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Membership Briefing Book: Table of
Contents
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Work Plan
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Background on Maryland Health Care Commonwealth Fund – Statistical
Profile
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Maryland Statutes Governing Practitioner Reimbursement
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Reports on Health Care
Practitioner Payment Reform in Maryland:
Evaluation of the Desirability and
Feasibility of a Statewide Uniform Payment System
The Feasibility and Desirability of
Developing a Provider Rate Setting
System that Establishes Minimum and
Maximum Reimbursement for Health Care Services
Feasibility of Including Hospital and University-Based
Physicians in the Hospital Rate Setting
System
Report on Increasing Reimbursement Rates
for Physicians participating in the
Maryland Medical Assistance Program and
Maryland Children’s Health Program – May 2006
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Balance Billing Reform:
Study of the Balance Billing Prohibition in Maryland
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Uncompensated Charity and Under-Compensated Care Provided in Maryland:
What We Know and Estimates of the Cost of Subsidizing This Care
Payments Adequacy and Level of
Uncompensated Care Adequacy of Payments
Relative to Costs and Implications for
Maryland Health Care Providers
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Trends: Health Spending by State of Residence, 1991-2004
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Network Participation
Final Order:
Alan Pollack, M.D., Scott Maurer M.D. &
The Medical and Chirurgical Faculty of the State of Maryland
(Complaints)
vs.
United Healthcare Insurance Company,
United Health of the Mid-Atlantic, Inc.; M.D. Individual Practice
Association, Inc; Optimum Choice, Inc.; MAMSI Life and Health
Insurance Company & Alliance PPO, LLC (Licensees)
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Payment System reform national proposals:
Evidence-Informed Case Rates: A New Health Care Payment Model
The Commonwealth Fund
Paying for Care Episodes and Care
Coordination
Universal Health Care Coverage A Potential
Hybrid Solution (article)
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Efficient Delivery of Health Care Services
Dartmouth Atlas Project Topic Briefs:
Effective Care
Preference-Sensitive Care
Supply Sensitive Care
Perspective: Taking Steps Toward
Integration
ACR Benchmarking Survey, 2002
Formulas for Benchmarking
Managing Medical Resources
Avoiding the Unintended Consequences of
Growth in Medical Care
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Practitioner Supply and Organization
Physician Supply and Demand: Projections
to 2020
U.S. Department of Health and Human
Services Health Resources and Services Administration Bureau of Health
Professions October 2006
Tracking Report – Center for Studying
Health System Change, August 2007
Physicians Moving to Mid-Sized, Single-Specialty Practices
Tracking Report – Center for Studying
Health System Change, June 2007
Exodus of Male Physicians from Primary Care Drives Shift to Specialty
Practice
Tracking Report – Center for Studying
Health System Change, June 2006
Losing Ground: Physician Income, 1995-2003
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Differences in
Physician Reimbursement Across Specialties
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