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Author: Publisher: ISBN: Category : Languages : en Pages : 36
Book Description
The Congress, through enactment of the National Defense Authorization Act for Fiscal Year 1994, Section 718, directed the DoD to use an FFRDC to evaluate the performance of Uniformed Services Treatment Facilities operating under a managed-care plan. This report summarizes the results of the evaluation and the methods used to obtain them. The evaluation includes a comparison of the cost of the managed-care plan with an estimate of what the cost would have been had other sources of government health care been used. It also assesses the impact of the managed-care plan on the access of covered beneficiaries to health care and on the quality of health care received by covered beneficiaries.
Author: Publisher: ISBN: Category : Languages : en Pages : 36
Book Description
The Congress, through enactment of the National Defense Authorization Act for Fiscal Year 1994, Section 718, directed the DoD to use an FFRDC to evaluate the performance of Uniformed Services Treatment Facilities operating under a managed-care plan. This report summarizes the results of the evaluation and the methods used to obtain them. The evaluation includes a comparison of the cost of the managed-care plan with an estimate of what the cost would have been had other sources of government health care been used. It also assesses the impact of the managed-care plan on the access of covered beneficiaries to health care and on the quality of health care received by covered beneficiaries.
Author: Michael Schoenbaum Publisher: RAND Corporation ISBN: 9780833030047 Category : Business & Economics Languages : en Pages : 0
Book Description
The National Defense Authorization Act for Fiscal Year 2000 established the authority for a demonstration program under which eligible military retirees and their dependents would be permitted to enroll in the Uniformed Services Family Health Plan (USFHP) at any time, rather than during a designated 30-day period each spring. The USFHP Continuous Open Enrollment demonstration was conducted at three of the seven USFHP sites, beginning in early 2000. This book assesses the likely impact of continuous open enrollment on beneficiaries, the DoD, and other stakeholders. The authors interviewed USFHP and DoD staff and other key participants involved in rate-setting negotiations, visited each demonstration site, conducted focus groups with enrolled and eligible non-enrolled beneficiaries, and analyzed data on enrollment patterns. The evaluation found no apparent drawbacks for beneficiaries of the continuous open enrollment policy, nor any evidence that it increased enrollment in USFHP. For beneficiaries under age 65, the authors found that a de facto policy of continuous open enrollment already exists because beneficiaries may enroll in TRICARE Prime and then transfer to USFHP at any time. Finally, the authors expect the financial risk to the DoD to be minor, mainly because the current system of calculating payment rates places most risk from adverse selection on the USFHP. The authors recommend that the continuous open enrollment policy be extended to all USFHP sites and be made permanent.
Author: Publisher: ISBN: Category : Languages : en Pages : 75
Book Description
The National Defense Authorization Act for Fiscal Year (FY) 2000 established the authority for a demonstration program under which eligible beneficiaries were to be permitted to enroll in the Uniformed Services Family Health Plan (USFHP) at any time. We will refer to this policy as "continuous open enrollment." Congress directed that the Department of Defense (DoD) test the feasibility and advisability of providing continuous open enrollment for a two-year period at a minimum of two (out of seven) USFHP sites; submit a report to Congress by March 15, 2001, evaluating the benefits and costs of the program; and make a recommendation concerning whether to authorize continuous open enrollment at all USFHP sites on a permanent basis.
Author: Committee for the Study of the Future of Public Health Publisher: National Academies Press ISBN: 0309581907 Category : Medical Languages : en Pages : 240
Book Description
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Author: Agency for Healthcare Research and Quality/AHRQ Publisher: Government Printing Office ISBN: 1587634333 Category : Medical Languages : en Pages : 385
Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 030946921X Category : Medical Languages : en Pages : 161
Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309452961 Category : Medical Languages : en Pages : 583
Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
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Author: Michael Schoenbaum
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Author: Committee for the Study of the Future of Public Health
Author: Agency for Healthcare Research and Quality/AHRQ
Author: National Academies of Sciences, Engineering, and Medicine
Author: National Academies of Sciences, Engineering, and Medicine
Author: HHS Evaluation Documentation Center (U.S.)