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Letter to the Editor

  • The article on lateral violence (LV) in nursing and the theory of the nurse as wounded healer (Christie & Jones, 2014) in the March issue really captured the damaging effect of LV on the entire organization and how important early intervention is to eradicate its cycle repetition.

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Who Pays Whom for What in Health Care? Web References

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American Nurses Association (ANA)

The following information is online at ANA's site, NursingWorld

Costing of Nursing Quality Indicators — RFP
The American Nurses Association (ANA) proposal solicitation for creative and efficient methods to develop a methodology for costing Nursing Quality Indicators and to implement the methodology with ANA's acute care setting indicators.
Medicare and "Incident To" Payment
ANA Policy Series Medicare and "Incident To" Payment: Coverage of nursing services in hospital outpatient clinics and emergency departments
Press release on the Antitrust Health Care Advancement Act of 1996
Press release: Statement on the Antitrust Health Care Advancement Act of 1996 (HR 2925) by Beverly L. Malone, PhD, RN, FAAN President, American Nurses Association September 5, 1996
Fact Sheet on Health Care Issues
This site identifies questions to ask political candidates about the health care system and the role of nurses in that system.
States increasingly revamp Medicaid through managed care
States increasingly revamp Medicaid through managed care,The American Nurse, October 1996 by Cheryl May
Nursing's Agenda for Health Care Reform
This document presents nursing's agenda for immediate health care reform.
Testimony: Women's Issues in Health Care Reform
Testimony of the American Nurses Association, American Association of Critical Care Nurses, and National Nurse Practitioner Coalition Before the Subcommittee on Aging Senate Labor and Human Resources Committee On Women's Health Provisions in Health Care Reform March 9, 1994
Testimony: RN Reimbursement under FEHBP
Testimony of the American Nurses Association before the House Post Office and Civil Service Subcommittee on Compensation and Employee Benefits
On H.R. 4958 "The Federal Employees' Health Benefits Reform Act of 1990" August 1, 1990
Testimony: Substance Abuse and Mental Health Services Administration
Written Testimony of the American Nurses Association On Behalf of the Clinical Training in the Substance Abuse and Mental Health Services Administration. Presented to the House Appropriations Subcommittee on Labor, Health and Human Services, Education, May 5, 1994
Press release on FY 99 budget
ANA press release on President Clinton's proposed Fiscal Year (FY) 1999 budget
Testimony: Physician Payment Review Commission
Written Testimony of the American Nurses Association, American College of Nurse Practitioners, Association of Operating Room Nurses, and Emergency Nurses Association Before the Physician Payment Review Commission. Submitted by Eileen M. Sullivan-Marx, PhD, RN,CS on December 11, 1996
Testimony: Fiscal Year (FY)1999 Appropriations for Nursing Education...
Testimony of the American Nurses Association before the Subcommittee on Labor, Health and Human Services, Education and Related Agencies Committee on Appropriations at the United States House of Representatives. Presented by Marge Drugay, ND, RN,C on February 3, 1998
Testimony: The Medicare Preservation Act of 1995
American Nurses Association Statement on The Medicare Preservation Act of 1995. Presented to the House Ways and Means Committee on September 26, 1995

Professional Organizations

These sites are generated by nursing and non-nursing organizations

National Academy of Social Insurance
The National Academy of Social Insurance promotes research and education concerning income security in its broadest sense. This includes Social Security, Unemployment Insurance, Workers Compensation, protection against the cost of health care services provided for or required by government, and related public and private programs.
National Health Care Anti-Fraud Association
Founded in 1985 by several private health insurers and Federal/State law enforcement officials, the National Health Care Anti-Fraud Association (NHCAA) is a unique, issue-based organization comprising private- and public-sector individuals and organizations responsible for the detection, investigation, and prosecution of health care fraud.

Government Sources

Federal and State Resources

Health Insurance Portability and Accountability Act
Public Law 104-191, 104th Congress
An Act to amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.
Social Security Online
Web site for the Social Security Administration
Research abstracts
Search for Health Care Payment Systems: Cost and Quality Incentives in Research on Ongoing Acquisition Research (ROAR), a system that enables acquisition professors and acquisition personnel within and outside DSMC to easily identify key acquisition studies and research findings electronically.
Fighting Fraud & Abuse
Fighting Fraud & Abuse: Medicare's Program Integrity Home Page
Medicare Payment Advisory Commission
Updates and Basics series previously disseminated by the Physician Payment Review Commission. Recent Congressional Testimony and meeting transcripts are listed as well.
HCFA - The Medicare and Medicaid Agency
Health Care Financing Administration (HCFA), the federal agency that administers the Medicare, Medicaid and Child Health Insurance Programs.
Testimony on the Magnitude of the Financial Crisis in Medicare
Statement of Joseph R. Antos, Assistant Director for Health and Human Resources Congressional Budget Office on "The Magnitude of the Financial Crisis in Medicare" before the Subcommittee on Health Care Committee on Finance, United States Senate, February 12, 1997.
Cost estimate of the Patient Protection Act of 1998
Congressional Budget Office Preliminary Cost Estimate, July 24, 1998. H.R. 4250 Patient Protection Act of 1998
How Increased Competition from Generic Drugs Has Affected Prices and Returns in the Pharmaceutical Industry
This Congressional Budget Office (CBO) study examines the extent to which competition from generic drugs has increased since the enactment of the Hatch-Waxman Act. It also analyzes how that competition has affected the returns from developing a drug.

Foundations/Organizations

Resources on health care that provide assistance and information regarding health care payment.

The Pew Health Professions Commission
Website of The Pew Health Professions Commission
Family Coverage Options-August, 1998
Family coverage options under CHIP, the state children's health insurance program. Revised August 1998. Prepared by Vicky Pulos, Associate Director of Health Policy, Families USA
The Urban Institute Hot Topics
At this site select topics related to health care costs that are of interest to you. Examples: Long-Term Care for the Elderly: Profiles of Thirteen States; Health Insurance Coverage Transitions of Older Americans; Health Care Quality: At What Cost?
The Century Foundation / Twentieth Century Fund
Search at this site for health care costs and select articles of interest to you on medicare, medicaid and social security. Examples: Medicare Reform — What's Wrong with Medicare? Social Security Reform: What's Wrong with Social Security?
Facts on ... Medicare: Hospital Insurance ...
National Academy On Aging, "Facts on ... Medicare: Hospital Insurance and Supplementary Medical Insurance," Washington: August, 1995
Strengths of the Safety Net — 3/9/98
Using data collected by the Census Bureau, this report describes the impact of programs like Social Security, cash assistance, food and housing benefits, on poverty.
Examination of Key Medicare Provisions in the Balanced Budget Act of 1997
Examination of Key Medicare Provisions in the Balanced Budget Act of 1997 by Marilyn Moon, Barbara Gage, and Alison Evans, September 1997.
Would the Tobacco Setlement Compensate the Gov't for Health Care Costs?
Would the Proposed National Tobacco Settlement Compensate the Federal Government Adequately for Tobacco Related Health-Care Costs? by Andy Schneider and Sara Thom (February 13, 1998) Center on Budget and Policy Priorities
Why Not Medicaid? Using Child Health Funds to Expand Coverage Through the Medicaid
Why Not Medicaid? Using Child Health Funds to Expand Coverage Through the Medicaid Program by Cindy Mann (November 19, 1997) Center on Budget and Policy Priorities

Articles

Scholarly articles from a wide variety of sources.

What Market Values Are Doing to Medicine, The Atlantic Monthly
What Market Values Are Doing to Medicine; Arnold S. Relman. The Atlantic Monthly; March 1992; Volume 269, No. 3; pages 99 - 106.
Bedside Manna: Medicine Turned Upside Down, Deborah A. Stone, The American Prospect
Deborah A. Stone, "Bedside Manna: Medicine Turned Upside Down," The American Prospect no. 31 (March-April 1997): 42-48
An Alliance at Risk: The Disability Movement and Health Care Reform, Sara D. Watson, The American Prospect
Sara D. Watson, "An Alliance at Risk: The Disability Movement and Health Care Refom"The American Prospect no.12 (Winter, 1993)
Medicare Extension A Step in the Right Direction, Robert Kuttner, The American Prospect
Robert Kuttner, "Medicare Extension A Step in the Right Direction" , The American Prospect, (1998).
Health Policy Report — NEJM 1998; 338: 1003-1007 — April 2, 1998
How Large Employers Are Shaping the Health Care Marketplace (First of Two Parts) Thomas Bodenheimer, Kip Sullivan
Health Policy Report — NEJM 1998; 338: 1084-1087 — April 9, 1998
How Large Employers Are Shaping the Health Care Marketplace (Second of Two Parts) Thomas Bodenheimer, Kip Sullivan
Sounding Board — NEJM 1994; 330: 211-214 — January 20, 1994
The New England Journal of Medicine — January 20, 1994 — Volume 330, Number 3
Advanced-Practice Nursing — Good Medicine for Physicians?
Correspondence — NEJM 1994; 330: 1536-1537 — May 26, 1994
The New England Journal of Medicine — May 26, 1994 — Volume 330, Number 21
Advanced-Practice Nursing — Good Medicine for Physicians?

Other sites

Variety of organizations, articles that relate to who pays for what

Health Israel
Health-Israel is a forum for discussions of current issues and research related to Israeli health policy via electronic media.
Examples: Financing & resource allocation in Israeli health care; Managed care in the U.S. and Israel
Health Cost Index Report & Database
This is the Home Page for Milliman & Robertson's Health Cost Index Report (HCIR) and Health Cost Index Database (HCID).

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