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Daniel M. Fox
May 26, 2023
May 23, 2023
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The six-decade rise in chronic disease and disability, along with interested parties and their beliefs about duly organized health care, shaped financing policy for American health services. If by the late 1930s some scientists and health experts convinced other colleagues to recognize the prominence of chronic illness, physicians and hospital leaders took ten more years to view the management of those illnesses as a major priority, largely owing to prevailing payment schemes. Chronic disease, since the introduction of Medicare and Medicaid, has become the key focus of insurer and public health care financing. Added incentives for disease prevention and treatment in less costly settings, and recalculation of doctors’ fees, may lead to meeting the growing chronic care demands without sharp cost increases.
Author(s): Daniel M. Fox
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Volume 67, Issue S3 (pages 257–287) Published in 1989
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy.