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health care payment policy

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Journal Article
J Health Polit Policy Law (2014) 39 (6): 1213–1251.
Published: 01 December 2014
... in the cost of providing health care, due to variation in the intensity of health care use, is a key determinant of eligibility policies, and I also find tentative evidence of an effect for payment policies. Because rising health care spending increases the cost of providing health insurance coverage, state...
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Includes: Supplementary data
Journal Article
J Health Polit Policy Law (2016) 41 (4): 743–762.
Published: 01 August 2016
...Robert E. Mechanic Abstract Policy makers and private health plans are expanding their efforts to implement new payment models that will encourage providers to improve quality and deliver health care more efficiently. Over the past five years, payment reforms have progressed faster in Massachusetts...
Journal Article
J Health Polit Policy Law (2005) 30 (6): 1003–1026.
Published: 01 December 2005
...Soonman Kwon; Michael R. Reich Korea recently introduced three major health care reforms: in financing (1999), pharmaceuticals (2000), and provider payment (2001). In these three reforms, new government policies merged more than 350 health insurance societies into a single payer, separated drug...
Journal Article
J Health Polit Policy Law (2016) 41 (4): 489–514.
Published: 01 August 2016
... and defining new research areas and perspectives in health care policy. His early work on how methods of physician payment by capitation and fee-for-service in England and the United States affected physicians' responses to patients and patient care addressed present challenges and many ongoing studies...
Journal Article
J Health Polit Policy Law (2015) 40 (2): 403–419.
Published: 01 April 2015
... ; Shortell and Weinberger 2012 ). Policy makers have several levers available to them to strengthen integration and achieve high-value care, including payment reform, expanded use of health information technology, the removal of regulatory barriers, patient engagement and consumer activism...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 847–874.
Published: 01 August 2015
... be leveraged substantially through greater collaboration among federal and state antitrust enforcers, government payers, health care regulators, and economists and other policy makers. This can result in not only better-targeted antitrust enforcement actions but also payment and regulatory initiatives that can...
Journal Article
J Health Polit Policy Law (2000) 25 (2): 343–376.
Published: 01 April 2000
...Marc A. Rodwin; AtoZ (Etsuji) Okamoto Japanese health policy shows that even with physician ownership and the absence of for-profit, investor-owned health care, physicians' conflicts of interest thrive. Physician dispensing of drugs and ownership of hospitals and clinics were justified in Japan...
Journal Article
J Health Polit Policy Law (2017) 42 (1): 53–71.
Published: 01 February 2017
... section of the article will consider the politics of payment reform as social reform. It will address proposals that health care payers and providers lead in addressing the social contributors to ill health and urge payment reformers to appreciate more fully the politics and policies of other sectors...
Journal Article
J Health Polit Policy Law (1993) 18 (4): 937–965.
Published: 01 August 1993
... that the current system leads to inefficiencies and inequities. This analysis points to systematic relationships between home health and nursing home services, which should be factored into the development of a bundled payment policy. Copyright © 1993 by Duke University Press 1993 References AHA...
Journal Article
J Health Polit Policy Law (2012) 37 (1): 37–67.
Published: 01 February 2012
..., actor-­related, and contextual factors that have influenced health care policy devel- opment on undocumented migrants in England and the Netherlands. For undocu- mented migrants, England restricts its access to care at the point of service, while the Netherlands restricts through the payment...
Journal Article
J Health Polit Policy Law (2017) 42 (6): 1113–1125.
Published: 01 December 2017
... . 2016 . “ Addressing and Reducing Health Care Costs in States: Global Budgeting Initiatives in Maryland, Massachusetts, and Vermont .” January . Washington, DC : National Academy for State Health Policy . Copyright © 2017 by Duke University Press 2017 stewardship payment reform delivery...
Journal Article
J Health Polit Policy Law (1992) 17 (4): 783–812.
Published: 01 August 1992
... insurance policies. b. Mandatory supplemental health policies. c. Sick fund basic health package. Note. In the U.S., compensatory policies are not very common. A compensatory policy design for long-term care policies, for example, is one that makes a cash payment to an elderly individual who...
Journal Article
J Health Polit Policy Law (2014) 39 (3): 667–677.
Published: 01 June 2014
..., 2013 ). Friedsam Donna . 2004 . “ Wisconsin's Future Newborn Citizens: Potential Medicaid Cost Savings in Covering Immigrants' Prenatal Care .” Issue Brief . Wisconsin Public Health and Health Policy Institute , April . http://uwphi.pophealth.wisc.edu/publications/issue-briefs...
Journal Article
J Health Polit Policy Law (2009) 34 (3): 361–380.
Published: 01 June 2009
...Naoki Ikegami Case-mix-based payment was developed for hospital chronic care units in Japan to replace the flat per diem rate and encourage the admission of patients with higher medical acuity and was part of a policy initiative to make the tariff more evidence based. However, although the criteria...
Journal Article
J Health Polit Policy Law (1994) 19 (4): 753–771.
Published: 01 August 1994
.... The MCCA removed the two most important barriers to expansion of skilled nursing facility payment by eliminating the three-day prior hospitalization and single- episode-of-illness requirements for skilled nursing care payment. Elimi- 7% Journal of Health Politics, Policy and Law nating...
Journal Article
J Health Polit Policy Law (1995) 20 (1): 49–74.
Published: 01 February 1995
... for policy making for national or state health care reform. Medicare developed sev- eral policies to encourage physicians to become participating providers who accept Medicare-allowed charges as payment in full. Only nonparticipating physicians are permitted to bill for additional amounts...
Journal Article
J Health Polit Policy Law (2022) 47 (3): 351–374.
Published: 01 June 2022
... and communities. Conclusions: Findings underscore the inadequacy of health-system reforms based on the expansion of private and individual insurance plans in ameliorating health disparities among American Indian elders. Policy makers must not neglect their responsibility to directly fund health care for American...
Journal Article
J Health Polit Policy Law (2018) 43 (3): 483–510.
Published: 01 June 2018
...Jonathan Oberlander; Steven B. Spivack Abstract Enacted as part of the 2010 Patient Protection and Affordable Care Act, the Independent Payment Advisory Board (IPAB) was hailed by many analysts as a major innovation in US health policy making and cost control. The board promised to put a brake...
Journal Article
J Health Polit Policy Law (2018) 43 (5): 739–765.
Published: 01 October 2018
... that productive inefficiency is a more tractable concept than waste. We then review the literature on the efficiency of health providers. We discuss the evidence on whether supply- and demand-side policies, such as value-based payment and cost sharing, can raise efficiency, finding that many of these policies...
Journal Article
J Health Polit Policy Law (2012) 37 (2): 201–226.
Published: 01 April 2012
... the former in the contexts of the United Kingdom and the United States. Payments for some aspects of medical adherence may offer a promising way to address, to some extent, inequalities in health and health care in both countries. However, payments for more sustained behavior change, such as that associated...