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Journal Article
J Health Polit Policy Law (2003) 28 (2-3): 195-216.
Published: 01 June 2003
..., Bruce C. 1999 . The Political Economy of Medicare. Health Affairs 18 (1): 22 -36. World Health Organization. 2000 . The World Health Report 2000 . Geneva: World Health Organization. Agency, Contract, and Governance: Shifting Shapes of Accountability in...
Journal Article
J Health Polit Policy Law (1995) 20 (4): 885-908.
Published: 01 August 1995
... increasingly formalized purchaser and provider relationships. Contracts are found at the purchaser/provider interface in both systems. We reviewed American and British purchaser/provider contracts. The contracts address similar issues but often take disparate approaches. These dissimilarities illuminate the...
Journal Article
J Health Polit Policy Law (1997) 22 (5): 1133-1189.
Published: 01 October 1997
...Jill A. Marsteller; Randall R. Bovbjerg; Len M. Nichols; Diana K. Verrilli As managed care has spread, so has legislation to force plans to contract with any willing provider (AWP) and give patients freedom of choice (FOC). Managed care organizations’ selective networks and provider integration...
Journal Article
J Health Polit Policy Law (1982) 6 (4): 676-683.
Published: 01 August 1982
...Richard G. Frank; W. P. Welch The predominant approach to contracting state mental hospital systems has been to close individual hospitals. Such a policy creates conflict between state government and the affected workers and communities. Closing of hospitals has been motivated by an implicit...
Journal Article
J Health Polit Policy Law (1984) 9 (2): 269-279.
Published: 01 April 1984
...William J. Lynk The growth of antitrust litigation in the health care area reflects the developing consensus that competition is as powerful a force in health care as it is elsewhere in the economy. Exclusive contracts between hospitals and hospital-based physician specialists have been prominent...
Journal Article
J Health Polit Policy Law (1987) 12 (3): 409-426.
Published: 01 June 1987
...Mark S. Freeland; Sandra S. Hunt; Harold S. Luft There is a burgeoning interest in selective contracting for specialized hospital services based on volume, price, and quality. The systematic exclusion or inclusion of particular institutions has been extolled by some as an arrangement to reduce...
Journal Article
J Health Polit Policy Law (2018) 43 (1): 5-18.
Published: 01 February 2018
... of value-based contracting, how manufacturers and insurers can mitigate the rule's effects on contracting practices, and the possibility of developing contractual, regulatory, or legislative solutions that remove or mitigate the best-price rule as an obstacle. Medicaid is legally entitled to...
Journal Article
J Health Polit Policy Law (1996) 21 (4): 805-822.
Published: 01 August 1996
... contracts. I explored the reasons why states privatize mental health services and focused on political, economic, and organizational theories as possible frameworks for contracting. I gathered data during site visits to Massachusetts, Michigan, New York, Oregon, Tennessee, and Texas, where I interviewed...
Journal Article
J Health Polit Policy Law (1992) 17 (2): 233-254.
Published: 01 April 1992
... competition and thus lower costs, improve service effectiveness, and enhance program quality. An increasingly common form of privatization in health and human services is contracting with nonprofit organizations. Such contracting, in practice, does not follow market principles but is, instead, fraught with...
Journal Article
J Health Polit Policy Law (2005) 30 (4): 719-750.
Published: 01 August 2005
... related to level of risk for pharmacy costs and that factors other than drug-risk level (e.g., contracting and data issues, financial and market factors, and physician group assessments of the fairness and incentives of risk contracts) can influence the principal-agent relationship. The data also revealed...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 745-760.
Published: 01 August 2015
... savings approach to payment reform. Private payers have introduced total cost of care contracting (TCOC) in several locations. This article questions the consensus that FFS must go. If the fees are too high, then someone needs to “bite the bullet” and reduce fees in key areas. Hoping to control...
Journal Article
J Health Polit Policy Law (1995) 20 (1): 75-98.
Published: 01 February 1995
... prepaid) contracts for LTC. CCRCs are a potentially promising model for LTC delivery because they offer a full continuum of services and can substitute less expensive supportive care for institutional care. Using data on CCRCs, we tested one central hypothesis: Provision of supportive services...
Journal Article
J Health Polit Policy Law (1997) 22 (2): 339-361.
Published: 01 April 1997
...Kenneth E. Thorpe The growth in market-based contracting and the ascendency of managed care have generated substantial change in the health care delivery system. These reforms were spurred largely by private health care purchasers seeking a means for controlling the relentless growth in medical...
Journal Article
J Health Polit Policy Law (2014) 39 (3): 667-677.
Published: 01 June 2014
... through the Patient Protection and Affordable Care Act is accompanied by raised expectations for such accountability. While state agencies often contract with universities on an ad hoc basis for specific policy projects, fourteen states have established formal state-university partnerships so that their...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 647-668.
Published: 01 August 2015
... types of contracts involved, organizational structures, the scope of services offered, care management capabilities, and the development of a three-category taxonomy that can be used to target technical assistance efforts and to examine performance. The current evidence on the performance of ACOs is...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 797-819.
Published: 01 August 2015
... census of more than 1 million patients, are contracting with ACOs across the country; we also examine factors associated with SAT organization involvement with ACOs. We draw on data from a recent (2014) nationally representative survey of executive directors and clinical supervisors from 635 SAT...
Journal Article
J Health Polit Policy Law (2011) 36 (2): 265-294.
Published: 01 April 2011
... that the policies should be accompanied by the strengthening of institutional and contracting environments. The article highlights the lack of quality evaluative evidence regarding the consequences of dual practice on the delivery of health care services. It concludes that the overall impact of dual...
Journal Article
J Health Polit Policy Law (2010) 35 (6): 961-997.
Published: 01 December 2010
... case studies where government has acted as such a broker. Two are from health (Medicaid's system of competitive bidding in Arizona, and a Medicare demonstration project on selective contracting for medical equipment and supplies), and one from the pension field (so-called 457 plans). The case studies...
Journal Article
J Health Polit Policy Law (2013) 38 (2): 441-456.
Published: 01 April 2013
... encourage individuals and states to hold plans and providers accountable. These components can work together to improve reproductive health. But in order for this to work, consumers and states need information with which to assess plans. This review article summarizes state contracting theory and argues...
Journal Article
J Health Polit Policy Law (1979) 4 (2): 142-154.
Published: 01 April 1979
..., introduction of fees for services, disruption of program continuity, service delays, demoralization of public employees, termination of contracts with community clinics, and drastic reductions in staff and services by special districts. Copyright © 1979 by the Dept. of Health Administration, Duke University...