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You searched for subject:(reimbursement rate). Showing records 1 – 3 of 3 total matches.

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University of New Mexico

1. He, Xuanhao. THREE ESSAYS ON THE SOCIETAL IMPACT OF HEALTH POLICIES AND LAWS.

Degree: Department of Economics, 2019, University of New Mexico

This dissertation provides evidence to the two contentious debate over health policies and laws in the US, Medicaid expansion and sex offender registration and notification. In Chapter 2, I explore one key determinant of Medicaid take-up, the benefit of access to care proxied by the Medicaid-to-Medicare primary care physician payment ratio. Using a unique dataset of Medicaid physician reimbursement rates and the American Community Survey of 2010 – 14, I find that a 10-percentage-point increase in the payment ratio of a 30-minute new patient office visit will increase Medicaid enrollment among uninsured adults in poverty by more than 150,000. In Chapter 3, we re-examine the impact of Medicaid on birth outcomes. To mitigate the crowd-out from private insurance to Medicaid, we focus on the population eligible for Medicaid during its implementation period. Using predicted individual-level Medicaid treatment intensity among childbearing age women and state-level variation from Medicaid roll-out, we find that Medicaid provision shifted the labor delivery method from not in a hospital (with a midwife or a physician) to in a hospital and increased birth weight modestly. These impacts were driven by nonwhite mothers and mothers aged 30 – 49. Chapter 4 evaluates sex offenders’ crime-risk. Using the single-family residential property data of 2008 – 2018 and sex offender data of April 2019 in Maryland, we apply the spatial difference-in-difference method to estimate the crime risk capitalized into housing markets. The results suggest no negative impact on proximate home values within the 0.1-mile of sex offenders’ residences after their arrivals. Advisors/Committee Members: Xiaoxue Li, Co-chairperson, Brady P. Horn, Co-chairperson, Sarah S. Stith, Nicholas Edwardson.

Subjects/Keywords: Medicaid; Access to care; Reimbursement rate; Birth outcomes; Sex offender laws; Property value; Economics

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

He, X. (2019). THREE ESSAYS ON THE SOCIETAL IMPACT OF HEALTH POLICIES AND LAWS. (Doctoral Dissertation). University of New Mexico. Retrieved from https://digitalrepository.unm.edu/econ_etds/104

Chicago Manual of Style (16th Edition):

He, Xuanhao. “THREE ESSAYS ON THE SOCIETAL IMPACT OF HEALTH POLICIES AND LAWS.” 2019. Doctoral Dissertation, University of New Mexico. Accessed February 19, 2020. https://digitalrepository.unm.edu/econ_etds/104.

MLA Handbook (7th Edition):

He, Xuanhao. “THREE ESSAYS ON THE SOCIETAL IMPACT OF HEALTH POLICIES AND LAWS.” 2019. Web. 19 Feb 2020.

Vancouver:

He X. THREE ESSAYS ON THE SOCIETAL IMPACT OF HEALTH POLICIES AND LAWS. [Internet] [Doctoral dissertation]. University of New Mexico; 2019. [cited 2020 Feb 19]. Available from: https://digitalrepository.unm.edu/econ_etds/104.

Council of Science Editors:

He X. THREE ESSAYS ON THE SOCIETAL IMPACT OF HEALTH POLICIES AND LAWS. [Doctoral Dissertation]. University of New Mexico; 2019. Available from: https://digitalrepository.unm.edu/econ_etds/104

2. Verk Završnik, Andreja. Regresni zahtevki Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca zaradi neizvedenih ustreznih ukrepov varstva pri delu.

Degree: 2016, Univerza v Mariboru

V magistrskem delu proučujem regresne zahtevke Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca, zaradi neizvedenih ustreznih ukrepov varstva pri delu. Gre za odškodninsko odgovornost delodajalca na podlagi 87. člena Zakona o zdravstvenem varstvu in zdravstvenem zavarovanju. Obvezno zdravstveno zavarovanje je v Republiki Sloveniji enotno, kar pomeni, da se z njim zagotavljajo pravice ob nastanku poškodbe in bolezni izven dela kot tudi ob nastanku poškodbe ali poklicne bolezni. Zavarovanje se izvaja po načelih socialne pravičnosti in solidarnosti. Zavarovanje je obvezno za vse osebe, ki izpolnjujejo z zakonom predpisane pogoje. Zavarovane osebe imajo ob nastopu zdravstvenega primera pravice do dajatev v naravi in denarju, ki se krijejo iz obveznega zdravstvenega zavarovanja. Sredstva za obvezno zdravstveno zavarovanje se zagotavljajo s prispevki, ki jih plačujejo zavarovanci, delodajalci in drugi z zakonom določeni zavezanci. Vseh nezgod pri delu delodajalci ne morejo preprečiti, vendar lahko višjo raven varnosti in zdravja pri delu dosežejo z odpravljanjem in zmanjševanjem tveganj, ki so jim delavci med svojim delom izpostavljeni. Glavna naloga delodajalca je, da zagotovi, kolikor je izvedljivo, da so delovna mesta, stroji, oprema in procesi pod njihovim nadzorom varni in brez nevarnosti za zdravje in poškodbe. Nespoštovanje predpisov s področja varnosti in zdravja pri delu in tudi drugih predpisov, sprejetih za varnost ljudi, pomeni poleg kazenske tudi odškodninsko odgovornost delodajalca. Opustitev varnosti in zdravja pri delu povzroča povečane izdatke, ki se kažejo tudi v zdravstveni blagajni. Tako je delodajalec na področju zdravstvenega zavarovanja odškodninsko odgovoren Zavodu za zdravstveno zavarovanje Slovenije, če je bolezen, poškodba ali smrt zavarovane osebe posledica tega, ker niso bili izvedeni ustrezni higiensko-sanitarni ukrepi, ukrepi varstva pri delu ali drugi ukrepi, predpisani ali odrejeni za varnost ljudi in v kolikor je bilo delovno razmerje sklenjeno brez predpisanega zdravstvenega pregleda z osebo, ki zdravstveno ni bila sposobna za opravljanje določenih del oziroma nalog, kar se je pozneje ugotovilo z zdravstvenim pregledom. Jedro proučevanja se nanaša na pravno ureditev regresnih zahtevkov Zavoda za zdravstveno zavarovanje Slovenije napram delodajalcu. Posebno pozornost v magistrskem delu namenjam tudi ureditvi obveznega zdravstvenega zavarovanja in varnosti in zdravja pri delu ter samemu oblikovanju regresnega zahtevka s strani Zavoda za zdravstveno zavarovanje Slovenije, in sicer z vidika določitve višine škode in presoje delodajalčevih kršitev. Proučujem tudi primere regresnih zahtevkov in sodno prasko s predmetnega področja. V povezavi z odgovornostjo delodajalca proučujem tudi možnost izključitve odškodninske odgovornosti delodajalca v primeru male malomarnosti, in sicer z vidika kritja stroškov iz sredstev Zavoda za zdravstveno zavarovanje Slovenije in sredstev komercialnih zavarovalnic na podlagi zavarovanja delodajalčeve odgovornosti. Na podlagi zaključkov v… Advisors/Committee Members: Korpič Horvat, Etelka.

Subjects/Keywords: Zdravstveno zavarovanje; prispevki za zdravstveno zavarovanje; varnost in zdravje pri delu; nezgoda pri delu; poškodba pri delu; odškodninska odgovornost delodajalca; povrnitev škode; regresni zahtevek; zavarovanje odgovornost delodajalca; diferencirana prispevna stopnja; Health insurance; health insurance contributions; health and safety at work; work accident; work injury; employer’s liability for damages; damages reimbursement; recourse claim; employer’s liability insurance; differentiated contribution rate; info:eu-repo/classification/udc/364.32(043.2)

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Verk Završnik, A. (2016). Regresni zahtevki Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca zaradi neizvedenih ustreznih ukrepov varstva pri delu. (Masters Thesis). Univerza v Mariboru. Retrieved from https://dk.um.si/IzpisGradiva.php?id=61129 ; https://dk.um.si/Dokument.php?id=105277&dn= ; https://plus.si.cobiss.net/opac7/bib/5184299?lang=sl

Chicago Manual of Style (16th Edition):

Verk Završnik, Andreja. “Regresni zahtevki Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca zaradi neizvedenih ustreznih ukrepov varstva pri delu.” 2016. Masters Thesis, Univerza v Mariboru. Accessed February 19, 2020. https://dk.um.si/IzpisGradiva.php?id=61129 ; https://dk.um.si/Dokument.php?id=105277&dn= ; https://plus.si.cobiss.net/opac7/bib/5184299?lang=sl.

MLA Handbook (7th Edition):

Verk Završnik, Andreja. “Regresni zahtevki Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca zaradi neizvedenih ustreznih ukrepov varstva pri delu.” 2016. Web. 19 Feb 2020.

Vancouver:

Verk Završnik A. Regresni zahtevki Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca zaradi neizvedenih ustreznih ukrepov varstva pri delu. [Internet] [Masters thesis]. Univerza v Mariboru; 2016. [cited 2020 Feb 19]. Available from: https://dk.um.si/IzpisGradiva.php?id=61129 ; https://dk.um.si/Dokument.php?id=105277&dn= ; https://plus.si.cobiss.net/opac7/bib/5184299?lang=sl.

Council of Science Editors:

Verk Završnik A. Regresni zahtevki Zavoda za zdravstveno zavarovanje Slovenije zoper delodajalca zaradi neizvedenih ustreznih ukrepov varstva pri delu. [Masters Thesis]. Univerza v Mariboru; 2016. Available from: https://dk.um.si/IzpisGradiva.php?id=61129 ; https://dk.um.si/Dokument.php?id=105277&dn= ; https://plus.si.cobiss.net/opac7/bib/5184299?lang=sl


Virginia Commonwealth University

3. Lucas, D. Pulane. Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital.

Degree: PhD, Public Policy & Administration, 2013, Virginia Commonwealth University

Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals (ACGHs) and ASCs. This study investigates how medical technology within the hospital industry is changing medical services delivery. The main purposes of this study are to (1) test Clayton M. Christensen’s theory of disruptive innovation in health care, and (2) examine the effects of disruptive innovation on appendectomy, cholecystectomy, and bariatric surgery (ACBS) utilization. Disruptive innovation theory contends that advanced technology combined with innovative business models—located outside of traditional product markets or delivery systems—will produce simplified, quality products and services at lower costs with broader accessibility. Consequently, new markets will emerge, and conventional industry leaders will experience a loss of market share to “non-traditional” new entrants into the marketplace. The underlying assumption of this work is that ASCs (innovative business models) have adopted laparoscopy (innovative technology) and their unification has initiated disruptive innovation within the hospital industry. The disruptive effects have spawned shifts in surgical volumes from open to laparoscopic procedures, from inpatient to ambulatory settings, and from hospitals to ASCs. The research hypothesizes that: (1) there will be larger increases in the percentage of laparoscopic ACBS performed than open ACBS procedures; (2) ambulatory ACBS will experience larger percent increases than inpatient ACBS procedures; and (3) ASCs will experience larger percent increases than ACGHs. The study tracks the utilization of open, laparoscopic, inpatient and ambulatory ACBS. The research questions that guide the inquiry are: 1. How has ACBS utilization changed over this time? 2. Do ACGHs and ASCs differ in the utilization of ACBS? 3. How do states differ in the utilization of ACBS? 4. Do study findings support disruptive innovation theory in the hospital industry? The quantitative study employs a panel design using hospital discharge data from 2004 and 2009. The unit of analysis is the facility. The sampling frame is comprised of ACGHs and ASCs in Florida and Wisconsin. The study employs exploratory and confirmatory data analysis. This work finds that disruptive innovation theory is an effective model for assessing the hospital industry. The model provides a useful framework for analyzing the interplay between ACGHs and ASCs. While study findings did not support the stated hypotheses, the impact of government interventions into… Advisors/Committee Members: Carl F. Ameringer, Roice D. Luke, Wally R. Smith, I-Shian Suen.

Subjects/Keywords: Disruptive; Disruptive Innovation Theory; Disruptive Transformations; Disruptive Innovation; Innovation; Technology; Technological Innovation; Medical Innovation; Medical Technology; Medical Advancement; Laparoscopy; Laparoscopic Surgery; open surgery; appendectomy; cholecystectomy; bariatric surgery; weight loss surgery; appendectomies; cholecystectomies; inpatient; outpatient; ambulatory; ambulatory surgery; ambulatory surgery center; acute care general hospital; hospital; acute care hospital; general hospital; health care; healthcare; hospital industry; health care industry; Clayton Christensen; Clayton M Christensen; Michael Porter; Harvard Business School; Virginia Commonwealth University; Center for Medicare & Medicaid Services; CMS; Health policy; public policy; public administration; organizational theory; organization theory; Population Ecology Theory; Competitive Strategy; policy analysis; John Kimberly; Organization Size; Structural Inertia; liability of smallness; health spending; health care cost; specialty medical facility; open system; niche width dynamic; outpatient department; technology shift; surgical setting; surgical setting shift; medical facility shift; substitution threat; health system; system level analysis; Ecological Approach; hospital trends; ambulatory surgery trends; reimbursement rate; Medicare; CMS coverage decision; P J DiMaggio; DiMaggio and Powell; w w Powell; Hannan and Freeman; M T Hannan; Organizational change; minimally invasive surgery; less invasive surgery; Prospective Payment System; Outpatient Prospective Payment System; entreprenuerial physician; health care organization; health care management; Roice Luke; Carl Ameringer; new technology; surgical utilization; elective surgery; Medicare Payment Advisory Commission; MedPAC; coverage decision; trends in surgery; abdominal surgery; surgical variation; physician-owned; physician ownership; physician autonomy; outpatient clinic; utilization trends; unnecessary surgery; Pfeffer Salancik; technology diffusion; redefining health care; interdisciplinary research; health care delivery; panel design; diffusion of hospital technology; state variation; regional variation; local health care market; government intervention; medical facility; health care capacity; focused factory; advances in health care; physician organization relationship; hospital competition; medical specialization; hospital expansion; medical arms race; integrated care; integrated health system; J E Wennberg; health care transformation; reimbursement scheme; surgical volume; Florida; Wisconsin; policy making; health policy analysis; competitive dynamics; center of excellence; intervening factor; service line competition; service-line competition; surgical reimbursement; innovative business model; innovative technology; environmental influence; established firm; new market entrant; patient safety; sophisticated technology; Harvard Divinity School; Wilder School of Government and Public Affairs; Public Affairs, Public Policy and Public Administration; Social and Behavioral Sciences

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Lucas, D. P. (2013). Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital. (Doctoral Dissertation). Virginia Commonwealth University. Retrieved from https://doi.org/10.25772/X2DF-RY91 ; https://scholarscompass.vcu.edu/etd/2996

Chicago Manual of Style (16th Edition):

Lucas, D Pulane. “Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital.” 2013. Doctoral Dissertation, Virginia Commonwealth University. Accessed February 19, 2020. https://doi.org/10.25772/X2DF-RY91 ; https://scholarscompass.vcu.edu/etd/2996.

MLA Handbook (7th Edition):

Lucas, D Pulane. “Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital.” 2013. Web. 19 Feb 2020.

Vancouver:

Lucas DP. Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital. [Internet] [Doctoral dissertation]. Virginia Commonwealth University; 2013. [cited 2020 Feb 19]. Available from: https://doi.org/10.25772/X2DF-RY91 ; https://scholarscompass.vcu.edu/etd/2996.

Council of Science Editors:

Lucas DP. Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital. [Doctoral Dissertation]. Virginia Commonwealth University; 2013. Available from: https://doi.org/10.25772/X2DF-RY91 ; https://scholarscompass.vcu.edu/etd/2996

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