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churn

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Journal Article
Journal of Health Politics, Policy and Law (1 February 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
Journal of Health Politics, Policy and Law (1 February 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
Journal of Health Politics, Policy and Law (1 April 2016) 41 (2): 225–237.
Published: 01 April 2016
... information 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...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 1–2.
Published: 01 February 2015
... 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
Journal of Health Politics, Policy and Law (1 December 2015) 40 (6): 1227–1231.
Published: 01 December 2015
... Miller, Edward 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...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2013) 38 (6): 1173–1181.
Published: 01 December 2013
... the churn problem and the populations most affected. Despite the benefits of affordability, continuity of care, and administrative simplicity, this option carries a significant state fiscal impact, including the additional cost of continuing Medicaid coverage at the state's regular federal match and...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1277–1288.
Published: 01 December 2014
... universal coverage was obtained. Third, because 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...
Journal Article
Journal of Health Politics, Policy and Law (1 June 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...
Journal Article
Journal of Health Politics, Policy and Law (1 April 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...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1999) 24 (4): 763–768.
Published: 01 August 1999
... 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
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1263–1275.
Published: 01 December 2014
... reasons researchers have identified are delays 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...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2014) 39 (5): 1089–1098.
Published: 01 October 2014
... insurance carriers and enhancing competition; and ■ improving continuity 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...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2017) 42 (5): 995–1002.
Published: 01 October 2017
... 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. Reductions in government spending...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1217–1222.
Published: 01 December 2001
... bicameralism, federalism thwarts uniformity and universalism, 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...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1185–1211.
Published: 01 December 2014
... of expensive hospital inpatient and emergency department (ED) care (Billings and Mijanovich 2007 ; Bindman et al. 1995 ; DeLia and Cantor 2009 ; IOM 2000 ). In addition, the common problem of “churning” on and off Medicaid over time can lead to discontinuity of coverage and disruption of provider...
Includes: Supplementary data
Journal Article
Journal of Health Politics, Policy and Law (1 April 2000) 25 (2): 309–342.
Published: 01 April 2000
... also be reduced 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...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 19–67.
Published: 01 February 2018
... Medicaid and subsidy eligibility in a six-month period, as may “50 percent, or 28 million” in a year (Sommers and Rosenbaum 2011 : 228). This “churn” gives some middle-income earners a stake in this part of the ACA. And, as churn “drive[s] more integration between Medicaid and commercial insurance markets...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1999) 24 (5): 1219–1230.
Published: 01 October 1999
... commissions, meetings, insti- tutes, and other strategies for understanding the policy challenges that managed care produces as well as for attempting to provide effective, yet 1224 Journal of Health Politics, Policy and Law politically popular remedies. Researchers churn out analyses in a strug- gle...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1999) 24 (5): 1219–1230.
Published: 01 October 1999
... care produces as well as for attempting to provide effective, yet 1224 Journal of Health Politics, Policy and Law politically popular remedies. Researchers churn out analyses in a strug- gle to understand managed care’s long-term consequences for health care cost and quality. They study effects...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2003) 28 (2-3): 195–216.
Published: 01 June 2003
...- utive and legislative “separated institutions sharing powers” (Neustadt 1960: 42) and legislative bicameralism, federalism thwarts uniformity and universalism, frustrates responsiveness and policy analysis, limits large-scale innovation while churning more local mills of idea genera- tion...