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Journal Article
J Health Polit Policy Law (1980) 5 (3): 498–513.
Published: 01 June 1980
...Kathryn M. Langwell; Jack L. Werner The problem of professional liability claims and impact on the medical care market has become increasingly important in recent years. Professional liability insurance premiums, and the practice of defensive medicine by physicians in response to potential...
Journal Article
J Health Polit Policy Law (1996) 21 (2): 183–184.
Published: 01 April 1996
...Mark A. Peterson Copyright © 1996 by Duke University Press 1996 Editor’s Note
Understanding Medical Liability
In our last issue, we explored how the aspiration to produce effective,
legitimate, and timely public policy...
Journal Article
J Health Polit Policy Law (2020) 45 (3): 419–437.
Published: 01 June 2020
... but contain inaccurate information that inflates payment (for example, patients' diagnoses were upcoded on inpatient claims). The Affordable Care Act, following precedents established by a number of courts, expanded False Claims Act liability to claims submitted under arrangements that violate the Anti...
FIGURES
Journal Article
J Health Polit Policy Law (1988) 13 (2): 365–371.
Published: 01 April 1988
... Liability Problem
Arthur H. Bernstein, Avoiding Medical Malpractice (Chicago, IL: Pluribus Press,
1987), 162 pp.
Kenneth E. Brooten, Jr., and Stu Chapman, Malpractice: A Guide to Avoidance
and Treatment (Orlando, FL: Grune and Stratton, Inc., 1987), 232 pp.
Marshall B . Kapp, Preventing...
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 2 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the current standard benefit design. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries. Note : LIS= low-income subsidy.
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 2 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the current standard benefit design. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries. Note : LIS= low-income subsidy.
More
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 4 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the Part D redesign proposal included in the Build Back Better Act. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries.
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 4 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the Part D redesign proposal included in the Build Back Better Act. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries.
More
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 5 Changes in liability by payer and LIS status under the Part D redesign proposal included in the Build Back Better Act. Notes : LIS = low-income subsidy; LICS = low-income cost-sharing subsidy. Much of the reduction in federal reinsurance spending would be reallocated to plans
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Journal Article
J Health Polit Policy Law (2017) 42 (1): 53–71.
Published: 01 February 2017
... and the dynamics of their inclusion in population health improvement. Even if CMS—and other payers—are able to make these payment reforms work, that is, to incentivize health care providers to contain cost through population health, the practical liabilities of this approach remain significant. First, providers...
Journal Article
J Health Polit Policy Law (2001) 26 (2): 291–326.
Published: 01 April 2001
...Peter D. Jacobson; Matthew L. Kanna This article provides an initial look at how managed care organizations(MCOs) might incorporate cost-effectiveness analysis (CEA) into their decision-making process and how the courts might respond. Because so few medical liability cases directly involve CEA, we...
Journal Article
J Health Polit Policy Law (2015) 40 (6): 1157–1177.
Published: 01 December 2015
...Katherine Baicker; Bill J. Wright; Nicole A. Olson Abstract There is ongoing policy debate about the potential for malpractice liability reform to reduce the use of defensive medicine and slow the growth of health care spending. The effectiveness of such policy levers hinges on the degree to which...
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1996) 21 (2): 243–266.
Published: 01 April 1996
...Peter D. Jacobson; C. John Rosenquist The escalating cost of medical care in the United States, especially in the past decade, has resulted in efforts to identify the factors contributing to rising costs. One factor often assumed to cause higher medical costs is the physician’s fear of liability...
Journal Article
J Health Polit Policy Law (2016) 41 (6): 1097–1118.
Published: 01 December 2016
...Peter D. Jacobson; Rachel Dahlen Abstract In this article, we assess two particular trends in judicial doctrine that are likely to emerge in the post-ACA era. The first trend is the inevitable emergence of enterprise medical liability (EML) that will supplant tort law's unstable attempt...
Journal Article
J Health Polit Policy Law (2022) 47 (6): 853–877.
Published: 01 December 2022
...Figure 2 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the current standard benefit design. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries. Note : LIS= low-income subsidy. ...
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Journal Article
J Health Polit Policy Law (1996) 21 (2): 267–288.
Published: 01 April 1996
...Randall R. Bovbjerg; Lisa C. Dubay; Genevieve M. Kenney; Stephen A. Norton Quantitative analysis of medical liability’s influence on medical practice is a small but growing field. The three foregoing articles illustrate three of the possible analytic approaches: case study of technological...
Journal Article
J Health Polit Policy Law (2022) 47 (6): 835–851.
Published: 01 December 2022
... methodology than that used for drugs predominantly distributed through retail channels. Specifically, the modified methodology includes pharmacy benefit manager (PBM) rebates in the calculation of AMP for 5i drugs. The modified methodology reduces manufacturers' Medicaid rebate liability and increases net...
FIGURES
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1979) 4 (1): 30–47.
Published: 01 February 1979
... liability for these new health professionals. Among the issues discussed in substantial detail are whether a separate standard of care is appropriate, whether the new professionals might function as independent contractors, and the importance of striking an adequate social balance between improved access...
Journal Article
J Health Polit Policy Law (1983) 8 (2): 277–292.
Published: 01 April 1983
... fallout from this testing. The victims are pressuring the government to accept liability for its actions and offer compensation for the damages. To date, however, their efforts have been largely unsuccessful. This article analyzes the politics of the atomic compensation movement, from its beginnings...
Journal Article
J Health Polit Policy Law (1984) 9 (3): 427–451.
Published: 01 June 1984
... of that bidding process, and identifies factors which had a significant impact on the implementation experience. Implementation of competitive bidding in Arizona encountered problems which appear to be common to the implementation of innovative public programs. It also uncovered political liabilities that suggest...
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