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Volume 356:2116-2117 May 17, 2007 Number 20
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Medicare Prospective Payment and the Shaping of U.S. Health Care

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By Rick Mayes and Robert A. Berenson. 245 pp., illustrated. Baltimore, Johns Hopkins University Press, 2006. $48.95. ISBN 978-0-8018-8454-2.

In Medicare Prospective Payment and the Shaping of U.S. Health Care, Rick Mayes and Robert Berenson chronicle Medicare's 30-year odyssey of transformation as it shifted from cost-based reimbursement of institutions and charge-based payment to physicians (adopted from the private sector) to prospective payment systems designed to encourage more-efficient use of resources. Whether discussing the Social Security Amendments of 1972 or the Balanced Budget Act of 1997, Mayes and Berenson entertain readers with insider anecdotes about the ideological and practical battles government policymakers fought with powerful provider lobbies. Because Medicare per-capita spending growth has been 1% lower than that of private . . . [Full Text of this Article]




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