This working paper on nurses’ workplace issues, prepared by The Hilltop Institute (as the Center for Health Program Development and Management) for the Maryland Statewide Commission on the Crisis in Nursing, reviews the literature and integrates the deliberations of the Commission to illuminate the work-life issues of greatest concern to the nursing profession. It also provided the basis for the workplace survey, which queried more than 1,500 Maryland nurses about their working environment, compensation, and career satisfaction. The survey highlighted the importance of compensation in recruiting and retaining nurses, resulting in a third report prepared by Hilltop on strategies for enhancing the compensation packages offered to nurses.

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This survey of 1,500 Maryland physicians, mandated by the Maryland General Assembly, examined the experience of physicians in the managed care environment and particularly the experience of minority physicians. Physicians were queried about network participation, racial and ethnic discrimination by managed care organizations, and satisfaction with income.

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This telephone survey of 1,500 non-institutionalized Maryland residents between the ages of 40 and 70 queried respondents about financial planning for retirement, health-related behaviors, access to sources of information on retirement and long-term care, and knowledge and perceptions of long-term care insurance. Survey findings are presented in four monographs and a technical appendix.

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This telephone survey of 1,500 non-institutionalized Maryland residents between the ages of 40 and 70 queried respondents about financial planning for retirement, health-related behaviors, access to sources of information on retirement and long-term care, and knowledge and perceptions of long-term care insurance. Survey findings are presented in four monographs and a technical appendix.

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This telephone survey of 1,500 non-institutionalized Maryland residents between the ages of 40 and 70 queried respondents about financial planning for retirement, health-related behaviors, access to sources of information on retirement and long-term care, and knowledge and perceptions of long-term care insurance. Survey findings are presented in four monographs and a technical appendix.

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This telephone survey of 1,500 non-institutionalized Maryland residents between the ages of 40 and 70 queried respondents about financial planning for retirement, health-related behaviors, access to sources of information on retirement and long-term care, and knowledge and perceptions of long-term care insurance. Survey findings are presented in four monographs and a technical appendix.

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This telephone survey of 1,500 non-institutionalized Maryland residents between the ages of 40 and 70 queried respondents about financial planning for retirement, health-related behaviors, access to sources of information on retirement and long-term care, and knowledge and perceptions of long-term care insurance. Survey findings are presented in four monographs and a technical appendix.

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This report, mandated by the Maryland legislature, was originally intended to be a cost analysis that would provide the basis for a financial subsidy to encourage the expansion of Medicare+Choice plans across Maryland. However, the study took a more comprehensive approach to describe the national and state context in which Medicare+Choice withdrawals were occurring and the impact of the withdrawals on consumers and health care programs.

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Managed care organizations may be incurring financial losses from persons with HIV/AIDS. Using a statistical model to examine comorbidities that contribute to the variation in health care costs for enrollees with HIV/AIDS, this study developed an improved methodology for calculating capitation payments for this population.

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Each state designs and implements its medical eligibility criteria and processes for nursing facility services based on the state’s interpretation of federal law and regulation. This report examines Maryland’s system for Medicaid-reimbursed nursing facility services and community-based alternatives and provides recommendations for improvement.

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