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At least 811 records · Page 45Linked to original sources
PubMed1988

Fee controls as cost control: tales from the frozen North.

Uniform and binding fee schedules for physicians have been advanced as a cost-control strategy that can also improve patient access to care, as well as spread costs more equitably. Counter-arguments, however, predict very different effects on utilization and costs. Empirical evidence to challenge economic theories of physician behavior may be drawn from Canada. The experience of innovative policies of two provinces--within a national framework--emphasizes a multipronged approach to fees, practice patterns, and numbers of physicians; political will and ongoing negotiations are necessary.

British Columbia↗
PubMed1985

The costs of membership aging in a Blue Cross and Blue Shield plan.

One explanation for the tremendous increases in health care costs over the last several years is that an increasingly older population is using a more intense and complex mix of health care services with increased frequency. In this study of Blue Cross and Blue Shield of Michigan membership during the period 1977-1982, age adjustment cost indices were used to quantify the benefit payments attributable to the changes in the average age of the membership during that period. The more thorough understanding of the components of health care cost increases made possible through this method of analysis should promote improved premium arrangements and health care delivery configurations.

Adolescent↗
PubMed1977

New retirees and the stability of the retirement decision.

Examination of the benefit awards data under the social security program may furnish at least partial answers to two questions: What is the estimated number retiring each year? How long do they stay retired? The calculation presented here of the number retiring in 1971 takes into account the fact that the date of the award is not necessarily the actual date of retirement. The difference has been accentuated since Medicare began and individuals have been filing for benefits solely to obtain hospital insurance protection, continuing to earn at a level that precludes receipt of benefits under the earnings test. This study of the data on payable benefits indicates that only a small proportion of retirees lose benefits because of their return to work within 3 years after award.

Age Factors↗