Center Aug 2000

What's Happening: August 30, 2000, Maine Medical Center

What's Happening

No abstract provided.


What's Happening: August 16, 2000, Maine Medical Center Aug 2000

What's Happening: August 16, 2000, Maine Medical Center

What's Happening

No abstract provided.


Insuring Virginia's Children: Local Outreach And Enrollment (Northern Virginia), Lisa Sprague, Judith D. Moore Aug 2000

Insuring Virginia's Children: Local Outreach And Enrollment (Northern Virginia), Lisa Sprague, Judith D. Moore

National Health Policy Forum

This one-day visit to a nearby jurisdiction was designed to allow participation by federal staff who have been unable to commit the three days required by a typical Forum site visit. Site visitors were given an overview of health care in Virginia and an introduction to the Children's Medical Income Security Program (CMSIP) as well as its proposed replacement, the Family Access to Medical Insurance Security program (FAMIS). A panel representing community organizations and providers shared their experience, touching on provider concerns, coordination of outreach efforts across counties, and assistance for clients after they are enrolled. The group visited the …


What's Happening: August 2, 2000, Maine Medical Center Aug 2000

What's Happening: August 2, 2000, Maine Medical Center

What's Happening

No abstract provided.


What's Happening: July 19, 2000, Maine Medical Center Jul 2000

What's Happening: July 19, 2000, Maine Medical Center

What's Happening

No abstract provided.


Outpatient Commitment In Mental Health: Is Coercion The Price Of Community Services?, Coimbra Sirica Jul 2000

Outpatient Commitment In Mental Health: Is Coercion The Price Of Community Services?, Coimbra Sirica

National Health Policy Forum

This paper reviews the debate over civil commitment to outpatient settings of people with mental illness who are considered too ill and/or too dangerous to be left on their own in their communities. The choices of two states — Maryland and New York — in dealing with this issue are reviewed. Alternative ways of drawing people into treatment and keeping them there are also discussed.


What's Happening: July 5, 2000, Maine Medical Center Jul 2000

What's Happening: July 5, 2000, Maine Medical Center

What's Happening

No abstract provided.


Dr. Pettett Discovers More About Children's Mercy Founders, Gary Pettett Jul 2000

Dr. Pettett Discovers More About Children's Mercy Founders, Gary Pettett

Archives

Summarizes discoveries Dr. Pettett made when researching the lives of Katharine Berry Richardson and Alice Berry Graham, and refers to an article Dr. Pettett published in the Journal of the Jackson County Historical Society.


What's Happening: June 21, 2000, Maine Medical Center Jun 2000

What's Happening: June 21, 2000, Maine Medical Center

What's Happening

No abstract provided.


Hcfa's Outpatient Pps: Finally Ready To Roll?, Karen Matherlee Jun 2000

Hcfa's Outpatient Pps: Finally Ready To Roll?, Karen Matherlee

National Health Policy Forum

This issue brief centers on hospital outpatient department services, scheduled to be on a prospective payment system (PPS) July 1, 2000, 17 years after enactment of legislation mandating PPS for hospital inpatient services. It looks at the challenges to providers and patients, including coding and other process issues, redistribution of payments, and changes in beneficiary co-payments.


What's Happening: June 7, 2000, Maine Medical Center Jun 2000

What's Happening: June 7, 2000, Maine Medical Center

What's Happening

No abstract provided.


Using Schip To Subsidize Employment-Based Coverage: How Far Can This Strategy Go?, Karl Polzer Jun 2000

Using Schip To Subsidize Employment-Based Coverage: How Far Can This Strategy Go?, Karl Polzer

National Health Policy Forum

This background paper examines and analyzes early efforts by states to subsidize employment-based health insurance under the State Children's Health Insurance Program (SCHIP), which offers states a more generous funding rate than under Medicaid. As the Health Care Financing Administration prepares to issue regulations governing SCHIP, the paper summarizes complaints by state officials that federal rules governing how job-based coverage might be subsidized under the program are overly complex and rigid. After interviewing officials at the federal level and in six states as well as a variety of researchers and policy experts, the author considered whether and to what extent …