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Journal Article
Reinventing American Health Care: How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System
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J Health Polit Policy Law (2017) 42 (1): 197–204.
Published: 01 February 2017
...? In the ACA health insurance marketplaces, the subsidies for the purchase of the second least expensive silver plan are indexed to the consumer price index (beginning in 2019), and patient cost-sharing subsidies must keep pace with the rise of the federal poverty level (which is also indexed). Unless...
View articletitled, Reinventing American Health Care: How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously <span class="search-highlight">Expensive</span>, Grossly Inefficient, Error Prone System
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Journal Article
The Use of Expensive Health Technologies in the Era of Managed Care: The Remarkable Case of Neonatal Intensive Care
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J Health Polit Policy Law (2002) 27 (3): 441–464.
Published: 01 June 2002
... Outcomes. Journal of the American Medical Association 280 (19): 1690 -1691. Zwanziger, J., and G. A. Melnick. 1996 . Can Managed Care Plans Control Health Care Costs? Health Affairs 15 : 185 -199. The Use of Expensive Health
Technologies in the Era of Managed Care...
View articletitled, The Use of <span class="search-highlight">Expensive</span> Health Technologies in the Era of Managed Care: The Remarkable Case of Neonatal Intensive Care
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Journal Article
The Success and Repeal of the Medicare Catastrophic Coverage Act: A Paradoxical Lesson for Health Care Reform
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J Health Polit Policy Law (1994) 19 (4): 753–771.
Published: 01 August 1994
... persons were convinced that the costs of the program outweighed the benefits. However nursing home payment provisions of the MCCA may have affected out-of-pocket expenses paid by the elderly for long-term care more than consumers realized at the time of repeal. A transmittal memorandum, issued...
Journal Article
Medicaid Reimbursement of Teaching Hospitals
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J Health Polit Policy Law (1983) 7 (4): 911–926.
Published: 01 August 1983
...Jack Hadley This paper examines current Medicaid policies on the reimbursement of hospitals' medical education expenses. These policies are of interest because of the pressure on Medicaid programs to reduce expenditures. Data for the paper come mainly from two sources: a survey of Medicaid programs...
Journal Article
Medical Malpractice Reform and Insurer Claims Defense: Unintended Effects?
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J Health Polit Policy Law (2007) 32 (5): 843–865.
Published: 01 October 2007
... of plaintiffs, attorneys, medical providers, and malpractice insurers in the intended way is crucial to policy makers, if they are to achieve their goal. This study specifically examines the effect of reforms on the claims defense efforts of insurers, given that defense expenses account for approximately 30...
Journal Article
Variation in Public Support for Government Action on Unexpected Medical Bills
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J Health Polit Policy Law (2023) 48 (3): 405–434.
Published: 01 June 2023
...Katherine T. McCabe Abstract Context: Nearly half of the adults in the United States have received an unexpected medical bill in recent years. While government, provider, and insurance policies related to unexpected medical expenses receive attention in the media, this study focuses on variation...
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Journal Article
Community Benefit Activities of Private, Nonprofit Hospitals
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J Health Polit Policy Law (2010) 35 (6): 999–1026.
Published: 01 December 2010
... community services for which any payments received are low relative to costs. Disagreements continue, however, about the treatment of bad debt expense and Medicare shortfalls. A recent revision of the Internal Revenue Service's Form 990 Schedule H, which is required of all nonprofit hospitals, highlights...
Journal Article
Financing Long-Term Care: A Practical Mix of Public and Private
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J Health Polit Policy Law (1992) 17 (3): 403–424.
Published: 01 June 1992
... insurance is expensive, costing between $15 and $20 billion. For the most part, it provides benefitsprimarily asset protectionto middle- and upper-income individuals. An improved Medicaid program, costing about $8 billion, benefits lower-income individuals but does not protect those with higher incomes...
Journal Article
Medicare Revisited: A Look Through the Past to the Future
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J Health Polit Policy Law (1985) 9 (4): 669–681.
Published: 01 August 1985
...Robert W. Rosenblum This paper examines the elderly's out-of-pocket health care expenditures by category of expense, before and after the inception of Medicare. It describes the shifting of out-of-pocket expenses from hospital care to nursing-home care, while physician services and drugs have...
Journal Article
The Impact of Intra-Drg Severity of Illness on Hospital Profitability: Implications for Payment Reform
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J Health Polit Policy Law (1994) 19 (4): 729–751.
Published: 01 August 1994
... separate regression equations for total margin, operating margin, net revenue per admission, and expense per admission. We examined data for 201 Pennsylvania hospitals and found that hospital profits were inversely related to the severity of illness index. Expense per admission was positively related...
Journal Article
The Dynamics of Health Care Opinion, 2008–2010: Partisanship, Self-Interest, and Racial Resentment
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J Health Polit Policy Law (2011) 36 (6): 945–960.
Published: 01 December 2011
..., and those personally worried about medical expenses less likely to abandon support. We find, however, that the effect of partisanship is moderated by self-interest, with strong Republicans significantly less likely to switch to opposition if they were personally worried about medical expenses. Finally, we...
Journal Article
J Health Polit Policy Law (2011) 36 (6): 989–1020.
Published: 01 December 2011
...Mark Schlesinger The U.S. Congress enacted expansive (and expensive) health care reforms amid the worst economic downturn since the Great Depression. Public acquiescence provided crucial political cover; elites on both sides struggled mightily to sway popular opinion. Were reformers' efforts made...
Journal Article
The Medicare Reforms of 1997: Headlines You Didn’t Read
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J Health Polit Policy Law (1998) 23 (3): 573–579.
Published: 01 June 1998
.... The political agreements came at the expense of greater regulatory capture of the Medicare program by health provider and health plan interests and at the expense of deficient consumer protections. Copyright © 1998 by Duke University Press 1998 References Etheredge , Lynn . 1991 . Negotiating...
Journal Article
No-Fault Cerebral Palsy Insurance: An Alternative to the Obstetrical Malpractice Lottery
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J Health Polit Policy Law (1989) 14 (4): 707–718.
Published: 01 August 1989
... at all from tort suits. This paper proposes a system that would compensate all children born with CP for most handicap-related expenses, in exchange for which the children would be foreclosed from bringing suits alleging birth-related malpractice. Malpractice would be policed by a state board, which...
Journal Article
Understanding the Anemic Global Response to COVID-19
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J Health Polit Policy Law (2020) 45 (6): 1013–1021.
Published: 01 December 2020
... organizations are inherently weak and now face opposition by major powers. The international system simultaneously incentivizes states to cooperate and address common threats, but it also encourages countries to take care of themselves, potentially at the expense of others. Which of these motives dominates...
Journal Article
A Critical Look at Substantive Issues
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J Health Polit Policy Law (2011) 36 (3): 513.
Published: 01 June 2011
... for increased access to providers. David Mechanic explores how mental health coverage will change under the ACA, and David M. Frankford examines the significance of a new program, the CLASS Act, for covering long-term care expenses. Finally, Edward Alan Miller looks at provisions to small-business employers...
Journal Article
The Price of Health Care: Why Is the United States an Outlier?
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J Health Polit Policy Law (2018) 43 (5): 771–791.
Published: 01 October 2018
... higher medical malpractice and administrative costs; health care purchasing occurs in a fragmented marketplace; and rent seeking rewards providers with favorable prices at the expense of consumers. Of these explanations, rent seeking is compelling partly because it is more consistent than other...
Journal Article
Interest-Based Mediation of Medical Malpractice Lawsuits: A Route to Improved Patient Safety?
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J Health Polit Policy Law (2010) 35 (5): 797–828.
Published: 01 October 2010
.... The study discussed in this article used structured interviews of participants and mediators in thirty-one mediated malpractice lawsuits involving eleven nonprofit hospitals. The study measured perceptions of the process and mediation's effects on settlement, expenses, apology, satisfaction, and information...
Journal Article
Expanding Medicaid Access without Expanding Medicaid: Why Did Some Nonexpansion States Continue the Primary Care Fee Bump?
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J Health Polit Policy Law (2018) 43 (1): 109–127.
Published: 01 February 2018
... percent of Medicare fees during 2013–14. We conducted semistructured interviews with leaders in five of these states, as well as in three comparison states, to examine why they would continue a provision of the ACA that moderately expands access at significant state expense while rejecting the expansion...
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Journal Article
The Future of Blue Cross
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J Health Polit Policy Law (1977) 2 (3): 319–334.
Published: 01 June 1977
... of Blue Cross is attributed to its success in addressing pressing social needs: helping patients afford the costs of hospitalization and helping hospitals meet expenses. Its later decline is traced to several factors: the striking increase in the costs of health care; the rise of the state insurance...
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