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Table of Contents

HCFO News & Progress: January 2007

  • Research Translation: Moving Research to Policy and Practice...1
  • New Grants
    • Should Healthy Beneficiaries Buy Medicare Drug Coverage?...4
    • Evaluation of Maine's Dirigo Reform...4
    • Medicare Beneficiaries Response to Coverage Gaps...5
    • Defensive Medicine as a Response to Medical Malpractice...5
    • Impact of the Washington State Diabetes Collaborative...6
    • Peer Pressure: Hospital Ownership Mix and Medical Service Provision...6
    • Changes in Drug Utilization..7
  • New Publications....8

HCFO News & Progress: May 2006

  • New Grants
    • Involving Consumers in Physician Choice...3
    • Effect of State Parity Laws on Children with Mental Health Care Needs...3
    • Specialty Hospitals and Competition in the Hospital Industry...4
    • Strategies to Reduce Health Care Providers’ Administrative Burden...4
    • Measuring the Value of Public Health Systems...5
    • Causes and Consequences of Change in Local Public Health Spending...5
  • New Publications...7

HCFO News & Progress: January 2006

  • New Grants
    • The Impact of Consumer Health Plan Decision-Support Tools on Health Plan Choice and Quality...4
    • Costs and Benefits of Physician Practices’ Interactions with Health Plans...4
    • Duration Limitations and Adherence to Chronic Medication...5
    • Administrative Simplification Challenges and Opportunities: A Physician Organization Perspective...5
    • Administrative Costs Associated with Third Party Payment...6
    • Uptake and Impact of Health Risk Appraisals...6
  • HCFO News...7

HCFO News & Progress: June 2005

  • HCFO Reauthorized for Three Years...1
  • Preliminary Findings
    • LTC Needs of Baby Boomers...3
    • Dynamics of Health Insurance Coverage 4
    • State Drug Assistance Program 5
    • End-of-Life Care for Dual Eligibles...6
    • Malpractice, Tort Reform, and Safety...7
  • Project Update
    • PPS for Medicare Home Health...8
  • New Grants
    • Medicare Spending Per Beneficiary...9

HCFO News & Progress: January 2005

  • Experts—An Essential Component of the HCFO Program...1
  • Ethical Guidelines for Health Services Research...3
  • Prior Publication Guidelines...3
  • New Grants...4
  • New HCFO Publications...11
  • AcademyHealth News...18

HCFO News & Progress: June 2004

  • New Grants
    • Impact of Medicare’s Local Medical Review Policies...4
    • Impact of Private Long-Term Care Insurance on Demand...5
    • Hospital Capital Financing...6
    • Medical Malpractice Reform 6
    • The Medicaid Undercount...7
    • Length-of-Stay Policy After Caesarean Section...7
    • Management Uses of Health-Based Risk Assessment Tools...8
    • Managed Care and Medicare Expenditures...9
    • Long-Term Care Needs of Baby Boomers...10
    • Federal Health Insurance Tax Credits...11
    • Pharmacogenomics...12
    • Hospital Mergers and HMO Hospital Costs...12
    • Prescription Drugs and the New Medicare Benefit...13
  • HCFO News 14

HCFO News & Progress: January 2004

  • New Grants
    • Using Physician Profiling to Evaluate Efficiency...4
    • Dynamics of Health Insurance Coverage...6
    • Does Hospice Care Save Money?...7
    • Kaiser Permanente Medicare Demonstrations...8
    • Medicare Home Health Prospective Payment System...9
  • HCFO News...10

HCFO News & Progress: June 2003

  • HCFO-Funded Research Informs the Private Health Care Market...1
  • Managed Care and Outcomes...4
  • Medicare and Health Disparities...6
  • Consumer-Driven Benefits...7
  • Impact of Performance Reporting on Consumer and Physician Behavior...8
  • Funding Health Services in Rural Counties...9
  • SCHIP and Immunization Rates...10
  • Medical Liability and Disclosure...11
  • Pooled Purchasing Arrangements...12
  • HCFO News...14

HCFO News & Progress: January 2003

  • HCFO Welcomes New NAC Members...1
  • Corporate Finance and Consolidation...4
  • Medical Technology Assessment...6
  • End-of-Life Care for Dual Eligibiles...7
  • Chart of Active Projects...8
  • Effects of Utilization Review...10
  • California's Medicaid Managed Care...11
  • Consumer Driven Health Plans...12
  • End-of-Life Care in Medicare Managed Care, Fee-for-Service...13
  • HCFO News...14

HCFO News & Progress: August 2002

  • HCFO Reauthorized through 2005...1
  • New Health Plans Push for Smarter Health Care Choices...4
  • Effects of Mandatory Managed Care on Children's Access to and Use of Health Care...6
  • Effects of Individual Insurance Market Regulations in New Jersey...6
  • New Research Explores Retiree Concerns Over Cost of Health Premiums...7
  • Effects of Concentrated Health Care Markets on Provider Behavior and Patient Care...8
  • Geographic Variation in Alcohol, Drug Abuse, and Mental Health Services Utilization: What is the Role of Physician Practice Patterns?...9
  • Quality Assessment of South Carolina Medicaid Managed Care...10
  • HCFO News...11

HCFO News & Progress: March 2002

  • HIPAA Privacy Regulations: Researchers Prepare for New Rules...1
  • Major Differences Exist in Physician Profiling Systems...4
  • A Second-Generation Evaluation of the Buyers Health Care Action Group...5
  • Autologous Bone Marrow Transplantation and the Treatment of Breast Cancer: The U.S. Experience...6
  • Creating and Sharing Improved Tools for Policymakers to Assess Risk Adjustment Approaches...6
  • State Health Care Purchasing Practices...7
  • The Safety Net and Employer-Provided Health Insurance...8
  • Patterns of Individual Coverage...8
  • Navigating the Complexities of ERISA Health Plans...9
  • Assessing the Impact of Medicaid Equalization Policies on Nursing Home Access...10
  • Utilization Review: Cost Savings and Quality of Care...11
  • Changes in Physicians' Decisions to Treat Medicaid Patients and the Uninsured...11
  • Guaranteed Renewability in Individual and Group Health Insurance: Functioning and Future Prospects...12
  • Specified Data Solicitation...13
  • HCFO News...15

HCFO News & Progress: November 2001

  • HCFO-funded Research Informs State Health Policy...1
  • Managed Care Affects Physician Practice, Treatments, and Costs for Medicare Fee-for-Service Patients...4
  • Depression Sufferers Dissatisfied with Health Plans, but Unlikely to Disenroll...5
  • Purchasers Deem Health-based Risk Adjustment a Success...6
  • The Impact of Quality Information on Consumer Plan Choices: Does Health Status Matter?...7
  • Assessing the Impact of a Public Report on Hospital Quality: A Controlled Experiment in Wisconsin...8
  • Effects of the Balanced Budget Act and Market Forces on the Health Safety Net...9
  • Market-based Reforms and the Quality of Hospital Care in New Jersey...10
  • HCFO News...11

HCFO News & Progress: August 2001

  • Choice: The "Hot Button" in Health Care?...1
  • Employers Want to Finance and Manage Health Benefits for Workers...3
  • Consumer Choice Affects Levels of Trust and Satisfaction in Managed Care Markets...5
  • Capitation Initiative Improves Outcomes for Several Mentally Disabled Patients...6
  • Skilled Nursing Facility Prospective Payment System Affects Access of Only Highest-cost Patients in Ohio...7
  • Evaluation of Medicare's Local Medical Review Policies for New Medical Technologies...12
  • The Effect of Local Hospital Networks on the Cost and Accessibility of Hospital Services...13
  • The Impact of Three-tiered Pharmaceutical Formularies on Prescription Drug and Health Care Costs and Utilization...14
  • HCFO News...15

HCFO News & Progress: March 2001

  • HCFO-funded Research Provides Guidance to Decision Makers...1
  • Managed Care Affects Treatment Patterns with Implications for Quality of Care...5
  • Presentation of Quality Information Influences Consumers' Decisions...6
  • Medicaid Managed Care Has Generally Positive Effect on Access and Use...8
  • Researchers Field Surveys Among Health Plans and Regulators to Understand "Medical Necessity" Decision Making in Managed Care...9
  • Insurance Coverage, use of Prenatal Care, and the Financing of Birth Outcomes in Nine States Pre- and Post-Welfare Reform...10
  • Prescription Benefit Comprehensiveness and Costs in Elderly Persons with Chronic Illness...11
  • Trends in Medigap Insurance and the Impact of Recent Market and Regulatory Changes...11
  • Evaluating Managed Care Patient Protection Laws...13
  • Medicare Risk-contracting: Impact on Access and Quality for Medicare HMO Enrollees and Vulnerable Populations...14
  • HCFO News...15

HCFO News & Progress: December 2000

  • The Power of Physician Payment: Designing Incentives in a New Era...1
  • Quarterly Benefit Caps May Help Medicare Beneficiaries Budget Prescription Drug Costs More Effectively...4
  • Health-based Payment Catches on in State Medicaid Programs...5
  • Hospital Ownership Conversions...7
  • Changes in Drug Payment and Management Strategies in Physician Organizations...7
  • The Relationship Between Market Forces and the Costs, Treatments, and Outcomes of Medicare AMI Patients...9
  • Price May be an Important Factor in How HMOs Grant Hospital Contracts...10
  • The Fishing Partnership Health Plan in Massachusetts...11
  • Evolution of Self-Insurance in and Era of Managed Care...12
  • An Evaluation of Health Insurance in San Francisco Before and After Implementation of a Local Public Purchasing Cooperative...13
  • Early Implementation Experience of Vivius Contrasted with Other Internet-based Approaches...14
  • HCFO News...15

HCFO News & Progress: August 2000

  • Communities, Markets, and Access to Care...1
  • Buyers Health Care Action Group's Choice Plus Considered a Success by Both Employers and Employees...4
  • Presentation Format Influences Consumers' Use of Health Plan Performance Information...5
  • The Effect of Managed Care on Treatment Patterns and Health Outcomes Among Traditional Medicare Patients...6
  • Evaluating Florida's Medicaid Provider Service Network Demonstration Project...6
  • The Impact of Medicaid Managed Care on Access to Care and Service Use...7
  • Understanding the Employer's Perspective on Employer-Based Health Insurance...9
  • The Impact of the Prospective Payment System on Nursing Home Care...9
  • Studies of the Working Uninsured, Their Dependents, and Insurance Reform on Their Behalf...10
  • Health and Economic Consequences of Medicaid Disenrollment in New York City...11
  • Understanding Medical-Necessity Decision Making...11
  • Causes and Consequences of the HMO Underwriting Cycle...12
  • Implementation and Impact of Health-Based Risk Adjustment...13

HCFO News & Progress: March 2000

  • The Employer-Sponsored Health Insurance System: Repair It or Replace It?...1
  • Increases in Variability of Hospital Demand Significantly Increase Hospital Costs...4
  • Hospitals' Uncompensated Care Expenses Not Keeping Pace with Per Capita Spending...5
  • Specialists in Medical Groups Paid a Salary by HMOs Associated with Lower Procedure Rates Than Those Paid under Fee-for-Service or Capitation Contracts...7
  • Consumers Get More for their Managed Care Premium Dollar in Metropolitan Areas Where Competition is Greater...8
  • The Impact of Medicaid Managed Care on Prenatal Care Use and Birth Outcomes...9
  • Exit, Voice, and Frailty: Consumer Behavior Under Managed Competition...10
  • Physician Compensation and Risk-Bearing Arrangements in Medical Groups...11

HCFO News & Progress: November 1999

  • Changes in Health Care Financing and Organization Program Re-authorized...1
  • Impact of Physician Compensation and Risk-Bearing Arrangements Varies, Depending on Strategic Goals and Mission of Medical Group...2
  • Response to Managed Competition Policies May Differ for Active Employee and Retiree Populations...4
  • Structure of Employer Contributions in the Federal Employees Health Benefits Plan May Prompt Employees to Buy More Coverage Than They Need...5
  • Employees Value Employer's Role as Health Benefits Purchaser...7
  • New York's ProNet Demonstration Project Wraps Up...8
  • Health-based Payment System Offers Some Promise in its Potential to Improve Incentives for Health Plans to Serve People with Greatest Health Care Needs...9
  • The Effect of Prescription Benefit Caps on Medicare HMO Enrollees...10
  • Changes in Drug Payment and Management Strategies in Physician Organizations: A Multiple-Case Study...11
  • The Transfer of Risk and Clinical Management Responsibilities to Physician Organizations: An Exploratory Analysis...12

HCFO News & Progress: July 1999

  • Data Needs for Measuring Competition and Assessing Its Impact...1
  • Evaluation of the TennCare Health Reform Plan...4
  • Risk Segmentation Less a Concern Than Potential Cost and Confusion Related to Employment-Based Medical Savings Accounts...7
  • Hospital Ownership Conversions...9
  • A Comparative Evaluation of Risk-Adjustment Methodologies for Profiling Physician Practice Efficiency...9
  • The Relationship Between Market Forces and the Cost, Treatments, and Outcomes of Medicare AMI Patients...10
  • Information Technology and the Use of Information in Managed Care...11

HCFO News & Progress: May 1999

  • This special supplement to HCFO News and Progress highlights grants awarded under the HCFO/Health Tracking program, which use the Community Tracking Study's Household Survey.

HCFO News & Progress: November 1998

  • The HCFO/Health Tracking Joint Solicitation...1
  • Washington State Leads the Way in Applying Risk-Adjusted Payments to Health Plans Covering an Employed Population...3
  • Beyond the Gatekeeper...5
  • Physician Responses to HMO Growth...7
  • Evaluation of the TennCare Health Reform Plan...8
  • Barriers to Small Group Purchasing Coalitions...9
  • The Impact of Primary Care Physician Compensation Mechanisms on the Process of Care...10
  • An Evaluation of the Impact of the New York Health Care Reform Act of 1996 (NYHCRA) on Provider and Insurer Finances and Organization, and on Insurance Coverage and Costs...11

HCFO News & Progress: July 1998

  • Risk Adjustment: How Far Have We Come?...1
  • An Evaluation of the Current and Potential Impact of Consumer-Survey-Based Report Cards on the Health Care Market Place...3
  • Selective Contracting for Tertiary Care Services by Managed Care Organizations...4
  • Employers' Use of Report Cards and Financial Incentives to Improve Health Plan Performance...5
  • Evaluation of Reforms of the Market for Individual Coverage in New Jersey...8
  • Investigation into Specialist Payment...10
  • Evolution of Physician Organization Under Managed Care...11

HCFO News & Progress: March 1998

  • Choice in Health Care...1
  • Changing Medicaid Physician Fees...4
  • Older Americans' Health Insurance...5
  • The Effects of Any Willing Provider and Freedom of Choice Laws...6
  • Firms' Decision-Making in Employer-Offered Health Insurance...8
  • Reforming Medicare Risk Payment Through Competitive Market Forces...9
  • The Effects of the New York Health Care Reform Act of 1996 on Health Service Accessibility and Efficiency...10
  • Market Forces in Investor-Owned HMOs...11
  • The Impact of Nonprofit Conversions on Community Benefits...12

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