Author's Keywords: Medicare, payment policy, prospective payment, PPS, hospitals, physicians, managed care, DRGs, RBRVS, budget policy	Convention Convention is an application service for managing large or small academic conferences, annual meetings, and other types of events! Submission - Custom fields, multiple submission types, tracks, audio visual, multiple upload formats, automatic conversion to pdf. Review - Peer Review, Bulk reviewer assignment, bulk emails, ranking, z-score statistics, and multiple worksheets! Reports - Many standard and custom reports generated while you wait. Print programs with participant indexes, event grids, and more! Scheduling - Flexible and convenient grid scheduling within rooms and buildings. Conflict checking and advanced filtering. Communication - Bulk email tools to help your administrators send reminders and responses. Use form letters, a message center, and much more! Management - Search tools, duplicate people management, editing tools, submission transfers, many tools to manage a variety of conference management headaches! Click here for more information.
Association: Name: American Political Science Association URL: http://www.apsanet.org
Citation: URL: http://www.allacademic.com/meta/p151911_index.html Direct Link: HTML Code:

Mayes, Rick. "Policymaking for Medicare: Prospective Payment and the Shaping of U.S. Health Care" Paper presented at the annual meeting of the American Political Science Association, Marriott, Loews Philadelphia, and the Pennsylvania Convention Center, Philadelphia, PA, Aug 31, 2006 <Not Available>. 2009-05-24 <http://www.allacademic.com/meta/p151911_index.html>

Mayes, R. , 2006-08-31 "Policymaking for Medicare: Prospective Payment and the Shaping of U.S. Health Care" Paper presented at the annual meeting of the American Political Science Association, Marriott, Loews Philadelphia, and the Pennsylvania Convention Center, Philadelphia, PA Online <APPLICATION/PDF>. 2009-05-24 from http://www.allacademic.com/meta/p151911_index.html

Publication Type: Proceeding Abstract: BACKGROUND & SIGNIFICANCE: The biggest and most intense battle within the U.S. health care system during the past two decades has been over two inter-related questions: (1) who will control the manner in which medical care is paid for and, (2) how much will it cost? The primary argument of this paper, which is drawn from our forthcoming book (Medicare Prospective Payment and the Shaping of U.S. Health Care, Johns Hopkins University Press, late 2006) is that�contrary to conventional wisdom and whole libraries of books and articles that point to managed care as the biggest �change agent� in American medicine in the last twenty years�the private sector neither initiated this battle nor provided the critical innovation that transformed health care in the U.S. Instead, it was Medicare�s transition to a prospective payment system (PPS) that both triggered and repeatedly intensified the economic restructuring of the U.S. health care system. DATA SOURCES: (1) More than 80 oral history interviews with senior members of Congress, the hospital industry, the Health Care Financing Administration (HCFA), the Center for Medicare & Medicaid Services (CMS), ProPAC, MedPAC, and administration officials dating back to the Nixon administration; (2) extensive secondary sources, and (3) data from provider organizations and annual government-commission hearings and reports, including: Medicare�s Prospective Payment Assessment Commision (ProPAC), Medicare�s Physician Payment Review Commission (PPRC), and Medicare�s Payment Advisory Commission (MedPAC), 1985-present. FINDINGS & DISCUSSION: Medicare payment reforms have empowered the federal government in ways similar to health care systems in other Western countries. They have (1) given the U.S. government control over the price of most medical care, and (2) ended the era�dating back to the 1920�s�in which doctors and hospitals� authority over medical prices and decision-making went virtually unquestioned. Roughly akin to Wal-Mart, in terms of purchasing power, the key to Medicare�s role as the leading catalyst for change in the U.S. health care system is the program�s immense size and influence. As the single largest individual buyer of health care and the �first mover� in the annual payment game between those who provide medical care and those who pay for it, Medicare invariably drives the behavior of both medical providers and private payers.

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