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Biomedical subjects

B C Vladeck

Publications and source records attributed to B C Vladeck.

At least 109 records · Page 6Linked to original sources
PubMedDate not supplied

Buildings and budgets: the overinvestment crisis.

Over the last ten years, American colleges and universities have spent over $400 billion on their physical plants despite the fact that student enrollments have continued to decline. The increase in maintenance and energy costs has caused a financial strain, forcing cutbacks in vital ingredients of education: research, course offerings, student financial aid, faculty and staff support. The author draws a comparison between higher education and the health care industry and suggests that costs can be reduced by avoiding duplication of facilities and developing modes of interinstitutional cooperation. An increase in institutional efficiency will reduce the reliance of the higher education community on public subsidies for operations. This approach is seen to be particularly important during an era when every qualified student is expected to have the opportunity to obtain a university education without undue financial strain.

Capital Expenditures↗
PubMedDate not supplied

The political economy of Medicare.

Medicare spends more than $200 billion a year; the politics surrounding the Medicare program cannot be fully understood without an adequate appreciation of that fact. An understanding of the political economy of Medicare is perhaps best achieved by thinking along three dimensions: (1) Medicare as redistributive politics; (2) Medicare as special-interest politics; and (3) Medicare as distributive politics. Seeing the extent to which Medicare policies flow from these political processes makes clear that Medicare reform and broader political reform are, at some level, inseparable and indistinguishable.

Health Care Reform↗
PubMedDate not supplied

Federal official discusses reform. Interview by Debra Mamorsky.

The administrator of the Health Care Financing Administration discusses managed competition, the cost concerns of small and large employers under such a program, and what benefits managers must do in response to health care reform.

Centers for Medicare and Medicaid Services, U.S.↗