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Journal Article
J Health Polit Policy Law (2015) 40 (1): 227–232.
Published: 01 February 2015
...Charles Milligan Abstract In any given year, a significant number of individuals will move between Medicaid and qualified health plans (QHP). Known as “churn,” this movement could disrupt continuity of health care services, even when no gap in insurance coverage exists. The number of people who...
Journal Article
Addressing Medicaid/Marketplace Churn Through Multimarket Plans: Assessing the Current State of Play
J Health Polit Policy Law (2015) 40 (1): 233–242.
Published: 01 February 2015
... does not end the problem of churning among sources of public financing, but it does hold the potential for enabling people to move among sources of coverage rather than go without insurance. Several strategies for reducing coverage churn exist, but none is foolproof and all are in their early stages...
Journal Article
J Health Polit Policy Law (2015) 40 (1): 1–2.
Published: 01 February 2015
... that looked promising, made it through the peer-review process, and make an important contribution to the field. We have a unique essay set under JHPPL 's Report on Health Reform Implementation section. In “From Coverage to Care: Addressing the Issue of Churn,” Charles Milligan, the former Medicaid...
Journal Article
J Health Polit Policy Law (2016) 41 (2): 225–237.
Published: 01 April 2016
... technology and outsourcing of eligibility functions, not to mention budget considerations. Copyright © 2016 by Duke University Press 2016 Freely available online through the Journal of Health Politics, Policy and Law open access option. Medicaid eligibility redetermination churn privatization...
Journal Article
J Health Polit Policy Law (2015) 40 (6): 1227–1231.
Published: 01 December 2015
... Alan. See Naylor, Kurtzman, Miller, Nadash, and Fitzgerald Milligan, Charles. Report on Health Reform Implementation . From Coverage to Care: Addressing the Issue of Churn, 1:227–32 Mucchetti, Peter J. See Feinstein, Kuhlmann, and Mucchetti Mulligan, Jessica. See Levine and Mulligan...
Journal Article
J Health Polit Policy Law (2013) 38 (6): 1173–1181.
Published: 01 December 2013
... eligibility level with their current, more affordable coverage. Continuing a previous expansion would allow a state to gain experience from the first year of full PPACA implementation, including developing insights into the extent of the churn problem and the populations most affected. Despite the benefits...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1277–1288.
Published: 01 December 2014
... individuals would be enrolled in private plans through the HIM, they would experience less churn — the unintentional loss of coverage — as their incomes transitioned across the 138 percent FPL threshold. Harmonization of requirements between existing federal cost-sharing limits and those newly developed...
Journal Article
J Health Polit Policy Law (2023) 48 (4): 629–647.
Published: 01 August 2023
... of ODH decisions on variance applications leaves Butterfly Heath Center and Windchime Clinic vulnerable to short-term closures or changes in service delivery. This exacerbates uncertainty about the future and sustainability of the facilities, a phenomenon called abortion care churn, which has been...
FIGURES
Journal Article
J Health Polit Policy Law (2021) 46 (3): 505–526.
Published: 01 June 2021
... Katherine , and Sommers Benjamin D. 2017 . “ Women in the United States Experience High Rates of Coverage ‘Churn’ in Months before and after Childbirth .” Health Affairs 36 , no. 4 : 598 – 606 . Daw Jamie R. , Kozhimannil Katie Backes , and Admon Lindsay K. 2019...
Journal Article
J Health Polit Policy Law (2020) 45 (4): 533–545.
Published: 01 August 2020
... of the Impact of Restaurant Menu Calorie Labeling .” American Journal of Public Health 105 , no. 5 : e11 – e24 . doi.org/10.2105/AJPH.2015.302570 . Milligan Charles . 2015 . “ From Coverage to Care: Addressing the Issue of Churn .” Journal of Health Politics, Policy and Law 40 , no. 1...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1263–1275.
Published: 01 December 2014
... in payment, burdensome administrative processes, the perception that Medicaid patients may be more difficult to care for or to refer for specialist care, organizational barriers, and worries about Medicaid beneficiaries churning on and off Medicaid rolls (Cunningham and Nichols 2005 ; Cunningham...
FIGURES
Journal Article
J Health Polit Policy Law (2022) 47 (3): 293–318.
Published: 01 June 2022
... experience frequent changes in income, family status, and other circumstances that place them at high risk of transitioning between different coverage types, a phenomenon sometimes called “churn” (Sommers et al. 2016 ). Continuity of health care among individuals at this income threshold depends on take-up...
FIGURES
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1990) 15 (2): 435–439.
Published: 01 April 1990
... that reflect poorly on the Reagan do-
mestic policies-what might be called tales of churlishness. Thus, Lipsky and
Thibodeau note the “churning” of food stamp recipients: reducing expenditures
by arbitrarily denying claims (and waiting for the recipients to appeal) or fiddling
with the bureaucratic...
Journal Article
J Health Polit Policy Law (1999) 24 (4): 763–768.
Published: 01 August 1999
..., are curiously mesmerized by laser-printed conclusions.) By con-
trast, it often takes heavy, noncomputerized thinking by persons
intimately familiar with the technologies at issue to come up with the
most appropriate framings. That can churn up some serious levels of
human resources in no time at all. Those...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 549–554.
Published: 01 June 2011
... to create a take-up chal-
lenge. As their incomes ebb and flow, people will be eligible for Medicaid
(or CHIP) at one point and the insurance exchanges created by the new law
at another. States will need to display uncommon administrative acumen
to avoid a churning of the rolls in which individuals...
Journal Article
J Health Polit Policy Law (2001) 26 (6): 1217–1222.
Published: 01 December 2001
..., frustrates
responsiveness and policy analysis, limits large-scale innovation while
churning more localized mills of idea generation and promotion, and
offers a permanent employment plan for health policy researchers...
Journal Article
J Health Polit Policy Law (2017) 42 (5): 995–1002.
Published: 01 October 2017
..., they might have gained a bit of ground here and there, but, on the whole, they bought a pig in a poke. Managed care cuts costs by churning people in and out of plans, disrupting doctor-patient relationships, and forcing people with limited means to choose between medical care and other life necessities...
Journal Article
J Health Polit Policy Law (2014) 39 (5): 1089–1098.
Published: 01 October 2014
... of coverage, especially in contrast to the churning that would occur if individuals with a change in income were forced to switch between Medicaid and private insurance. The last goal is to be achieved by giving low-income adults the opportunity to maintain coverage with the same health plan...
Journal Article
J Health Polit Policy Law (2024) 49 (5): 939–947.
Published: 01 October 2024
... either provided a better opening discussion of core challenges in health care policy such as risk segmentation, how patients depend on physicians, and the difficulties of managing medical care. Those challenges help explain system failures, the targets of reform, and the churning of reform efforts...
Journal Article
J Health Polit Policy Law (2000) 25 (2): 309–342.
Published: 01 April 2000
... by “policy
churning,” renewal underwriting, and within-group underwriting (Light
1992). Policy churning occurs when a firm switches policies just as the
preexisting condition exclusion period ends and the premiums would
increase. The firm’s new policy costs less than...
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