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Published: 01 December 2013
Figure 2 Coverage Restrictions for Eligible Anticancer Drugs, FDA Approved, 2004–2008 Source : Mason et al. 2010 . Reprinted with permission. © 2010 American Society of Clinical Oncology. All rights reserved. Figure 2. Coverage Restrictions for Eligible Anticancer Drugs, FDA Approved, 2004 More
Journal Article
Journal of Health Politics, Policy and Law (1 August 1995) 20 (4): 933–954.
Published: 01 August 1995
...Sandra J. Tanenbaum Between 1981 and the early 1990s, the Medicaid program grew substantially, in part because, for the first time in the program’s history, eligibility for medical assistance was severed from eligibility for income-maintenance payments. Program participation had always been...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2006) 31 (2): 295–319.
Published: 01 April 2006
...Peter Davis; Roy Lay-Yee; Robin Briant; Alastair Scott How can different schemes of compensation for treatment injury be evaluated? This article offers an empirical approach to assessment based on the simulation of alternative models of eligibility using real-world data. It draws on information...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1990) 15 (2): 271–304.
Published: 01 April 1990
...-1980s, a consensus among policymakers on the need for federal action to improve child health services resulted in the expansion of Medicaid eligibility for pregnant women and young children and the separation of Medicaid eligibility from eligibility for AFDC. The current phase of child health...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1223–1260.
Published: 01 December 2001
...Karl Kronebusch From 1984 to 1990, Congress enacted a series of mandates that expanded Medicaid eligibility for low-income children by gradually delinking Medicaid eligibility from welfare eligibility. The 1996 national welfare reform law nominally completed the delinking process when the statutory...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2004) 29 (3): 451–490.
Published: 01 June 2004
... choices about eligibility standards,enrollment simplification, crowd-out, and cost sharing requirements. At the same time, the states were also implementing welfare reform. We describe the most important of these implementation choices, and using data from the Current Population Survey, we estimate the...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2013) 38 (6): 1173–1181.
Published: 01 December 2013
... coverage, however, do not necessarily ensure seamlessness for many individuals who are likely to experience shifts in program eligibility due to changing circumstances (e.g., income fluctuations, family composition changes, etc.). A number of states are actively working to limit the impact of changes in...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1213–1251.
Published: 01 December 2014
...Gideon Lukens Abstract This study investigates the factors that underlie large variation in Medicaid and Children's Health Insurance Program (CHIP) policies among states. Both eligibility and provider payment policies are examined for low-income children and parents. I find that state variation in...
Includes: Supplementary data
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1277–1288.
Published: 01 December 2014
...Joseph W. Thompson; J. Craig Wilson; Andrew Allison; Mike Beebe Abstract The state of Arkansas is implementing a novel approach to expanding health care coverage for individuals newly eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA). Through a section 1115...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2016) 41 (2): 225–237.
Published: 01 April 2016
... people disenrolled each year. This case study of Illinois Medicaid shows how, as the Affordable Care Act added people, redeterminations were taking people off the rolls—about 25 percent of all Medicaid clients were disenrolled in one year. Many of these people were no longer eligible, but it appears that...
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Published: 01 December 2014
Figure 2 Simulated Eligibility for Children Source : Data provided by Kosali Simon Note : Percentage of all children aged 0–19, irrespective of family income, in the 1996 CPS who would be eligible for Medicaid or CHIP given state eligibility rules, varying by state, year, and single year of More
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Published: 01 December 2014
Figure 3 Simulated Eligibility for Parents Sources : Author's calculations based on 1996 CPS; KCMU 2000–2008 ; Broaddus et al. 2002 Note : Percentage of all nonelderly parents, irrespective of income, residing with their dependent children (aged 0–17) in families of three in the 1996 CPS More
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Published: 01 June 2019
Figure 1 Policy feedback logic model for eligibility-focused health insurance regulations. Notes : This figure integrates diagrams from Arnold 1990 : 47 and Mettler 2002 : 353 and draws on arguments about insurance cited in the text (e.g., Carroll 2012 ; Gaba 2017 ; Gruber 2010 ). Symbols More
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 71–96.
Published: 01 February 1992
.... Achieving a stable enrollment base is particularly hard because Medicaid eligibles have few incentives to enroll and once enrolled often lose their Medicaid eligibility. Traditional HMOs control the amount of services provided through physician selection, financial incentives on physicians, and monitoring...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2013) 38 (2): 421–439.
Published: 01 April 2013
... having health insurance is associated with an increase in the likelihood of receiving family planning services. Our results also suggest that many young women who would otherwise lack health insurance after aging out of foster care will be eligible for Medicaid under the health care reform law. Because...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2010) 35 (1): 5–28.
Published: 01 February 2010
... benefits for citizens. In fact, evidence indicates there was no significant problem of fraud by immigrants, and the major effect of the policy was to reduce coverage of eligible citizens. This article addresses the reasons why Congress developed this policy and why CMS acted with uncharacteristic haste to...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1992) 17 (2): 273–298.
Published: 01 April 1992
...James W. Fossett; Janet D. Perloff; Phillip R. Kletke; John A. Peterson In this article we examine how increasing the reimbursement of physicians and expanding Medicaid eligibility affect access to care for children in Cook County, Illinois, which overlies Chicago. Using Medicaid claims and other...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2018) 43 (2): 229–269.
Published: 01 April 2018
... community benefits, conduct community health needs assessments, provide minimum levels of community benefits, and adhere to minimum income eligibility standards for charity care. However, little research has assessed these regulations' impact on community benefits. Using 2009–11 Internal Revenue Service...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2014) 39 (2): 369–416.
Published: 01 April 2014
...Rada K. Dagher; Patricia M. McGovern; Bryan E. Dowd Abstract This study examines the association of leave duration with depressive symptoms, mental health, physical health, and maternal symptoms in the first postpartum year, using a prospective cohort design. Eligible employed women, eighteen years...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1985) 10 (1): 93–118.
Published: 01 February 1985
...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...