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Reimbursement Issues

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Child FIRST Learning Session 4

September 15, 2010 | Toolkit

This presentation (Learning Session #4) was from the Child FIRST (Child and Family Interagency Resource, Support, and Training) program which took place on September 15-16, 2012. Child FIRST works with the most vulnerable young children (prenatal th ...

What We Know and Do Not Know About Tiered Provider Networks

January 10, 2008 | Journal Article

Related websites Subscription required: What We Know and Do Not Know About Tiered Provider Networks Some health care plans in the United States have adopted tiered provider networks (TPNS) to address the escalation of costs and poor quality care in ...

Pay-for-Quality Concept Rewards Physicians, Hospitals for Providing Quality Health Care

October 1, 2004 | Program Result Report

Four organizations planned projects to demonstrate the use of financial incentives to reward providers for delivering high-quality health care.

Risk-Adjustment Approach to Compensating Health Care Plans More Appropriately for Serving Chronically Ill People

January 1, 2003 | Program Result Report

From 1997 to 2001, researchers at the Institute for Health Policy Studies at the University of California, San Francisco, conducted a two-phase study to test the hypothesis that risk adjustment could be improved by removing patients with high-cost chronic conditions from the general risk pool and assessing their risk by analysis of detailed clinical information.

Disharmony of Inpatient and Outpatient Services Hampers Treatment of Schizophrenics

August 1, 2001 | Program Result Report

From 1991 to 1998, researchers from the Institute for Health, Health Care Policy, and Aging Research at Rutgers, The State University of New Jersey, studied the care of schizophrenia patients who are covered by Medicaid in New York State.

Deregulation Improves the Health of N.J. Hospitals' Bottom Lines

July 1, 2000 | Program Result Report

From 1994 to 1997, researchers at the Harvard University School of Public Health, Boston, studied the effects of deregulation on New Jersey hospitals.

How Managed Care Can Set Limits on Medical Technology - and Look Good

September 1, 2000 | Program Result Report

From 1996 to 1998, Harvard Pilgrim Health Care examined how insurers, employers and other purchasers of health care decide which medical technologies to provide to consumers under resource constraints.

Harvard-Based Center Explores Behavioral Health and Managed Care

March 1, 2007 | Program Result Report

From 1996 to 1999, staff at Harvard Medical School established the Managed Care Industry Center at Harvard University.

Losers and Winners in Oregon's State Methadone Maintenance Program

March 1, 2007 | Program Result Report

The Oregon Health and Science University studied the impact on clients enrolled in methadone maintenance services in Oregon when the state eliminated funding for their treatment in March 2003.

Show Them the Money

April 1, 2007 | Program Result Report

The Legal Action Center of the City of New York designed, printed and distributed Resources for Recovery: State Policy Options for Increasing Access to Alcohol and Drug Treatment Through Medicaid & TANF.

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