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Worked 26 years for the US Centers for Medicare and Medicaid Services.<br /><b>Address: </b>Silver Spring, Maryland, United States<br /><div class="js-profile-less-about u-linkUnstyled u-tcGrayDarker u-textDecorationUnderline u-displayNone">less</div></div></div><div class="suggested-academics-container"><div class="suggested-academics--header"><h3 class="ds2-5-heading-sans-serif-xs">Related Authors</h3></div><ul class="suggested-user-card-list" data-nosnippet="true"><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a data-nosnippet="" href="https://independent.academia.edu/TFronius"><img class="profile-avatar u-positionAbsolute" alt="Trevor Fronius related author profile picture" border="0" src="//a.academia-assets.com/images/s200_no_pic.png" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" 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class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="5664167" href="https://www.academia.edu/Documents/in/Health_Care_Policy"><div id="js-react-on-rails-context" style="display:none" data-rails-context="{"inMailer":false,"i18nLocale":"en","i18nDefaultLocale":"en","href":"https://uky.academia.edu/tonyhausner","location":"/tonyhausner","scheme":"https","host":"uky.academia.edu","port":null,"pathname":"/tonyhausner","search":null,"httpAcceptLanguage":null,"serverSide":false}"></div> <div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Health Care Policy"]}" data-trace="false" data-dom-id="Pill-react-component-e854c065-7ca4-44b8-a1f3-9fa75eb7bb31"></div> <div id="Pill-react-component-e854c065-7ca4-44b8-a1f3-9fa75eb7bb31"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="5664167" 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thumbnail of COMMUNITY PERSPECTIVES The Bridge between Criminal Justice Research and Community Action" class="work-thumbnail" src="https://attachments.academia-assets.com/94607102/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/91274075/COMMUNITY_PERSPECTIVES_The_Bridge_between_Criminal_Justice_Research_and_Community_Action">COMMUNITY PERSPECTIVES The Bridge between Criminal Justice Research and Community Action</a></div><div class="wp-workCard_item"><span>Translational Criminology</span><span>, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This interview by Cynthia Lum of George Mason University of Tony Hausner, Founder, Safe Silver Sp...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This interview by Cynthia Lum of George Mason University of Tony Hausner, Founder, Safe Silver Spring, discusses his perspective on using criminal justice research to impact community based criminal justice programs.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="fd23d5dd5f125ca95df133700f059257" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":94607102,"asset_id":91274075,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/94607102/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" 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This article describes some of HCFA&#39;s initiatives in quality of care.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77258493"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77258493"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77258493; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77258493]").text(description); $(".js-view-count[data-work-id=77258493]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77258493; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77258493']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77258493]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77258493,"title":"HCFA quality improvement initiatives","translated_title":"","metadata":{"abstract":"With PPS, it becomes even more important that agencies ensure that quality of care be maintained and improved. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-77258490-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="77258470"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/77258470/The_Use_of_Community_Based_Services_in_Long_term_Care_by_Older_Minority_Persons"><img alt="Research paper thumbnail of The Use of Community-Based Services in Long-term Care by Older Minority Persons" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">The Use of Community-Based Services in Long-term Care by Older Minority Persons</div><div class="wp-workCard_item"><span>The Gerontologist</span><span>, 1979</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">... Mohave, Arizona Elko, Nevada El Paso, Colorado Kings County, New York Bernalillo, New Mexico ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">... Mohave, Arizona Elko, Nevada El Paso, Colorado Kings County, New York Bernalillo, New Mexico Bexar, Texas Santa Fe, New Mexico Hidalgo, Texas Chatham, Georgia Florence, South Carolina Natchitoches, Louisiana Dallas, Arkansas Haywood, Tennessee Petersburg ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77258470"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77258470"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77258470; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77258470]").text(description); $(".js-view-count[data-work-id=77258470]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77258470; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77258470']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77258470]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77258470,"title":"The Use of Community-Based Services in Long-term Care by Older Minority Persons","translated_title":"","metadata":{"abstract":"... 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Mohave, Arizona Elko, Nevada El Paso, Colorado Kings County, New York Bernalillo, New Mexico Bexar, Texas Santa Fe, New Mexico Hidalgo, Texas Chatham, Georgia Florence, South Carolina Natchitoches, Louisiana Dallas, Arkansas Haywood, Tennessee Petersburg ...","impression_tracking_id":null,"owner":{"id":5664167,"first_name":"tony","middle_initials":null,"last_name":"hausner","page_name":"tonyhausner","domain_name":"uky","created_at":"2013-09-20T19:27:01.679-07:00","display_name":"tony hausner","url":"https://uky.academia.edu/tonyhausner"},"attachments":[],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":70596,"name":"Minority Groups","url":"https://www.academia.edu/Documents/in/Minority_Groups"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":161176,"name":"The","url":"https://www.academia.edu/Documents/in/The"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":452912,"name":"Oxford university","url":"https://www.academia.edu/Documents/in/Oxford_university"},{"id":1754500,"name":"Chronic Illness and long term care","url":"https://www.academia.edu/Documents/in/Chronic_Illness_and_long_term_care"},{"id":2060696,"name":"Health services for the aged","url":"https://www.academia.edu/Documents/in/Health_services_for_the_aged"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-77258470-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="71297179"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/71297179/Purchasing_coalitions_and_managed_care"><img alt="Research paper thumbnail of Purchasing coalitions and managed care" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Purchasing coalitions and managed care</div><div class="wp-workCard_item"><span>Managed care quarterly</span><span>, 1995</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This article analyzes the role of managed care plans in purchasing coalitions. It examines the Ca...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This article analyzes the role of managed care plans in purchasing coalitions. It examines the California Public Employees Retirement System (CalPERS) and three employer coalitions in Central Florida, Colorado, and Memphis. These organizations appear to successfully demonstrate the advantages of many features of managed competition and managed care. They report significant cost savings, reductions in the use of unnecessary services, and improvements in quality. 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This article describes the types of managed care plans used by these coalitions and their arrangements with Medicare managed care.","impression_tracking_id":null,"owner":{"id":5664167,"first_name":"tony","middle_initials":null,"last_name":"hausner","page_name":"tonyhausner","domain_name":"uky","created_at":"2013-09-20T19:27:01.679-07:00","display_name":"tony hausner","url":"https://uky.academia.edu/tonyhausner"},"attachments":[],"research_interests":[{"id":26,"name":"Business","url":"https://www.academia.edu/Documents/in/Business"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":50113,"name":"California","url":"https://www.academia.edu/Documents/in/California"},{"id":66910,"name":"Retirement","url":"https://www.academia.edu/Documents/in/Retirement"},{"id":110287,"name":"Florida","url":"https://www.academia.edu/Documents/in/Florida"},{"id":226448,"name":"Tennessee","url":"https://www.academia.edu/Documents/in/Tennessee"},{"id":284862,"name":"Colorado","url":"https://www.academia.edu/Documents/in/Colorado"},{"id":567010,"name":"Cost Savings","url":"https://www.academia.edu/Documents/in/Cost_Savings"},{"id":826158,"name":"State government","url":"https://www.academia.edu/Documents/in/State_government"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-71297179-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="64482471"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/64482471/Low_birth_weight_rate_reduced_by_the_obstetrical_access_project"><img alt="Research paper thumbnail of Low-birth-weight rate reduced by the obstetrical access project" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Low-birth-weight rate reduced by the obstetrical access project</div><div class="wp-workCard_item"><span>Health Care Financing Review</span><span>, 1987</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project&#39;s scope of services for Medi-Cal recipients on a...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="64482471"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="64482471"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 64482471; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=64482471]").text(description); $(".js-view-count[data-work-id=64482471]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 64482471; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='64482471']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=64482471]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":64482471,"title":"Low-birth-weight rate reduced by the obstetrical access project","translated_title":"","metadata":{"abstract":"Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. 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A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians&#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="64482465"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="64482465"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 64482465; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=64482465]").text(description); $(".js-view-count[data-work-id=64482465]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 64482465; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='64482465']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=64482465]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":64482465,"title":"Impact of municipal health services Medicare waiver program","translated_title":"","metadata":{"abstract":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","publisher":"Health care financing review","publication_date":{"day":null,"month":null,"year":1987,"errors":{}}},"translated_abstract":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","internal_url":"https://www.academia.edu/64482465/Impact_of_municipal_health_services_Medicare_waiver_program","translated_internal_url":"","created_at":"2021-12-16T02:36:13.499-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":5664167,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Impact_of_municipal_health_services_Medicare_waiver_program","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. 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To evaluate home health service case mix, a multivariate grouping methodology was applied to records from the 1982 National Long-Term Care Survey linked to Medicare records on home health reimbursements. Using this method, six distinct health and functional status dimensions were identified. These dimensions, combined with factors describing informal care resources and local market conditions, were used to explain significant proportions of the variance (r2 = .45) of individual differences in Medicare home health reimbursements and numbers of visits. Though the data were not collected for that purpose, the high level of prediction strongly suggests the feasibility of developing case-mix strategies for home health...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="64482411"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="64482411"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 64482411; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=64482411]").text(description); $(".js-view-count[data-work-id=64482411]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 64482411; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='64482411']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=64482411]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":64482411,"title":"A multidimensional approach to case mix for home health services","translated_title":"","metadata":{"abstract":"Developing a case-mix methodology for home health services is more difficult than developing one for hospitalization and acute health services, because the determinants of need for home health care are more complex and because of the difficulty in defining episodes of care. 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A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians&#39; ambulatory and ancillary care. 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It examines the Ca...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This article analyzes the role of managed care plans in purchasing coalitions. It examines the California Public Employees Retirement System (CalPERS) and three employer coalitions in Central Florida, Colorado, and Memphis. These organizations appear to successfully demonstrate the advantages of many features of managed competition and managed care. They report significant cost savings, reductions in the use of unnecessary services, and improvements in quality. 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These organizations appear to successfully demonstrate the advantages of many features of managed competition and managed care. They report significant cost savings, reductions in the use of unnecessary services, and improvements in quality. This article describes the types of managed care plans used by these coalitions and their arrangements with Medicare managed care.","internal_url":"https://www.academia.edu/71297179/Purchasing_coalitions_and_managed_care","translated_internal_url":"","created_at":"2022-02-12T23:58:48.291-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":5664167,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Purchasing_coalitions_and_managed_care","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"This article analyzes the role of managed care plans in purchasing coalitions. It examines the California Public Employees Retirement System (CalPERS) and three employer coalitions in Central Florida, Colorado, and Memphis. These organizations appear to successfully demonstrate the advantages of many features of managed competition and managed care. They report significant cost savings, reductions in the use of unnecessary services, and improvements in quality. This article describes the types of managed care plans used by these coalitions and their arrangements with Medicare managed care.","impression_tracking_id":null,"owner":{"id":5664167,"first_name":"tony","middle_initials":null,"last_name":"hausner","page_name":"tonyhausner","domain_name":"uky","created_at":"2013-09-20T19:27:01.679-07:00","display_name":"tony hausner","url":"https://uky.academia.edu/tonyhausner"},"attachments":[],"research_interests":[{"id":26,"name":"Business","url":"https://www.academia.edu/Documents/in/Business"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":50113,"name":"California","url":"https://www.academia.edu/Documents/in/California"},{"id":66910,"name":"Retirement","url":"https://www.academia.edu/Documents/in/Retirement"},{"id":110287,"name":"Florida","url":"https://www.academia.edu/Documents/in/Florida"},{"id":226448,"name":"Tennessee","url":"https://www.academia.edu/Documents/in/Tennessee"},{"id":284862,"name":"Colorado","url":"https://www.academia.edu/Documents/in/Colorado"},{"id":567010,"name":"Cost Savings","url":"https://www.academia.edu/Documents/in/Cost_Savings"},{"id":826158,"name":"State government","url":"https://www.academia.edu/Documents/in/State_government"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-71297179-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="64482471"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/64482471/Low_birth_weight_rate_reduced_by_the_obstetrical_access_project"><img alt="Research paper thumbnail of Low-birth-weight rate reduced by the obstetrical access project" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Low-birth-weight rate reduced by the obstetrical access project</div><div class="wp-workCard_item"><span>Health Care Financing Review</span><span>, 1987</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project&#39;s scope of services for Medi-Cal recipients on a...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="64482471"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="64482471"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 64482471; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=64482471]").text(description); $(".js-view-count[data-work-id=64482471]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 64482471; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='64482471']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=64482471]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":64482471,"title":"Low-birth-weight rate reduced by the obstetrical access project","translated_title":"","metadata":{"abstract":"Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project\u0026#39;s scope of services for Medi-Cal recipients on a...","publisher":"Health care financing review","publication_date":{"day":null,"month":null,"year":1987,"errors":{}},"publication_name":"Health Care Financing Review"},"translated_abstract":"Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project\u0026#39;s scope of services for Medi-Cal recipients on a...","internal_url":"https://www.academia.edu/64482471/Low_birth_weight_rate_reduced_by_the_obstetrical_access_project","translated_internal_url":"","created_at":"2021-12-16T02:36:14.640-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":5664167,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Low_birth_weight_rate_reduced_by_the_obstetrical_access_project","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project\u0026#39;s scope of services for Medi-Cal recipients on a...","impression_tracking_id":null,"owner":{"id":5664167,"first_name":"tony","middle_initials":null,"last_name":"hausner","page_name":"tonyhausner","domain_name":"uky","created_at":"2013-09-20T19:27:01.679-07:00","display_name":"tony hausner","url":"https://uky.academia.edu/tonyhausner"},"attachments":[],"research_interests":[{"id":17969,"name":"Health Policy","url":"https://www.academia.edu/Documents/in/Health_Policy"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":50113,"name":"California","url":"https://www.academia.edu/Documents/in/California"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":102554,"name":"Health Care Financing","url":"https://www.academia.edu/Documents/in/Health_Care_Financing"},{"id":153168,"name":"Data Collection","url":"https://www.academia.edu/Documents/in/Data_Collection"},{"id":235072,"name":"Medicaid","url":"https://www.academia.edu/Documents/in/Medicaid"},{"id":253560,"name":"Newborn Infant","url":"https://www.academia.edu/Documents/in/Newborn_Infant"},{"id":285068,"name":"Prenatal Development","url":"https://www.academia.edu/Documents/in/Prenatal_Development"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects"},{"id":1327745,"name":"Prenatal Care","url":"https://www.academia.edu/Documents/in/Prenatal_Care"},{"id":2549475,"name":"Health Services Accessibility","url":"https://www.academia.edu/Documents/in/Health_Services_Accessibility"}],"urls":[{"id":15201687,"url":"http://ftp.ncbi.nlm.nih.gov/pub/pmc/d0/22/hcfr-8-3-83.PMC4192843.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-64482471-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="64482465"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/64482465/Impact_of_municipal_health_services_Medicare_waiver_program"><img alt="Research paper thumbnail of Impact of municipal health services Medicare waiver program" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Impact of municipal health services Medicare waiver program</div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A major goal of the municipal health services program (MHSP) was improvement of health services f...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians&#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="64482465"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="64482465"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 64482465; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=64482465]").text(description); $(".js-view-count[data-work-id=64482465]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 64482465; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='64482465']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=64482465]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":64482465,"title":"Impact of municipal health services Medicare waiver program","translated_title":"","metadata":{"abstract":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","publisher":"Health care financing review","publication_date":{"day":null,"month":null,"year":1987,"errors":{}}},"translated_abstract":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","internal_url":"https://www.academia.edu/64482465/Impact_of_municipal_health_services_Medicare_waiver_program","translated_internal_url":"","created_at":"2021-12-16T02:36:13.499-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":5664167,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Impact_of_municipal_health_services_Medicare_waiver_program","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","impression_tracking_id":null,"owner":{"id":5664167,"first_name":"tony","middle_initials":null,"last_name":"hausner","page_name":"tonyhausner","domain_name":"uky","created_at":"2013-09-20T19:27:01.679-07:00","display_name":"tony hausner","url":"https://uky.academia.edu/tonyhausner"},"attachments":[],"research_interests":[{"id":14406,"name":"Health","url":"https://www.academia.edu/Documents/in/Health"},{"id":22772,"name":"Urban Health","url":"https://www.academia.edu/Documents/in/Urban_Health"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":102554,"name":"Health Care Financing","url":"https://www.academia.edu/Documents/in/Health_Care_Financing"},{"id":153168,"name":"Data Collection","url":"https://www.academia.edu/Documents/in/Data_Collection"},{"id":218342,"name":"Medicare","url":"https://www.academia.edu/Documents/in/Medicare"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":602889,"name":"Cost Control","url":"https://www.academia.edu/Documents/in/Cost_Control"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects"},{"id":3516057,"name":"Community health services","url":"https://www.academia.edu/Documents/in/Community_health_services"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-64482465-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="64482411"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/64482411/A_multidimensional_approach_to_case_mix_for_home_health_services"><img alt="Research paper thumbnail of A multidimensional approach to case mix for home health services" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">A multidimensional approach to case mix for home health services</div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Developing a case-mix methodology for home health services is more difficult than developing one ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Developing a case-mix methodology for home health services is more difficult than developing one for hospitalization and acute health services, because the determinants of need for home health care are more complex and because of the difficulty in defining episodes of care. To evaluate home health service case mix, a multivariate grouping methodology was applied to records from the 1982 National Long-Term Care Survey linked to Medicare records on home health reimbursements. Using this method, six distinct health and functional status dimensions were identified. These dimensions, combined with factors describing informal care resources and local market conditions, were used to explain significant proportions of the variance (r2 = .45) of individual differences in Medicare home health reimbursements and numbers of visits. Though the data were not collected for that purpose, the high level of prediction strongly suggests the feasibility of developing case-mix strategies for home health...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="64482411"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="64482411"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 64482411; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=64482411]").text(description); $(".js-view-count[data-work-id=64482411]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 64482411; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='64482411']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=64482411]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":64482411,"title":"A multidimensional approach to case mix for home health services","translated_title":"","metadata":{"abstract":"Developing a case-mix methodology for home health services is more difficult than developing one for hospitalization and acute health services, because the determinants of need for home health care are more complex and because of the difficulty in defining episodes of care. To evaluate home health service case mix, a multivariate grouping methodology was applied to records from the 1982 National Long-Term Care Survey linked to Medicare records on home health reimbursements. Using this method, six distinct health and functional status dimensions were identified. These dimensions, combined with factors describing informal care resources and local market conditions, were used to explain significant proportions of the variance (r2 = .45) of individual differences in Medicare home health reimbursements and numbers of visits. Though the data were not collected for that purpose, the high level of prediction strongly suggests the feasibility of developing case-mix strategies for home health...","publisher":"Health care financing review","publication_date":{"day":null,"month":null,"year":1987,"errors":{}}},"translated_abstract":"Developing a case-mix methodology for home health services is more difficult than developing one for hospitalization and acute health services, because the determinants of need for home health care are more complex and because of the difficulty in defining episodes of care. To evaluate home health service case mix, a multivariate grouping methodology was applied to records from the 1982 National Long-Term Care Survey linked to Medicare records on home health reimbursements. Using this method, six distinct health and functional status dimensions were identified. These dimensions, combined with factors describing informal care resources and local market conditions, were used to explain significant proportions of the variance (r2 = .45) of individual differences in Medicare home health reimbursements and numbers of visits. Though the data were not collected for that purpose, the high level of prediction strongly suggests the feasibility of developing case-mix strategies for home health...","internal_url":"https://www.academia.edu/64482411/A_multidimensional_approach_to_case_mix_for_home_health_services","translated_internal_url":"","created_at":"2021-12-16T02:35:56.890-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":5664167,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"A_multidimensional_approach_to_case_mix_for_home_health_services","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Developing a case-mix methodology for home health services is more difficult than developing one for hospitalization and acute health services, because the determinants of need for home health care are more complex and because of the difficulty in defining episodes of care. To evaluate home health service case mix, a multivariate grouping methodology was applied to records from the 1982 National Long-Term Care Survey linked to Medicare records on home health reimbursements. Using this method, six distinct health and functional status dimensions were identified. These dimensions, combined with factors describing informal care resources and local market conditions, were used to explain significant proportions of the variance (r2 = .45) of individual differences in Medicare home health reimbursements and numbers of visits. Though the data were not collected for that purpose, the high level of prediction strongly suggests the feasibility of developing case-mix strategies for home health...","impression_tracking_id":null,"owner":{"id":5664167,"first_name":"tony","middle_initials":null,"last_name":"hausner","page_name":"tonyhausner","domain_name":"uky","created_at":"2013-09-20T19:27:01.679-07:00","display_name":"tony hausner","url":"https://uky.academia.edu/tonyhausner"},"attachments":[],"research_interests":[{"id":3431,"name":"Long Term Care","url":"https://www.academia.edu/Documents/in/Long_Term_Care"},{"id":17969,"name":"Health Policy","url":"https://www.academia.edu/Documents/in/Health_Policy"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":102554,"name":"Health Care Financing","url":"https://www.academia.edu/Documents/in/Health_Care_Financing"},{"id":182425,"name":"Home Healthcare","url":"https://www.academia.edu/Documents/in/Home_Healthcare"},{"id":218342,"name":"Medicare","url":"https://www.academia.edu/Documents/in/Medicare"},{"id":343667,"name":"Theoretical Models","url":"https://www.academia.edu/Documents/in/Theoretical_Models"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1524625,"name":"Home Care Services","url":"https://www.academia.edu/Documents/in/Home_Care_Services"},{"id":2463496,"name":"Statistics as Topic","url":"https://www.academia.edu/Documents/in/Statistics_as_Topic"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-64482411-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="53885647"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/53885647/Impact_of_municipal_health_services_Medicare_waiver_program"><img alt="Research paper thumbnail of Impact of municipal health services Medicare waiver program" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Impact of municipal health services Medicare waiver program</div><div class="wp-workCard_item"><span>Health care financing review</span><span>, 1987</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A major goal of the municipal health services program (MHSP) was improvement of health services f...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians&#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="53885647"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="53885647"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 53885647; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=53885647]").text(description); $(".js-view-count[data-work-id=53885647]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 53885647; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='53885647']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=53885647]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":53885647,"title":"Impact of municipal health services Medicare waiver program","translated_title":"","metadata":{"abstract":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","publication_date":{"day":null,"month":null,"year":1987,"errors":{}},"publication_name":"Health care financing review"},"translated_abstract":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency room services. Also, participants had higher reimbursements for physicians\u0026#39; ambulatory and ancillary care. The net result was total Medicare reimbursements were decreased for program participants.","internal_url":"https://www.academia.edu/53885647/Impact_of_municipal_health_services_Medicare_waiver_program","translated_internal_url":"","created_at":"2021-09-29T01:24:44.315-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":5664167,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Impact_of_municipal_health_services_Medicare_waiver_program","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits to Medicare Part B enrollees who used the MHSP clinics. 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