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Medicare's Prospective Payment System: Strategies for Evaluating Cost, Quality, and Medical Technology

Description: A report by the Office of Technology Assessment (OTA) that "arrays the possible effects of PPS (prospective payment system) on the health care system and assesses the extent to which these effects can be measured" (p. iii)
Date: October 1985
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Medical Testing and Health Insurance

Description: Tests to identify individuals who are likely to develop serious diseases are being rapidly developed. Some of these tests are directed at diseases for which there are presently no known therapies, thereby raising questions over the social consequences of identifying susceptible persons. This assessment examines existing and developing medical tests and their current and potential uses by health insurers and employers.
Date: August 1988
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Payment for physician services: strategies for Medicare

Description: A report on medicare coverage of physician services for elderly and disabled. The report also discusses the payment methods that have also fueled increases in expenditures for physician services, which are now one of the most rapidly growing parts of the Federal budget.
Date: February 1986
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Benefit Design in Health Care Reform: Patient Cost-Sharing

Description: This paper examines the health services and economics literature to learn what is known about the effects of patient cost-sharing (that is, annual deductibles, coinsurance, copayments, and out-of-pocket maximurns) on patients’ use of health care services, on plan expenditures, and on patients’ health outcomes.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Universal Health Insurance and Uninsured People: Effects on Use and Cost

Description: This report provides point estimates of the “access gap” in ambulatory health services contacts and inpatient hospital days per person using the best available data from three recent large national surveys of the U.S. population. The report also estimates the aggregate access gap for the U.S. and it estimates the implications for national health spending of providing universal health insurance coverage.
Date: September 1994
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Aids and health insurance: an OTA survey

Description: This survey was conducted as part of an Office of Technology Assessment (OTA) assessment on medical testing and health insurance that will be published at a later date. OTA is also monitoring AIDS-related developments for the U.S. Congress, and the survey results are being published by OTA as the second in a series of Staff Papers on AIDS-related issues.
Date: February 1988
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Adolescent Health Insurance Status: Analyses of Trends in Coverage and Preliminary Estimates of the Effects of an Employer Mandate and Medicaid Expansion on the Uninsured

Description: This report examines the health insurance status of adolescents (10 to 18 years of age) based on census data. It considers the reasons that some adolescents are insured and others are not, changes in the number of uninsured adolescents over time, and the effects of various approaches to ensure that more adolescents have insurance.
Date: June 1989
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Does Health Insurance Make a Difference?

Description: This background paper reviews and evaluates the available literature linking health insurance coverage with the utilization and process of health care services and with individual health outcomes.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Coverage of Laser Technology by Health Insurers

Description: This paper presents some empirical information on how insurers consider payment for new medical devices. It describes the survey results of medical directors affiliated with private health insurers about their coverage decisions using, as examples, three applications of lasers: laser angioplasty for opening narrowed or blocked coronary arteries; laser discectomy for treating herniated intervertebral discs; and photodynamic therapy (using a light–sensitive dye) for bladder cancer.
Date: August 1995
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Coverage of Preventive Services: Provisions of Selected Current Health Care Reform Proposals

Description: This paper first describes prevention and clinical preventive services, and specialties the way in which OTA uses the concept of preventive services in its analysis of current health care reform proposals. Second, the paper provides a “roadmap” to four major approaches to reform. Third, the paper summarizes the preventive services proposed under selected health care reform proposals.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

A note on the strengths and weaknessess [sic] of using the CPS to estimate children's health insurance coverage

Description: This report discusses the strengths and weaknesses of the Current Population Survey (CPS) relative to the National Health Interview Survey (NHIS), the National Medical Care Expenditure Survey (NMCE), for the purpose of estimating the numbers of children with different types of health insurance.
Date: February 1988
Creator: Swartz, Katherine
Partner: UNT Libraries Government Documents Department

Issues in capitation: risk of financial ruin for providers and ways to control this risk

Description: The purpose of this report is to explore issues relating to healthcare expenses. To examine the concept of risk for providers in a capitation payment environment and to estimate the effectiveness of various risk limiting techniques.
Date: October 1985
Creator: Vertrees, James G.; Tolley, Dennis & Manton, Kenneth
Partner: UNT Libraries Government Documents Department

Reform of Medicare physician payment policies: impact on magnetic resonance imaging technology

Description: This report provides a brief description of the magnetic resonance imaging (MRI), current research, safety and patient acceptance of the imaging technology. It discusses the current use of MRI, the medical evidence, current clinical applications and diffusion of MRI.
Date: September 1985
Creator: Iezzoni, Lisa I.; Grad, Oren & Moskowitz, Mark A.
Partner: UNT Libraries Government Documents Department

Physicians' payment and their prescription of laboratory tests: the effects on clinical laboratory services of selected alternatives for paying physicians under the Medicare program

Description: This report discusses laboratory testing in light of physician payment methods under Medicare. The report focuses primarily on laboratory testing in the outpatient setting, assuming the impatient laboratory testing is covered by the DRG-based Prospective Payment System rates of Medicare.
Date: September 1985
Creator: Myers, Lois P.; Eisenberg, John M. & Pauly, Mark V.
Partner: UNT Libraries Government Documents Department

Evaluation of effects of the quality of care of selected alternatives for paying physicians under the Medicare program

Description: This report tries to anticipate the kinds of effects on the quality of personal health care services that would result from each of several alternative ways of paying for physician's services to Medicare patients.
Date: September 1985
Creator: Hammons, Glenn T.; Brook, Robert H. & Newhouse, Joseph P.
Partner: UNT Libraries Government Documents Department