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  • 1994
  • This study focused on changes in demographic, social, and health-care patterns and pregnancy outcome related to maternal age from 1978-79 to 1994 in Ribeirão Preto, São Paulo State, Brazil. (scielo.br)
  • medical care
  • He schemes to replace them with Obamacare exchanges and ultimately single-payer, government-controlled medical care. (biglizards.net)
  • or for medical care in a foreign country. (thefreelibrary.com)
  • Kaiser worked with Dr. Sydney Garfield to establish prepaid medical care via the Kaiser Health Plan, the Fontana steel plant workers becoming early members. (wikipedia.org)
  • A 2001 survey indicated that 27 percent of the population still had no access to medical care, public or private. (wikipedia.org)
  • Medical care. (wikipedia.org)
  • In discussion in the White House on February 17, 1971, Nixon expressed his support for the essential philosophy of the HMO, which John Ehrlichman explained thus: "All the incentives are toward less medical care, because the less care they give them, the more money they make. (wikipedia.org)
  • During this period, medical care was severely lacking for the poor and minorities such as First Nations The twentieth century saw the discovery of insulin by Frederick Banting and his colleagues, Charles Best, J.J.R. Macleod, and J.B. Collip in 1922. (wikipedia.org)
  • He institutionalized a revolutionary idea, pre-paid medical care for workers, which soon expanded beyond workers. (wikipedia.org)
  • Sponsored by Kaiser's Permanente Foundation, it was run by Medical Director Sidney R. Garfield, M.D. The Field Hospital served as the mid-level component of a three-tier medical care system that also included six well-equipped First Aid Stations at the individual shipyards, and the main Permanente Hospital in Oakland, where the most critical cases were treated. (wikipedia.org)
  • This hospital was set up to provide medical care for the 5,000 workers on the Metropolitan Water District of Southern California's aqueduct, which was designed to bring water from the Colorado River to Los Angeles. (wikipedia.org)
  • The system worked so well that Garfield decided to offer total medical care for the workers for an additional nickel a day from the workers themselves. (wikipedia.org)
  • utilization
  • The vendor must be able to provide information and counseling to a provider whose practice patterns are outside the norms, in consultation with the agency, to improve patient care and reduce inappropriate utilization. (flsenate.gov)
  • 2016
  • In 2016, U.S. health care costs were $3.3 trillion. (thebalance.com)
  • That translates to an annual health care cost of $10,348 per person in 2016 versus just $146 per person in 1960. (thebalance.com)
  • Two additional Neighborhood Care sites were subsequently established in Chinatown in December 2013 and in Crown Heights in April 2016. (wikipedia.org)
  • In February 2016, EmblemHealth announced a new partnership with the City of New York and the Municipal Labor Committee to provide expanded access to health care. (wikipedia.org)
  • employers
  • The purpose of the new bill is to eliminate the incentive for employers to abandon these plans by requiring that withdrawing employers pay a fair share of the plan's unfunded liability. (washingtonpost.com)
  • HMSA offers plans through employers and individual plans for those not eligible through employer groups. (wikipedia.org)
  • Using a Health Reimbursement Arrangement yields "tax advantages to offset health care costs" for both employees and employers. (wikipedia.org)
  • By health reimbursement arrangements, employers reimburse employees directly only after the employees incur approved medical expenses. (wikipedia.org)
  • Employers know their maximum expense related to their health care benefit. (wikipedia.org)
  • catastrophic
  • Finally, the subscriber should also buy a very low cost catastrophic care policy. (biglizards.net)
  • Other choices for managing care are case management, in which patients with catastrophic cases are identified, or disease management, in which patients with certain chronic diseases like diabetes, asthma, or some forms of cancer are identified. (wikipedia.org)
  • During the 1950s, HMSA introduced a Major Medical Plan to help protect against the cost of catastrophic illness. (wikipedia.org)
  • payers
  • More recently, he has advanced an agenda for monitoring health outcomes, so that patients, providers, and payers can make health care decisions based on real information about what treatments and providers are actually effective. (wikipedia.org)
  • expenditure
  • Community Based Long-Term Care, Half-Year Expenditure Split, Hospice Request, and Footnote Colorado Choice Transitions. (colorado.gov)
  • doctors
  • A number of doctors, revolting against Obamacare's intent to turn doctors into government employees (as with horrific Britain's National Health Service) have already begun the transformation. (biglizards.net)
  • Each covered member chooses or is assigned a primary-care physician from doctors in the plan. (pelliccionifinancialconsulting.com)
  • The husband of a nurse who said she was told by doctors not to worry about a growing lump in her breast during pregnancy won a $651,482 decision yesterday against a prepaid group medical practice for a misdiagnosis of the cancer that eventually led to her death. (washingtonpost.com)
  • Thus, most of the money spent on private health care (about 88 percent) is on a fee-for-service basis, effectively preventing the poor population from seeing private doctors. (wikipedia.org)
  • Doctors would promote preventive medicine and would be less inclined to order costly procedures that had not been proven to improve health outcomes. (wikipedia.org)
  • Group
  • These prepaid plans restricted users to a particular medical group. (thebalance.com)
  • In either case, the HMO takes a greater level of involvement in the patient's care, assigning a case manager to the patient or a group of patients to ensure that no two providers provide overlapping care, and to ensure that the patient is receiving appropriate treatment, so that the condition does not worsen beyond what can be helped. (wikipedia.org)
  • Though some forms of group "managed care" did exist prior to the 1970s, in the USA they came about chiefly through the influence of U.S. President Richard Nixon and his friend Edgar Kaiser. (wikipedia.org)
  • In 1971, Ellwood founded the Jackson Hole Group, a "loosely organized but highly regarded" group of politicians, providers, and policymakers who came together in the town of Jackson Hole, Wyoming to discuss ideas for changing the health care incentive structure. (wikipedia.org)
  • A key member of the group was Alain Enthoven, a Stanford economist who was instrumental in shaping the concept of "managed competition" in health care. (wikipedia.org)
  • Subsequently, when the Clinton administration was grappling with health care reform, the Jackson Hole Group, according to the New York Times, was "one of the most important influences in the shaping of the Clinton plan. (wikipedia.org)
  • The plan was called managed competition, and two of its most prominent advocates from the Jackson Hole Group were Ellwood and Alain Enthoven. (wikipedia.org)
  • Although the MSP reporting requirements began to apply to certain group health plans on January 1, 2009, CMS has delayed mandatory reporting for HRAs. (wikipedia.org)
  • provide
  • GAO also found that the Health Care Financing Administration (HCFA) and Arizona did not provide adequate financial oversight in the first few years of AHCCCS and, as a result, AHCCCS plans neither complied with federal disclosure requirements nor filed state-mandated financial reports. (gao.gov)
  • Plan B does not provide for suchitems as care in a nursing home, prescription drugs, and routine physical exams. (thefreelibrary.com)
  • Tommy Douglas had hoped to provide universal health care, but the province did not have the money. (wikipedia.org)
  • Garfield was able to provide medical and hospital care for the workers for industrial accidents. (wikipedia.org)
  • 1993
  • Although 18 states offered managed care plans for disabled or elderly beneficiaries eligible for Supplemental Security Income (SSI) in 1993, only a small fraction of this population is enrolled in managed care. (kff.org)
  • hospital
  • Built in 1955 to replace the smaller hospital at the Kaiser Steel Mill, the facility now serves over 400,000 members of Kaiser Permanente's health care plans in the area. (wikipedia.org)
  • Gouverneur Health (formerly Gouverneur Hospital) is a municipally owned healthcare facility affiliated with the New York University School of Medicine. (wikipedia.org)
  • The health care plan HIP has its origins in Gouverneur Hospital. (wikipedia.org)
  • The hospital foundations are not-for-profit and rely on the Kaiser Foundation Health Plans for funding. (wikipedia.org)
  • program
  • William Lyon Mackenzie King promised to introduce such a scheme, but while he created the Department of Health he failed to introduce a national program. (wikipedia.org)
  • Since 1991, Gouverneur has been an outpatient and teaching center for NYU's Primary Care Internal Medicine Residency Program. (wikipedia.org)
  • Launched in 2009, HMSA365 was created in conjunction with the national Blue365, a health and wellness discount program of the Blue Cross and Blue Shield Association. (wikipedia.org)
  • In November 2012, EmblemHealth began establishing a community presence in its service area by launching a hybrid care coordination and wellness program called Neighborhood Care. (wikipedia.org)
  • access
  • It reflects the widely held belief that managed care can improve health care access as well as promote cost containment and budget control. (kff.org)
  • Open access" and "POS" (point of service) products are a combination of an HMO and traditional indemnity plan. (wikipedia.org)
  • ConnectiCare's members have access to a provider network of approximately 19,900 health care providers. (wikipedia.org)
  • members
  • HMSA's health and wellness programs help members stay healthy and avoid costly chronic diseases. (wikipedia.org)
  • The name was chosen because health plan members can receive the discounts 365 days of the year to help them stay healthy and fit. (wikipedia.org)
  • employees
  • However, Kaiser has had disputes with its employees' unions, repeatedly faced civil and criminal charges for falsification of records and patient dumping, faced action by regulators over the quality of care it provided, especially to patients with mental health issues, and has faced criticism from activists and action from regulators over the size of its cash reserves. (wikipedia.org)
  • Employees can be reimbursed for a health care plan that meets their or their families' specific needs, as opposed to a standard company plan. (wikipedia.org)
  • cost containment
  • Although businesses pursued the HMO model for its alleged cost containment benefits, some research indicates that private HMO plans don't achieve any significant cost savings over non-HMO plans. (wikipedia.org)
  • include
  • The bill would revise the planning council's duties to include reviewing, assessing, and making recommendations with respect to substance use disorders, and would make related changes to the planning council's duties to incorporate substance use disorders. (ca.gov)
  • Some health plans may include supplemental benefit coverage for prescription drugs and dental, vision, and complementary care (acupuncture, chiropractic care and massage therapy). (wikipedia.org)
  • After the war ended, the Health Plan was expanded to include workers' families. (wikipedia.org)
  • New health plan participants were recruited and expanded to include workers' families as well. (wikipedia.org)
  • employee
  • The employer sets the parameters for the Health Reimbursement Accounts, and unused dollars remain with the employer: they do not follow the employee to new employment. (wikipedia.org)
  • Queens
  • The first two Neighborhood Care facilities were located in Harlem and Cambria Heights, Queens. (wikipedia.org)
  • deductible
  • Although Plan B has a $75.00 deductible for the year, A.A.R.P. (the American Association of Retired Persons) calls the plan one of the best bargains to be found. (thefreelibrary.com)
  • demographic
  • Demographic changes have occurred in many countries due to the introduction of new contraceptive methods and family planning programs. (scielo.br)
  • thus
  • There had thus been a long history of government involvement in Saskatchewan health care, and a significant section of it was already controlled and paid for by the government. (wikipedia.org)
  • policy
  • In 1970 Ellwood was invited to consult with President Nixon's staff to reshape national health policy, where he advanced the idea of giving consumers a choice among health plans that would compete on price and quality. (wikipedia.org)
  • employer
  • A bill to shore up financially wobbly multi-employer pension plans, already delayed four weeks past a crucial deadline, hit another snag yesterday. (washingtonpost.com)
  • HRAs may be offered in conjunction with other employer-provided health benefits, including Flexible Spending Accounts (FSAs). (wikipedia.org)