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Journal Article

Whom Do Physicians Work For? An Analysis of Dual Practice in the Health Sector

Ariadna García-Prado, Paula González
J Health Polit Policy Law (2011) 36 (2): 265–294.
DOI: https://doi.org/10.1215/03616878-1222721
Published: 01 April 2011
...Ariadna García-Prado; Paula González This article presents a thorough analysis of dual practice among physicians who work in both the public and private sectors. A conceptual framework is presented to help the reader understand dual practice and the contexts where it takes place. The article...
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Journal Article

Medicaid Use among Older Low-Income Medicare Enrollees in California and Texas: A Tale of Two States

Jacqueline L. Angel, Ronald J. Angel, Phillip Cantu
J Health Polit Policy Law (2019) 44 (6): 885–910.
DOI: https://doi.org/10.1215/03616878-7785799
Published: 01 December 2019
...Jacqueline L. Angel; Ronald J. Angel; Phillip Cantu Abstract Context: States face increasing Medicaid expenditures largely as a result of growing dual-eligible populations. In this article we examine self-reported community-based Medicaid participation among Medicare recipients 65 and older...
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View articletitled, Medicaid Use among Older Low-Income Medicare Enrollees in California and Texas: A Tale of Two States View PDF for article titled, Medicaid Use among Older Low-Income Medicare Enrollees in California and Texas: A Tale of Two States
Journal Article

Adoption of Retrospective Medicare Maximization Billing Practices by State Medicaid Home Care Programs

Wayne L. Anderson, Genevieve S. Kenney, Donna J. Rabiner
J Health Polit Policy Law (2003) 28 (5): 859–882.
DOI: https://doi.org/10.1215/03616878-28-5-859
Published: 01 October 2003
... are between 5:1 and 7:1. While retrospective billing practices may aid states in reducing Medicaid outlays and potentially help dual Medicare beneficiaries gain coverage for their home care claims, they increase Medicare expenditures for home care at a time of concern for the long-term financial viability...
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Journal Article

Generic Drug Names and Social Welfare

Félix Lobo, Roger Feldman
J Health Polit Policy Law (2013) 38 (3): 573–597.
DOI: https://doi.org/10.1215/03616878-2079505
Published: 01 June 2013
... replacing brand names entirely with INNs. Instead, we propose dual use of brand names and INNs in prescribing, as in drug labeling. © 2013 by Duke University Press 2013 References Allan F. M. 1974 . “Standardization of Drug Names.” Journal of the American Medical Association 229...
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Journal Article

The French Health Care System: Liberal Universalism

Monika Steffen
J Health Polit Policy Law (2010) 35 (3): 353–387.
DOI: https://doi.org/10.1215/03616878-2010-003
Published: 01 June 2010
... hospitals, explains the system's core characteristics: universal access, free choice, high quality, and a weak capacity for regulation. The dual architecture of this unique system leads to different reform strategies and outcomes in its two main parts. While the state has leverage in the hospital sector...
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Journal Article

Programmatic Actors and the Transformation of European Health Care States

Patrick Hassenteufel, Marc Smyrl, William Genieys, Francisco Javier Moreno-Fuentes
J Health Polit Policy Law (2010) 35 (4): 517–538.
DOI: https://doi.org/10.1215/03616878-2010-015
Published: 01 August 2010
..., as opposed to corporatist, management of national insurance systems. Thus the use of quasi-market tools brings state-strengthening reform. The proximate and necessary cause of this dual transformation is found in the work of small, closely integrated groups of policy professionals, whom we label...
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Journal Article

Born in the USA? A Comparison of “Inspired” Health Care Reforms in Germany and France

Matthias Brunn
J Health Polit Policy Law (2022) 47 (1): 27–61.
DOI: https://doi.org/10.1215/03616878-9417442
Published: 01 February 2022
... and the representation of physicians. Furthermore, the displayed versus actual degree of inspiration varied significantly, with a branding strategy in Germany (high display of foreign influence) and the inverse picture in France (high degree of actual inspiration). Conclusions: This analysis has applied the dual...
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Journal Article

A Conversation with Donald Berwick on Implementing National Health Reform

Michael Birnbaum
J Health Polit Policy Law (2012) 37 (4): 709–727.
DOI: https://doi.org/10.1215/03616878-1597511
Published: 01 August 2012
... Medicaid growth as a freestanding issue. Duals MB: The ACA places a strong emphasis on dual Medicare- Medicaid bene- ficiaries (duals), who represent a relatively small share of enrollment but a large share of spending in both programs. How would you characterize the challenge of improving care...
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Journal Article

An Assessment of State-Led Reform of Long-Term Services and Supports

Mary D. Naylor, Ellen T. Kurtzman, Edward Alan Miller, Pamela Nadash, Peter Fitzgerald
J Health Polit Policy Law (2015) 40 (3): 531–574.
DOI: https://doi.org/10.1215/03616878-2888460
Published: 01 June 2015
... 2010 ). Within this subgroup, those dually eligible for the Medicaid and Medicare programs often are the most vulnerable (Coughlin, Waidmann, and Phadera 2012 ). A large proportion of the nation's 9.1 million dual eligibles have multiple chronic conditions (55 percent) and cognitive or mental deficits...
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Journal Article

Editor's Note

Eric M. Patashnik
J Health Polit Policy Law (2019) 44 (6): 819–821.
DOI: https://doi.org/10.1215/03616878-7785763
Published: 01 December 2019
... liberal Medicaid eligibility criteria of the two states. The most likely explanation is that California classifies nearly all of its community-dwelling Medicaid receipts as fully “dual eligible” for both Medicare and Medicaid (meaning they receive full benefits), whereas Texas is more likely to classify...
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Journal Article

Cost and Performance: A Comparison of the Individual and Group Health Insurance Markets

Mark V. Pauly, Allison M. Percy
J Health Polit Policy Law (2000) 25 (1): 9–26.
DOI: https://doi.org/10.1215/03616878-25-1-9
Published: 01 February 2000
..., or even as dual coverage for the same individual. For example, the Medigap insurance purchased by Medicare beneficiaries to broaden their coverage is pri- marily individual insurance. We therefore initially classified nonelderly individuals surveyed in the Current...
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Journal Article

Rehabilitating the Severely Disabled: The Foreign Experience

John H. Noble, Jr.
J Health Polit Policy Law (1979) 4 (2): 221–249.
DOI: https://doi.org/10.1215/03616878-4-2-221
Published: 01 April 1979
... Country and Death Maternity Work Injury Unemployment Allowances Denmark Multiple universal Dual universal Dual universal Subsidized vol- Universal pension, assistance, (medical benefits) (medical benefits) untary...
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Journal Article

Interactions between Mental Health and Law Enforcement Systems: Problems and Prospects for Cooperation

Nancy Wolff
J Health Polit Policy Law (1998) 23 (1): 133–174.
DOI: https://doi.org/10.1215/03616878-23-1-133
Published: 01 February 1998
... Healthcare Tomorrow (January/February): 32–36. Drake , R. , F. Osher, and J. Wallach. 1991 . Homelessness and Dual Diagnosis. American Psychologist 46 : 1149 -1158. Drake , R , M. Wallach, and J. Hoffman. 1989 . Housing Instability and Homelessness among Aftercare Patients of an Urban State...
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Journal Article

Public Sector Primary Care and Medicaid: Trading Accessibility for Mainstreaming

James W. Fossett, John A. Peterson, Mary C. Ring
J Health Polit Policy Law (1989) 14 (2): 309–325.
DOI: https://doi.org/10.1215/03616878-14-2-309
Published: 01 April 1989
... Metropolitan Areas? In Divided Neighborhoods, ed. G. Tobin. Beverly Hills: Sage. Fossett , J. , and J. F. Giertz. 1988 . Dual Markets and Dual Products: The Medicaid Participation Paradox. Urbana, IL: Institute of Government and Public Affairs (working paper). Fossett , J. , and J. Peterson...
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Journal Article

Private and Public Initiatives in Health Maintenance Organizations

Deborah H. Harrison, John R. Kimberly
J Health Polit Policy Law (1982) 7 (1): 80–95.
DOI: https://doi.org/10.1215/03616878-7-1-80
Published: 01 February 1982
... as a “maximum quantity syndrome” that has led to the development of “marginal organi- 86 Journal of Health Politics, Policy and Law zations which then utilize dual choice.” While this view may be true, it is difficult to locate information which definitively addresses this point. Qualified...
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Journal Article

Public Health Policy and Tuberculosis

Ronald Bayer
J Health Polit Policy Law (1994) 19 (1): 149–154.
DOI: https://doi.org/10.1215/03616878-19-1-149
Published: 01 February 1994
... University Press. Bayer , R. 1991b . Public Health Policy and the AIDS Epidemic: An End to HIV Ex-ceptionalism. New England Journal of Medicine 324 : 1500 -4. Bayer , R. , N. N. Dubler, and S. Landesman. 1993 . The Dual Epidemics of Tuberculosis and AIDS: Ethical and Policy Issues...
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Journal Article

Should Medicare's Value-Based Pricing Be Adjusted for Social Risk Factors? The Role of Research Evidence in Policy Deliberations

Steven Sheingold, Rachael B. Zuckerman, Nancy De Lew, Karen E. Joynt Maddox, Arnold M. Epstein
J Health Polit Policy Law (2018) 43 (3): 401–425.
DOI: https://doi.org/10.1215/03616878-4366160
Published: 01 June 2018
... factors, quality measures, and program performance for providers who treat a disproportionate share of socially at-risk patients. Specifically, social risk factors included dual enrollment in Medicare and Medicaid as a marker for low income, residence in a low-income area, Black race, Hispanic ethnicity...
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Journal Article

Editor’s Note: Understanding Medical Liability

Mark A. Peterson
J Health Polit Policy Law (1996) 21 (2): 183–184.
DOI: https://doi.org/10.1215/03616878-21-2-183
Published: 01 April 1996
... practice behavior to assessing the impact of state policy changes on the financial amounts recovered from malpractice claims, from examining the dual inculpatory and exculpatory uses of medical practice guidelines in court to revisiting the Karen Ann Quinlan case, one of the most emotionally searing...
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Journal Article

Technically Accessible, Practically Ineligible: The Effects of Medicaid Expansion Implementation on Chronic Homelessness

Charley E. Willison, Denise Lillvis, Amanda Mauri, Phillip M. Singer
J Health Polit Policy Law (2021) 46 (6): 1019–1052.
DOI: https://doi.org/10.1215/03616878-9349142
Published: 01 December 2021
... ; Moynihan, Herd, and Ribgy 2016 ). This research adds depth to the current literature by disentangling the mechanisms of administrative burden in Medicaid expansion and homeless policy functioning. Given the nature of the dual housing and health approach, this research also provides broader insights about...
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Journal Article

Books Received

J Health Polit Policy Law (2008) 33 (2): 359–361.
DOI: https://doi.org/10.1215/03616878-33-2-359
Published: 01 April 2008
... Lesbian, Gay, Bisexual, and Transgender Substance Abusers: Dual Iden- tities. Dana G. Finnegan and Emily B. McNally. New York: Haworth Press, 2007. 272 pp. $59.95 cloth; $29.95 paper. Women’s Health in Canada: Critical Perspectives on Theory and Policy. Marina Morrow, Olena Hankivsky, and Colleen...
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