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Health Care Financing Review

2004 Edition

Winter 2004-2005, Volume 26, Number 2

General Topics (Please see the links in the Downloads section below for entire article)

Page 1CMS Frailty Adjustment Model
Page 21Health-Based Capitation Risk Adjustment in Minnesota Public Health Care Programs
Page 43Provider Opt-Out Under Medicare Private Contracting
Page 61Accuracy and Bias of Race/Ethnicity Codes in the Medicare Enrollment Database
Page 73High-Risk Pools for Uninsurable Individuals: Recent Growth, Future Prospects
Page 89Access to Care for Disabled Children Under Medicaid
Page 105Smoking Among Medicaid Insured Mothers: What Are the Neonatal Expenses?
Page 119Medicaid Managed Care and Racial Disparities in AIDS Treatment
Page 133Estimates of Dual and Full Medicaid Benefit Dual Enrollees, 1999

Fall 2004, Volume 26, Number 1

Mental Health (Please see the links in the Downloads section below for entire article)

Page 1Mental Health Issues
Page 5Children's Mental Health Services in Fee-for-Service Medicaid
Page 23Effects of Managed Care on Southern Youths' Behavioral Services Use
Page 43Medicaid Behavioral Health Care Plan Satisfaction and Children's Service Utilization  
Page 57Medicaid Spending and Utilization for Central Nervous System Drugs
Page 75Performance Assessment in Community Mental Health Care and At-Risk Populations
Page 85Prospective Payment for Medicare Inpatient Psychiatric Care: Assessing the Alternatives
Page 103Characteristics of High Staff Intensive Medicare Psychiatric Inpatients
Page 119Public Insurance Eligibility and Enrollment for Special Health Care Needs Children
Page 137Mental-Behavioral Health Data: 2001
Page 143Symptoms of Depression Among Aged Medicare Enrollees: 2002

Spring 2004, Volume 25, Number 3

Medicaid Prescription Drugs (Please see the links in the Downloads section below for entire article)

Page 1Medicaid Drugs
Page 5Medicaid Prescription Drug Spending in the 1990s: A Decade of Change
Page 25Generic Drug Cost Containment in Medicaid: Lessons from Five State MAC Programs
Page 35Open Access to Innovative Drugs: Treatment Substitutions or Treatment Expansion?  
Page 55Drug Policy Down Under: Australia's Pharmaceutical Benefits Scheme
Page 69Trends in Medicaid Prescribed Drug Expenditures and Utilization

Summer 2004, Volume 25, Number 4

Health Outcomes Survey (Please see the links in the Downloads section below for entire article)

Page 1Measuring and Improving Health Outcomes in Medicare: The Medicare HOS Program
Page 5Psychometric Evaluation of the SF-36® Health Survey in Medicare Managed Care
Page 27Estimation of Non-Response Bias in the Medicare FFS HOS
Page 43Measurement Comparisons of the Medical Outcomes Study and Veterans SF-36® Health Survey
Page 59Health Status of Dually Eligible Beneficiaries in Managed Care Plans
Page 75Chronic Conditions: Results of the Medicare Health Outcomes Survey, 1998-2000
Page 93Use of HOS Data in Florida
Page 105Coexisting Illness and Heart Disease Among Elderly Medicare Managed Care Enrollees
Page 119Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model
Page 143National Health Expenditures, 2002

 

Downloads

Winter 2004 General Topics [ZIP, 3.39MB]
Fall 2004 Mental Health [ZIP, 4.09MB]
Spring 2004 Medicaid Prescription Drugs [ZIP, 2.23MB]
Summer 2004 Health Ourcomes Survey [ZIP, 3.80MB]


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