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Biomedical subjects

J S Hall

Publications and source records attributed to J S Hall.

39 records · Page 3Linked to original sources

Managing Medicaid managed care: are states becoming prudent purchasers?

This paper examines the extent to which five states are becoming "prudent purchasers" in their oversight of Medicaid managed care. Our conclusions are mixed. These states are making more sustained efforts along these lines than most private purchasers are and have improved the amount and quality of the data they collect on the experiences of Medicaid clients when compared with the traditional fee-for-service program. They have been less successful in ensuring data quality that is adequate to support contracting decisions and in developing the analytical or political capacity to use data to "manage" the managed care system. Becoming a prudent purchaser appears to be a complex task for states that may prove difficult to achieve.

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Fibrosarcoma of the vulva: case reports and discussion.

Three cases of fibrosarcoma of the vulva are reported. In two, surgical resection resulted in remission lasting over four years. In the third case, presenting with metastasis of the lung and liver, the patient died without surgery having been carried out. The low mitotic index found in the first two cases seems to lead to a favourable prognosis, whereas the inferior vulvar localization found in the last case seems to be more dangerous because of its diffusion into the paravaginal space.

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