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Management/Administration

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  • Topic: Management/administration
  • Topic: Health plans
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State Health Access Reform Evaluation

March 25, 2013 | Program Result Report

State Health Access Reform Evaluation (SHARE) supports rigorous research on health reform initiatives and evaluation of health reform issues.

US Physician Practices Versus Canadians

August 1, 2011 | Journal Article

Researchers surveyed physicians and administrators in the province of Ontario, Canada, about time spent interacting with payers and compared the results with a national companion survey in the United States. If U.S. physicians had administrative costs similar to those of Ontario physicians, the total savings would be approximately $27.6 billion per year.

Documenting the Health Insurance Needs of Cancer Patients and Providing Scarce Resolutions

January 31, 2013 | Journal Article

HIAS can offer lasting insight into the meaning of health care reform implementation.

The Value of Clinical Practice Guidelines as Malpractice "Safe Harbors"

April 1, 2012 | Issue Brief

This paper from the Urban Institute discusses the promise of clinical practice guidelines as medical liability "safe harbors." The paper examines how guidelines can protect providers, how they would prevent defensive medicine, and challenges and hurdles in designing and applying such guidelines.

Physician Practice Interactions with Health Plans Cost $31 Billion a Year, Equaling 6.9 Percent of All Spending for Physician and Clinical Services, New Study Finds

May 14, 2009 | News Release

Physicians spend the equivalent of nearly three work weeks on health plan interactions.

The Individual Mandate in Perspective

March 1, 2012 | Issue Brief

The “individual mandate”—the requirement that individuals either have health insurance coverage or pay a fine—is both the best known and the least popular component of the Affordable Care Act (ACA). If the ACA were in effect today, 94 percent of the ...

The Center for Medicare and Medicaid Innovation

February 1, 2012 | Issue Brief

This summary paper provides a status report on the Center for Medicare and Medicaid Innovation. Congress established the Innovation Center in the ACA primarily to test new payment and delivery models.

Eliminating the Individual Mandate

January 1, 2012 | Issue Brief

This issue brief is funded by RWJF as part of its Quick Strike Series and presents an analysis of the controversial individual mandate provision of the Affordable Care Act.

State Progress Toward Health Reform Implementation

January 1, 2012 | Issue Brief

This issue brief examines whether there is a correlation between the progress that states have made toward establishing the health insurance exchanges called for under ACA, and the expected benefits for state residents.

Market-Based Strategy Helps Charitable California Hospital Chain Reorganize and Reverse Financial Losses - While Maintaining Its Mission

January 31, 2008 | Program Result Report

James C. Robinson analyzed the role of financial capital, capital investment strategy and market dynamics in the consolidation of the health insurance and hospital industries.

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