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Based on both research & reports from organizations representing Medicare beneficiaries, this report analyzes the major problems associated with Medicare HMOs & provides recommendations to achieve protection of Medicare beneficiaries. Addresses: marketing, enrollment & disenrollment; Medicare-covered benefits & the HMO appeals process; access to appropriate providers; data collection, analysis & disclosure; quality-of-care, monitoring & oversight; the AAPCC rate, standardization of plan benefits & risk adjustments; & regulation of managed care entities such as provider sponsored organizations.
Testimony of a hearing on health care reform, especially as it relates to women, children, and adolescents, is presented in this document. Statements and/or materials by these Representatives is included: Bill Barrett, Matthew Martinez, Mike Bilirakis, and Patricia Schroeder. Testimony and/or prepared statements and materials are included from these persons and groups: (1) Sarah Brown, senior study director, National Forum on the Future of Children and Families, Institute of Medicine, National Research Council, Washington, D.C.; (2) Edmund Haislmaier, policy analyst, Heritage Foundation, Washington, D.C.; (3) Robert Johnson, director, division of adolescent medicine, UMDNJ-New Jersey Medical...
Examines caregiving as a central feminist issue, looking at its impact on women socially, personally, and economically especially in light of ongoing changes in family structures, the economy and workforce, and health care demands of needy adults.
No one misses the onslaught of claims about reforming modern medical care. How doctors should be paid, how hospitals should be paid or governed, how much patients should pay when sick in co-payments, how the quality of care could be improved, and how governments and other buyers could better control the costs of care — all find expression in the explosion of medical care conference proceedings, op-eds, news bulletins, journal articles, and books.This collection of articles takes up a key set of what the author regards as particularly misleading fads and fashions — developments that produce a startling degree of foolishness in contemporary discussions of how to organize, deliver, finance,...