Dissertations / Theses on the topic 'Medicare eligibility'

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1

Moore, D. Helen. "Evaluation of the prognostic criteria for medicare hospice eligibility." [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000606.

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2

Blodgett, Elizabeth Geneva. "The intersection of age and eligibility variation in health services use for medicare beneficiaries /." Pullman, Wash. : Washington State University, 2010. http://www.dissertations.wsu.edu/Thesis/Spring2010/E_Blodgett_041910.pdf.

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Thesis (Master of health policy and administration)--Washington State University, May 2010.
Title from PDF title page (viewed on July 6, 2010). "Department of Health Policy and Administration." Includes bibliographical references (p. 26-30).
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3

Parker, Craig G. "Generating Medical Logic Modules for Clinical Trial Eligibility." Diss., CLICK HERE for online access, 2005. http://contentdm.lib.byu.edu/ETD/image/etd1084.pdf.

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4

Mull, Haley Grace Liqing. "Break a Leg- Just not in Alabama: Analyzing the Timing of Medicaid's Adoption and State Variation in Medicaid Eligibility." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1588084119596649.

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5

Jerkert, Jesper. "Philosophical Issues in Medical Intervention Research." Licentiate thesis, KTH, Filosofi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-163872.

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The thesis consists of an introduction and two papers. In the introduction a brief historical survey of empirical investigations into the effectiveness of medicinal interventions is given. Also, the main ideas of the EBM (evidence-based medicine) movement are presented. Both included papers can be viewed as investigations into the reasonableness of EBM and its hierarchies of evidence. Paper I: Typically, in a clinical trial patients with specified symptoms are given either of two or more predetermined treatments. Health endpoints in these groups are then compared using statistical methods. Concerns have been raised, not least from adherents of so-called alternative medicine, that clinical trials do not offer reliable evidence for some types of treatment, in particular for highly individualized treatments, for example traditional homeopathy. It is argued that such concerns are unfounded. There are two minimal conditions related to the nature of the treatments that must be fulfilled for evaluability in a clinical trial, namely (1) the proper distinction of the two treatment groups and (2) the elimination of confounding variables or variations. These are delineated, and a few misunderstandings are corrected. It is concluded that the conditions do not preclude the testing of alternative medicine, whether individualized or not. Paper II: Traditionally, mechanistic reasoning has been assigned a negligible role in standard EBM literature, although some recent authors have argued for an upgrading. Even so, mechanistic reasoning that has received attention has almost exclusively been positive -- both in an epistemic sense of claiming that there is a mechanistic chain and in a health-related sense of there being claimed benefits for the patient. Negative mechanistic reasoning has been neglected, both in the epistemic and in the health-related sense. I distinguish three main types of negative mechanistic reasoning and subsume them under a new definition of mechanistic reasoning in the context of assessing medical interventions. Although this definition is wider than a previous suggestion in the literature, there are still other instances of reasoning that concern mechanisms but do not (and should not) count as mechanistic reasoning. One of the three distinguished types, which is negative only in the health-related sense, has a corresponding positive counterpart, whereas the other two, which are epistemically negative, do not have such counterparts, at least not that are particularly interesting as evidence. Accounting for negative mechanistic reasoning in EBM is therefore partly different from accounting for positive mechanistic reasoning. Each negative type corresponds to a range of evidential strengths, and it is argued that there are differences with respect to the typical strengths. The variety of negative mechanistic reasoning should be acknowledged in EBM, and presents a serious challenge to proponents of so-called medical hierarchies of evidence.

QC 20150413

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6

Statler, Abby. "Modernizing the Design of Hematologic Malignancy Clinical Trials." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1544007858228785.

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7

Dugan, Jerome. "Essays on Healthcare Access, Use, and Cost Containment." Thesis, 2012. http://hdl.handle.net/1911/64677.

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This dissertation is composed of two essays that examine the role of public and private health insurance on healthcare access, use, and cost containment. In Chapter 1, Dugan, Virani, and Ho examine the impact of Medicare eligibility on healthcare utilization and access. Although Medicare eligibility has been shown to generally increase health care utilization, few studies have examined these relationships among the chronically ill. We use a regression-discontinuity framework to compare physician utilization and financial access to care among people before and after the Medicare eligibility threshold at age 65. Specifically, we focus on coronary heart disease and stroke (CHDS) patients. We find that Medicare eligibility improves health care access and physician utilization for many adults with CHDS, but it may not promote appropriate levels of physician use among blacks with CHDS. My second chapter examines the extent to which the managed care backlash affected managed care's ability to contain hospital costs among short-term, non-federal hospitals between 1998 and 2008. My analysis focuses on health maintenance organizations (HMOs), the most aggressive managed care model. Unlike previous studies that use cross-sectional or fixed effects estimators to address the endogeneity of HMO penetration with respect to hospital costs, this study uses a fixed effects instrumental variable approach. The results suggest two conclusions. First, I find the impact of increased HMO penetration on costs declined over the study period, suggesting regulation adversely impacted managed care's ability to contain hospital costs. Second, when costs are decomposed into unit costs by hospital service, I find the impact of increased HMO penetration on inpatient costs reversed over the study period, but HMOs were still effective at containing outpatient costs.
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8

Balio, Casey Patricia. "Medicaid Administrative Costs: Trends, Expansion Effects, and Express Lane Eligibility." Diss., 2020. http://hdl.handle.net/1805/23675.

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Indiana University-Purdue University Indianapolis (IUPUI)
Medicaid covers 21% of Americans which includes over 65 million children and adults, making it the largest single source of health insurance for Americans. As a public program jointly administered between the federal and state governments, states exhibit substantial control over the structure of their programs, with the intention of modifying programs to fit the needs of the state and population. Medicaid has experienced numerous changes at both the state and federal levels in recent years which have created novel ways of modifying their structures, many of which may have implications for administrative expenditures. As publicly funded programs and given the state autonomy over such, it is important to consider the relationships and effects of such decisions on the performance of these programs. The purpose of this dissertation is to consider numerous variations in state Medicaid programs and the state contexts in which they operate, and the relationship to administrative spending. This dissertation focuses on three studies including 1) a panel analysis of the trends and correlates of state Medicaid administrative expenditures, 2) a quasi-experimental study of the effects of Medicaid expansion on administrative expenditures, and finally 3) a quasi-experimental study of the effects of the use of Express Lane Eligibility on administrative expenditures. Overall, this dissertation provides a better understanding of the variations, correlates, and drivers of Medicaid administrative expenditures.
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9

Eliason, Erica Linn. "The Effects of Health Insurance Eligibility Policies on Maternal Care Access and Childbirth Outcomes." Thesis, 2021. https://doi.org/10.7916/d8-bwaq-kf37.

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This dissertation examines three health insurance eligibility policies and their impact on reproductive health outcomes for low-income women of reproductive age. The first paper examines the effects of expanded eligibility for Medicaid under the Affordable Care Act (ACA), on fertility among low-income women of childbearing age. The second paper explores the effect of presumptive eligibility policies in Medicaid for pregnant women on access to prenatal care and health insurance coverage. Finally, the third paper exploits state-level differences in eligibility for public versus private insurance under the ACA, and the effects on perinatal coverage patterns, childbirth outcomes, and access to care.
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10

Daneel, Asha Staudt. "The coordination and implementation of the Affordable Care Act in Texas : Medicaid eligibility and the environmental context." Thesis, 2012. http://hdl.handle.net/2152/ETD-UT-2012-08-6386.

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The Affordable Care Act (ACA) seeks to increase the low-income population’s access to health care coverage by expanding Medicaid eligibility and providing subsidies to individuals meeting certain income thresholds. The citizens of Texas would benefit greatly from the ACA provisions, as the state offers limited opportunities for individuals to access insurance, evidenced by the 6.3 million residents without health care coverage. But political leaders in Texas have a long-standing commitment to limited government, low taxes, and states’ rights in a federal system of government. In the 1990s, Texas legislators, with bipartisan support, laid the groundwork over the last decade for the minimal, yet significant preparations that administration used to coordinate ACA implementation. Yet legislators’ commitment to limited government and states’ rights placed additional constraints on the ability of the Texas Health and Human Services Commission (HHSC) to implement ACA provisions by refusing to utilize the 82nd legislative session to prepare the state for impending deadlines. Instead, administrators developed an interagency effort, the Eligibility Modernization Project (EMP), to streamline eligibility determinations and increase clients’ access to information and services. EMP’s initiatives mirror ACA provisions, but also seeks to achieve policy goals that both Republican and Democratic legislators support, such as providing effective and efficient eligibility determinations. Nevertheless, legislators and administrators must go beyond EMP’s efforts to adequately prepare the eligibility system for impending ACA deadlines. Policy recommendations include further streamlining and integrating the health subsidy system with a state-based health insurance exchange, increasing access to coverage by expanding Medicaid eligibility, adequately preparing the workforce for changes, and promoting long-term planning. These solutions will provide a sounder infrastructure for HHSC to prepare for ACA coordination and implementation, while increasing access to health care coverage for the low-income population.
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11

Syu, Wei-Rong, and 許維蓉. "A Study of Patent Eligibility of medical Measuring Procedures-The Impact of U.S. Supreme Court Mayo v. Prometheus Decision." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/56831461143582642046.

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碩士
國立臺灣科技大學
專利研究所
101
In accordance with the U.S. Patent Law 35 USC 101 “Whoever invents or discovers any new and useful process ,machine, manufacture, or composition of matter, or any new and useful improvement thereof ,may obtain a patent therefor, subject to the conditions and requirements of this title.” However, pluralities of precedents have set a principle that nature law, abstract idea and scientific principle are exceptions under the 35 USC101. In 2012, the Supreme Court made a decision on the Prometheus Laboratories, Inc. v. Mayo Collaborative Services Case. The Supreme Court judged that the drug administer method claims owned by Prometheus Laboratories, Inc are nature law. The case is considered to effect the medical treatment related procedures for applying patent. Therefore, the main object of the research is to analyze the rules for recognizing patentable medical measuring procedures and unpatentable nature law after Prometheus Case. According to the decisions and the guideline related to Prometheus Case, it shall be noticed that a medical measuring method claim merely describe a nature law is not enough. The claim should include extra steps which are not considered as insignificant steps. Such extra steps cannot be just steps that are merely conventional such as providing a sample, administering drug to a patient, or steps that are merely mental act such as comparing control group with the test group. Writers should think about if there are some specific limitations to make the claim not to preempt every applications of the nature law. Furthermore, it should be considered whether a claim includes artificial product or artificial composition of matter or not. If a method claim includes nature law and steps relating to a specific artificial product, such as making steps of the product, the claim is considered to be a patentable subject matter referring to precedents.
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12

Shaaban, Ahmed Mohamed Nabil Aly. "Eligibility for HIV Pre-Exposure Prophylaxis among men who have sex with men: portuguese, portuguese migrants and migrants in Portugal." Dissertação, 2015. https://repositorio-aberto.up.pt/handle/10216/79962.

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Shaaban, Ahmed Mohamed Nabil Aly. "Eligibility for HIV Pre-Exposure Prophylaxis among men who have sex with men: portuguese, portuguese migrants and migrants in Portugal." Master's thesis, 2015. https://repositorio-aberto.up.pt/handle/10216/79962.

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14

Meireles, Paula Cristina Coelho Ribeiro de. "Preexposure prophylaxis for HIV prevention among men who have sex with men: understanding eligibility and early uptake." Doctoral thesis, 2020. https://hdl.handle.net/10216/127568.

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15

Meireles, Paula Cristina Coelho Ribeiro de. "Preexposure prophylaxis for HIV prevention among men who have sex with men: understanding eligibility and early uptake." Tese, 2020. https://hdl.handle.net/10216/127568.

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16

Smrčková, Zuzana. "Vybraná hlediska právního vztahu lékaře, rodiče a nezletilého pacienta - trestněprávní aspekty." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-298199.

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The selected aspects of the legal relationship of doctor, parents and minor patient - the criminal aspects. (Abstract) This paper discusses various legal aspects of the relationship, which may arise between a minor patient, his parents and his doctor (or other appropriate health professional). The most important general rule holds good also in the Czech healthcare law. The general rule says that any interference with bodily integrity, and therefore each therapeutic medical intervention, can take place only with the consent of the patient. To be eligible to make such an agreement is a crucial legal capacity according to the arrangements of the Czech Civil Code. If someone is not eligible in this way about himself decide to grant consent to an intervention, it must be done by his legal guardian. In the case of minors it is usually intended by both parents. The most important regulation of the legal issues that arise in the care of the patient is found in Act No. 20/1966 Coll. Health Care. However from the perspective of the Convention on Human Rights and Biomedicine this regulation appears to be somewhat outdated and patients and physicians (as well as other medical staff) find the law like overly complex, unintelligible and therefore unsuitable for their use. Unfortunately this law should help and serve...
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