Paying for Medicare: The Politics of Reform (Social Institutions and Social Change Series) - Hardcover

Smith, David G.

Hardcover

ISBN 10: 0202303934 ISBN 13: 9780202303932

Publisher: Aldine Transaction, 1991

Synopsis

** Paying for Medicare received the American Risk and Insurance Association's Elizur Wright Award for itsoutstanding contribution to risk management and insurance literature.

The Prospective Payment System and the Medicare Fee Schedule, two of the most effectively sustained and successful efforts at policy innovation in history continue to shape decisions about Medicare and cost containment efforts.

Smith shows how particular policy alternatives were developed; why chosen or rejected; and how provider interests and American political institutions have shaped their design and implementation.

About this title

Review

"This is two books in one. The first reviews forces that shaped Medicare hospital reimbursement policy during the 1980s. In 1983, Congress adopted the prospective payment system (PPS), a radical departure from the retrospective, cost-based approach by which Medicare had paid hospitals since the program began in 1966. Using primary and secondary sources, Smith weaves a compelling narrative that explains how Congress, the Health Care Financing Administration (which administers Medicare), and the nation's hospitals worked together to develop and implement the new system. Although concerned primarily with the political context, Smith does an excellent job of explaining the technical complexities of PPS. The result is a first-rate political history that can be recommended to any serious student of health policy. The second half of the book deals with physician payment reform, specifically the Medicare Resource-Based Relative Value Scale (RBRVS) enacted in 1989 and implemented in January 1992... Upper-division undergraduate and up."

--B. C. Stuart, Choice

"This is two books in one. The first reviews forces that shaped Medicare hospital reimbursement policy during the 1980s. In 1983, Congress adopted the prospective payment system (PPS), a radical departure from the retrospective, cost-based approach by which Medicare had paid hospitals since the program began in 1966. Using primary and secondary sources, Smith weaves a compelling narrative that explains how Congress, the Health Care Financing Administration (which administers Medicare), and the nation's hospitals worked together to develop and implement the new system. Although concerned primarily with the political context, Smith does an excellent job of explaining the technical complexities of PPS. The result is a first-rate political history that can be recommended to any serious student of health policy. The second half of the book deals with physician payment reform, specifically the Medicare Resource-Based Relative Value Scale (RBRVS) enacted in 1989 and implemented in January 1992... Upper-division undergraduate and up."

--B. C. Stuart, Choice

-This is two books in one. The first reviews forces that shaped Medicare hospital reimbursement policy during the 1980s. In 1983, Congress adopted the prospective payment system (PPS), a radical departure from the retrospective, cost-based approach by which Medicare had paid hospitals since the program began in 1966. Using primary and secondary sources, Smith weaves a compelling narrative that explains how Congress, the Health Care Financing Administration (which administers Medicare), and the nation's hospitals worked together to develop and implement the new system. Although concerned primarily with the political context, Smith does an excellent job of explaining the technical complexities of PPS. The result is a first-rate political history that can be recommended to any serious student of health policy. The second half of the book deals with physician payment reform, specifically the Medicare Resource-Based Relative Value Scale (RBRVS) enacted in 1989 and implemented in January 1992... Upper-division undergraduate and up.-

--B. C. Stuart, Choice

About the Author

David G. Smith is Richter Professor Emeritus of Political Science at Swarthmore College. He is the author of The Children's Health Insurance Program and Paying for Medicare. His book, Paying for Medicare, won the Elizur Wright Award from the American Risk and Insurance Association.

About this edition

• Publisher: Aldine Transaction
• Publication date: 1991
• ISBN 10: 0202303934
• ISBN 13: 9780202303932
• Binding: Hardcover
• Edition number: 1
• Number of pages: 277