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administrative burdens

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Journal Article
J Health Polit Policy Law 11186111.
Published: 07 February 2024
...Miranda Yaver Abstract Context : How does the practice of health coverage denials keep care out of reach for American patients through the imposition of unevenly distributed administrative burdens? Despite increased discussion about wrongful coverage denials and prior authorization requirements...
Journal Article
J Health Polit Policy Law (2021) 46 (6): 1019–1052.
Published: 01 December 2021
... and policies because of Medicaid access challenges and governance conflicts. Administrative burden and funding limitations contributed to limited provider networks, inadequate service coverage, and lack of linkages between Medicaid enrollment and homelessness programming. Governance conflicts reinforced...
Journal Article
J Health Polit Policy Law (2023) 48 (4): 629–647.
Published: 01 August 2023
... how state statutes and administrative law have enabled bureaucrats to wield unlimited discretion and enforce arbitrary requirements. This unlimited bureaucratic discretion and accompanying administrative burden exacerbated clinic instability and threatened abortion availability in southwest Ohio...
Journal Article
J Health Polit Policy Law (2009) 34 (1): 93–135.
Published: 01 February 2009
... the discrete policy objectives contained in the reimbursement formula. This complexity highlights the potential trade-off between achieving desired goals and costly administrative burdens, opportunities for appeal and disagreement, difficulties understanding the ramifications of system changes, reliance...
Journal Article
J Health Polit Policy Law (1997) 22 (1): 5–21.
Published: 01 February 1997
...Gail Silverstein Physician participation in fee-for-service Medicaid programs has been declining nationally since the mid-1970s. Numerous studies have documented the reasons for this decline, including poor reimbursement, payment delays, and administrative burdens. Most are now incorporating...
Journal Article
J Health Polit Policy Law (2019) 44 (5): 715–736.
Published: 01 October 2019
... Services, Health Resources and Services Administration (HRSA) . 2018 . “ Area Health Resources Files .” data.hrsa.gov/data/download . White House . 2017 . Executive Order 13765, 82 FR 8351 . Federal Register . www.federalregister.gov/documents/2017/01/24/2017-01799/minimizing-the-economic-burden...
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Journal Article
J Health Polit Policy Law (1978) 3 (2): 181–195.
Published: 01 April 1978
...” concept; the reliance on “expertise”; and issues involved in the burden of proof and the determination of jurisdiction over litigation. The authors conclude generally that Congress should act on the Laetrile question and they propose specific guidelines for such legislation, as well as for the appropriate...
Journal Article
J Health Polit Policy Law (2020) 45 (4): 633–646.
Published: 01 August 2020
... imposing work requirements and other administrative burdens on enrollees that would cause many of them to lose coverage. As for 1332 waivers, the Trump administration encouraged states to submit proposals that might not meet the ACA's requirements to cover people with preexisting conditions, provide...
Journal Article
J Health Polit Policy Law (2021) 46 (3): 505–526.
Published: 01 June 2021
... for the first two fiscal years), and a broader extension may have received less support (Psaledakis 2018 ). The Section 1115 pathway also has several potential drawbacks. These include the state administrative burdens of waiver applications including public notice and comment, the need for reapproval...
Journal Article
J Health Polit Policy Law 11257072.
Published: 03 April 2024
..., and to programmes adopted by national governments. Concern about the cost of regulatory compliance and the impact of administrative burden on economic activity underpinned initiatives such as the UK government s Deregulation Unit, created in 1986 and tasked with implementing an anti-red tape programme (Baldwin...
Journal Article
J Health Polit Policy Law (2020) 45 (6): 983–995.
Published: 01 December 2020
...: A Review of Research from OECD Countries .” Community, Work, and Family 14 , no. 2 : 119 – 38 . doi.org/10.1080/13668803.2011.571395 . Herd Pamela , and Moynihan Donald P. 2019 . Administrative Burden: Policymaking by Other Means . New York : Russell Sage Foundation...
Journal Article
J Health Polit Policy Law (2010) 35 (1): 5–28.
Published: 01 February 2010
... directors were worried that the provision would complicate Medicaid enrollment and increase administrative burdens (Reichard 2005). Some governors also expressed 12 Journal of Health Politics, Policy and Law misgivings, in part based on their earlier opposition to the Real ID Act. Despite many...
Journal Article
J Health Polit Policy Law (2021) 46 (2): 305–355.
Published: 01 April 2021
... Press 2021 Medicaid public assistance work requirements health access administrative burdens race Since entering office, the Trump administration has taken a slew of actions to transform the American health care system and the social safety net. One of the major efforts in this vein has...
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Includes: Supplementary data
Journal Article
J Health Polit Policy Law (2009) 34 (1): 1–3.
Published: 01 February 2009
... at lower costs), but the unintended impact is a multitude of complicated rules that often increase the administrative burdens (on both the states and the nursing facilities) without necessarily achieving many of the intended policy outcomes. The article is an important addition to the literature...
Journal Article
J Health Polit Policy Law (1993) 18 (1): 71–74.
Published: 01 February 1993
..., the relationship of administrative burden to physicians’ inclination to participate. Three, vast Medicaid claims files represent a complex research instrument that would require careful thought before widespread use. Davidson’s greatest service beyond his fine policy summary is his iden- tification...
Journal Article
J Health Polit Policy Law (2018) 43 (6): 1025–1040.
Published: 01 December 2018
... of its survival. MIPS has come under criticism for its complexity and administrative burden (AAFP 2017 ; Shea 2017 ). A survey of nearly four hundred physician practices across four specialties reported that total spending on pre-MACRA reporting requirements for physician practices in these specialties...
Journal Article
J Health Polit Policy Law (2018) 43 (5): 771–791.
Published: 01 October 2018
... countries and the key role of high prices in increasing US expenditures. We then analyze seven explanations for the higher US health care prices, ranging from the expense of US medical schools to the burden of administrative costs. Several pieces of the puzzle are beyond the scope of this article. First...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1263–1275.
Published: 01 December 2014
..., administrative burdens, or the risks of beneficiaries churning off Medicaid may affect PCP participation in Medicaid as much or more. It may also be possible to achieve improvements in access through a more selective application of reimbursement-based incentives, directing those incentives to types of care...
Journal Article
J Health Polit Policy Law (2023) 48 (5): 713–760.
Published: 01 October 2023
... million under the Trump administration (Artiga and Pham 2019 ), mainly as a result of increases in administrative burdens (Haeder, Sylvester, and Callaghan 2021 a; Ku and Brantley 2017 ), the COVID-19 pandemic has highlighted the program's role in the American safety net (Frenier, Nikpay...
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Journal Article
J Health Polit Policy Law (2021) 46 (1): 93–116.
Published: 01 February 2021
... regulators acting in disharmony and to increase proactive regulatory action on safety issues (Borg et al. 2015 ). Key to the new pharmacovigilance framework, with the PRAC at its center, is to clearly define the roles and responsibilities of all involved parties, reduce administrative burdens, systemize...
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