...Michael Birnbaum Michael Birnbaum interviews Bruce C. Vladeck about the landscape for national health reform in 2009. Vladeck, who worked under President Clinton directing Medicare and Medicaid as administrator of the Health Care Financing Administration, discusses some of the challenges...

...Bruce Spitz; Grant Ritter © 2002 by Duke University Press 2002 Communications Publisher’s Note Unsolicited responses to articles that appear in JHPPL are wel- come and will be considered for publication. Send items to Mark Schlesinger, Editor, Yale...

...Bruce Spitz The pell-mell restructuring of health care into massive regional delivery systems has disrupted long-standing relationships between local leaders and residents and their community health care systems. This diminished role of communities in our new world of health care is ironic...

...Bruce C. Vladeck Karen Davis, Gerard F. Anderson, Diane Rowland, and Earl P. Steinberg. Health Care Cost Containment . Baltimore, MD: Johns Hopkins University Press, 1990. 266 + ix pp. $45.00 cloth, $18.95 paper. Copyright © 1991 by Duke University Press 1991...

...Bruce Spitz Duke University Press 2007 American Academy of Actuaries, CMS Medicaid Rate Certification Work Group. 2005 . Actuarial Certification Rates for Medicaid Managed Care Programs . Health Practice Note 2004-1. Washington, DC: American Academy of Actuaries. Bailit, M., L...

...Bruce Spitz; Grant Ritter © 2002 by Duke University Press 2002 Leutz, Walter. 1999 . Five Laws for Integrating Medical and Social Services: Lessons from the United States and the United Kingdom. Milbank Quarterly 77 (1): 77 -110. Commentary...

...Bruce Spitz 970 Journal of Health Politics, Policy and Law medication, and intensive monitoring and guardianship of the mentally ill in the community are proposed as avenues for change. Curiously, no mention is made of the extraordinary costs these changes would gener- ate...

...Bruce Spitz; John Abramson We often think of health policy and health services research as offering solutions to cost, quality, and access problems. Many of us see health policy as simply ineffective. But any activity that has the power to cure can also do harm. Is it possible that the health...

...Bruce C. Vladeck Work on this article was supported in part by the Commonwealth Fund, a New York City–based private, independent foundation. The views presented here are those of the author and not necessarily those of the Commonwealth Fund, its directors, officers, or staff. © 2001 by Duke...

...Bruce E. Samuels; Michael Evans Begay; Anna Russo Hazan; Stanton A. Glantz The campaign for passage and implementation of Pittsburgh's Smoking Control Ordinance in 1987 illustrates the role controversy plays in tobacco control. Proponents of the ordinance sought at first to keep it noncontroversial...

...Bruce C. Vladeck The growth in the number of homeless persons is perhaps the most visible indicator of social disintegration in the 1980s, although health and health care are not the central issues of homelessness. This paper, which draws on the author's experience as chairman of the Committee...

...Bruce C. Vladeck Copyright © 1999 by Duke University Press 1999 Reference Brown , Lawrence D. 1983 . Politics and Health Care Organization: HMOs as Federal Policy. Washington, DC: Brookings Institution. Managed Care’s Fifteen Minutes of Fame...

...James A. Schuttinga; Marilyn Falik; Bruce Steinwald A survey of over 8,500 employees of the U.S. Department of Health and Human Services (DHHS) during the May 1982 open season, supplemented by enrollment data for all DHHS employees enrolled in the Federal Employees Health Benefits Program (FEHBP...

...Bruce Stuart; Edward Reutzel; Thomas Reutzel This paper demonstrates the application of a mathematical programming model to a longstanding policy issue in the Medicaid reform debate: the redistribution of program funds necessary to achieve equity in eligibility and benefit coverage across states...

...Bruce Spitz Health Maintenance Organizations (HMOs) are repeatedly described as a general solution to the health care crisis and a specific solution to the problems confronting Medicare and Medicaid. The potential incorporation of HMOs into Medicaid has promised to improve the states' ability...

...Bruce Link; Mark L. Hatzenbuehler Abstract Stigma processes play an underrecognized role in the distribution of life chances, influencing health through the production of disadvantage and the induction of stress. Policies enact stigma processes, mitigate them, or ignore them. If each of these two...

...Judith Feder; Bruce Spitz This paper analyzes the politics of hospital payment over the last decade. The authors explain how provider interests and judgments became a standard for appropriate hospital payment; the impact of that standard on hospital costs; and the political obstacles to imposing...

...Bruce C. Vladeck This paper explores the impact of the federal structure of American government on health policy through the examination of three case studies of unsatisfactory policy: Medicaid cutbacks; provider licensure; and health planning under P.L. 93-641. Problems arise in all three areas...

...Bruce Rocheleau It is difficult to evaluate public programs of any kind but the task is particularly complex when the programs are intergovernmental in nature. Such programs often necessitate a long developmental period before they are likely to have measurable impact. The early stages are often...

...Bruce C. Vladeck The basic thesis of this paper is that, in the short to medium term (that is to say, the politically relevant term), fee-for-service payment will be the dominant form of Medicare transaction–and that is not such a bad thing. Capitated arrangements will grow, and should...