Significance of Medicare and Medicaid Programs for the Practice of Medicine

The 1965 legislation that established Medicare and Medicaid declared that the Federal Government would not interfere in clinical medicine. Despite the original intent, Medicare and Medicaid have had tremendous influence on medical practice. In this article, we focus on four policy areas that illustrate the influence of CMS (and its predecessor agencies) on medical practice. We discuss the implications of the relationship between CMS and clinical medicine and how this relationship has changed over time. We conclude with thoughts about potential future efforts at CMS.

[1]  M. Srinivasan,et al.  Medicare financing of graduate medical education , 2002, Journal of General Internal Medicine.

[2]  Greg D Randolph,et al.  Open Access in Primary Care: Results of a North Carolina Pilot Project , 2005, Pediatrics.

[3]  S. Fishbane,et al.  The effect of a change in epoetin alfa reimbursement policy on anemia outcomes in hemodialysis patients , 2005, Hemodialysis international. International Symposium on Home Hemodialysis.

[4]  G. Anderson,et al.  Do quality improvement organizations improve the quality of hospital care for Medicare beneficiaries? , 2005, JAMA.

[5]  H. Krumholz,et al.  From adversary to partner: have quality improvement organizations made the transition? , 2005, Health services research.

[6]  L. Casalino,et al.  Disease management and the organization of physician practice. , 2005, JAMA.

[7]  Haifeng Guo,et al.  Excerpts from the United States Renal Data System 2004 annual data report: atlas of end-stage renal disease in the United States. , 2003, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[8]  A. Campbell.  The Political Life of Medicare , 2004 .

[9]  R. Cooper.  Weighing the Evidence for Expanding Physician Supply , 2004, Annals of Internal Medicine.

[10]  S. Spann.  Report on Financing the New Model of Family Medicine , 2004, The Annals of Family Medicine.

[11]  Todd A Dickinson.  The future of financing medical education: questions about Medicare's role. , 2004, The American journal of medicine.

[12]  P. Margolis,et al.  Practice based education to improve delivery systems for prevention in primary care: randomised trial , 2004, BMJ : British Medical Journal.

[13]  Robert L Phillips,et al.  The Balanced Budget Act of 1997 and the Financial Health of Teaching Hospitals , 2004, The Annals of Family Medicine.

[14]  A. Sehgal.  Impact of quality improvement efforts on race and sex disparities in hemodialysis. , 2003, JAMA.

[15]  S. Jencks,et al.  Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. , 2003, JAMA.

[16]  W. McClellan,et al.  Improving the Care of ESRD Patients: A Success Story , 2003, Health care financing review.

[17]  Elliott S Fisher,et al.  Geography and the debate over Medicare reform. , 2002, Health affairs.

[18]  J. Weiner.  A shortage of physicians or a surplus of assumptions? , 2002, Health affairs.

[19]  B. Wheatley.  Medicaid disease management: seeking to reduce spending by promoting health. , 2001, State Coverage Initiatives issue brief : a national initiative of the Robert Wood Johnson Foundation.

[20]  J. Newhouse,et al.  Paying for graduate medical education: the debate goes on. , 2001, Health affairs.

[21]  U. Reinhardt,et al.  Economists on academic medicine: elephants in a porcelain shop? , 2001, Health affairs.

[22]  R. Wolfe,et al.  Mortality risk by hemodialyzer reuse practice and dialyzer membrane characteristics: results from the usrds dialysis morbidity and mortality study. , 2001, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[23]  T. Ibrahim,et al.  Why Medicare supports graduate medical education. , 2000, The American journal of medicine.

[24]  G. Schreiner,et al.  How end-stage renal disease (ESRD)-medicare developed. , 1997, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[25]  J. Winkelman,et al.  The American Journal of Medicine , 2000 .

[26]  Sheila Blackstock,et al.  Evolution of Quality Review Programs for Medicare: Quality Assurance to Quality Improvement , 2000, Health care financing review.

[27]  A. Nissenson,et al.  Medicare's end-stage renal disease program: current status and future prospects. , 1999, Health affairs.

[28]  E H Wagner,et al.  Chronic disease management: what will it take to improve care for chronic illness? , 1998, Effective clinical practice : ECP.

[29]  National Kidney Foundation report on dialyzer reuse. Task Force on Reuse of Dialyzers, Council on Dialysis, National Kidney Foundation. , 1997, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[30]  B. Kasiske,et al.  Excerpts from the United States Renal Data System 1996 Annual Data Report. , 2003, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[31]  J. Eschbach.  Erythropoietin: the promise and the facts. , 1994, Kidney international. Supplement.

[32]  S. Jencks,et al.  The health care quality improvement initiative. A new approach to quality assurance in Medicare. , 1992, JAMA.

[33]  N. Levinsky,et al.  Kidney Failure and the Federal Government , 1992, Annals of Internal Medicine.

[34]  W. Roper,et al.  Effectiveness in Health Care , 1988 .

[35]  W L Roper,et al.  Effectiveness in health care. An initiative to evaluate and improve medical practice. , 1988, The New England journal of medicine.

[36]  C. Mueller.  The Social Transformation of American Medicine , 1983 .

[37]  Mary Chatfield,et al.  Health Care Financing Review , 1980 .

[38]  M. Weinstein.  Health and the War on Poverty: A Ten-Year Appraisal , 1980 .

[39]  K. Davis,et al.  Health and the War on Poverty: A Ten-Year Appraisal. , 1978 .