FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3125843679> ?p ?o ?g. }

• W3125843679 startingPage "255" @default.
• W3125843679 abstract "I. INTRODUCTION: THE RISING COSTS OF HEALTH CARE... ........256II. BRINGING AMERICANS INTO THE HEALTH INSURANCE MARKET 259A. The Individual Mandate 259B. Medical Loss Ratios... ......261C. Explaining Increasing Costs 262III. THE EMERGENCE OF MANAGED CARE AND UTILIZATION REVIEW ........ 264A. Managed Care. ....... .....265B. The Narratives of Utilization Review Denial 270IV. SUPERVISING MANAGED CARE WITH INDEPENDENT MEDICAL REVIEW ......273A. Internal Appeals and Judicial Remedies 274B. State Requirements for Independent Medical Review.... .277C. Effectiveness and Importance of IMR 280D. ERISA Preemption 283E. The IMR Requirement of the Patient Protection and Affordable Care Act. ......285V. REALIGNING INDEPENDENT MEDICAL REVIEW WITH COST/BENEFIT ANALYSIS 288A. The Competencies of MCOs and Physicians ...... ...288B. Discomfort with Cost Control ....290C. The Work of 'Economizing ....296D. MCO Cost Control: Version 2.0........ .299VI. CONCLUSION.. .........300By one means or another, the nation will someday have to learn how to economize on medical care even when it hurts.1I. INTRODUCTION: THE RISING COSTS OF HEALTH CAREAmericans remain in the grip of a sustained and dramatic trend of increasing health care costs. Although we have tried a variety of approaches to reducing or moderating the increases of these costs, our efforts have not yet achieved success. Health care costs have grown faster than the national economy in almost every year since 1985,2 and these cost increases have significantly outpaced both inflation3 and workers' earnings.4 Between 1988 and 2007, health insurance premiums rose faster than incomes, and often significantly.5 hi 1989, for instance, workers' average earnings increased by about 4% while health insurance premiums increased 18%.6 Likewise, in 2003, premiums increased by about 14% while earnings increased less than 3%.7 Unless we can address this trend, health care will continue to be less affordable.8In addition, compared to the citizens of other developed nations, Americans spend significantly more of their wealth on health care. In 2006, for instance, Americans spent $2.1 trillion on health care, which amounts to over $7000 per person and over 15% of America's gross domestic product.9 By comparison, other developed nations spent an average of only 8.9% of their gross domestic products on health care. I0 In fact, Americans spend more on health care, per capita, than the Chinese spend on everything! 1 1 Absent some change, the Congressional Budget Office estimates that we will spend a massive 25% of our gross domestic product on health care by 2025. 12In spite of significant differences in political judgment among legislators as to how to address the problem of rising health care costs, Congress recently passed the Patient Protection and Affordable Care Act (Act), which President Obama signed into law in 2010.' 3 Although the Act's individual mandate provision has been especially controversial, the Act also contains several other notable provisions that seek to improve Americans' access to health care by reducing the costs of health care financing. …" @default.
• W3125843679 created "2021-02-01" @default.
• W3125843679 creator A5044110750 @default.
• W3125843679 date "2011-12-01" @default.
• W3125843679 modified "2023-09-28" @default.
• W3125843679 title "The Management of Health Care Costs: Independent Medical Review after ObamaCare" @default.
• W3125843679 hasPublicationYear "2011" @default.
• W3125843679 type Work @default.
• W3125843679 sameAs 3125843679 @default.
• W3125843679 citedByCount "0" @default.
• W3125843679 crossrefType "journal-article" @default.
• W3125843679 hasAuthorship W3125843679A5044110750 @default.
• W3125843679 hasConcept C10138342 @default.
• W3125843679 hasConcept C11171543 @default.
• W3125843679 hasConcept C144133560 @default.
• W3125843679 hasConcept C15744967 @default.
• W3125843679 hasConcept C160735492 @default.
• W3125843679 hasConcept C162118730 @default.
• W3125843679 hasConcept C162324750 @default.
• W3125843679 hasConcept C17744445 @default.
• W3125843679 hasConcept C199539241 @default.
• W3125843679 hasConcept C2775884135 @default.
• W3125843679 hasConcept C2776643233 @default.
• W3125843679 hasConcept C2776856356 @default.
• W3125843679 hasConcept C2780265253 @default.
• W3125843679 hasConcept C2780899237 @default.
• W3125843679 hasConcept C2780900520 @default.
• W3125843679 hasConcept C2781426361 @default.
• W3125843679 hasConcept C2983635472 @default.
• W3125843679 hasConcept C50522688 @default.
• W3125843679 hasConceptScore W3125843679C10138342 @default.
• W3125843679 hasConceptScore W3125843679C11171543 @default.
• W3125843679 hasConceptScore W3125843679C144133560 @default.
• W3125843679 hasConceptScore W3125843679C15744967 @default.
• W3125843679 hasConceptScore W3125843679C160735492 @default.
• W3125843679 hasConceptScore W3125843679C162118730 @default.
• W3125843679 hasConceptScore W3125843679C162324750 @default.
• W3125843679 hasConceptScore W3125843679C17744445 @default.
• W3125843679 hasConceptScore W3125843679C199539241 @default.
• W3125843679 hasConceptScore W3125843679C2775884135 @default.
• W3125843679 hasConceptScore W3125843679C2776643233 @default.
• W3125843679 hasConceptScore W3125843679C2776856356 @default.
• W3125843679 hasConceptScore W3125843679C2780265253 @default.
• W3125843679 hasConceptScore W3125843679C2780899237 @default.
• W3125843679 hasConceptScore W3125843679C2780900520 @default.
• W3125843679 hasConceptScore W3125843679C2781426361 @default.
• W3125843679 hasConceptScore W3125843679C2983635472 @default.
• W3125843679 hasConceptScore W3125843679C50522688 @default.
• W3125843679 hasIssue "2" @default.
• W3125843679 hasLocation W31258436791 @default.
• W3125843679 hasOpenAccess W3125843679 @default.
• W3125843679 hasPrimaryLocation W31258436791 @default.
• W3125843679 hasRelatedWork W1479819877 @default.
• W3125843679 hasRelatedWork W148225481 @default.
• W3125843679 hasRelatedWork W1495197953 @default.
• W3125843679 hasRelatedWork W1598787108 @default.
• W3125843679 hasRelatedWork W1866381303 @default.
• W3125843679 hasRelatedWork W2049770022 @default.
• W3125843679 hasRelatedWork W2071809873 @default.
• W3125843679 hasRelatedWork W2084850325 @default.
• W3125843679 hasRelatedWork W2098784222 @default.
• W3125843679 hasRelatedWork W2131704061 @default.
• W3125843679 hasRelatedWork W2311985464 @default.
• W3125843679 hasRelatedWork W2312956125 @default.
• W3125843679 hasRelatedWork W2337485597 @default.
• W3125843679 hasRelatedWork W2404459644 @default.
• W3125843679 hasRelatedWork W2416556093 @default.
• W3125843679 hasRelatedWork W29763570 @default.
• W3125843679 hasRelatedWork W2979434349 @default.
• W3125843679 hasRelatedWork W3122392288 @default.
• W3125843679 hasRelatedWork W3125193854 @default.
• W3125843679 hasRelatedWork W3165970224 @default.
• W3125843679 hasVolume "42" @default.
• W3125843679 isParatext "false" @default.
• W3125843679 isRetracted "false" @default.
• W3125843679 magId "3125843679" @default.
• W3125843679 workType "article" @default.