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Journal Article
Journal of Health Politics, Policy and Law (1 October 2004) 29 (4-5): 701–734.
Published: 01 October 2004
... with author, Jackson Hole, WY, 28 January. ———. 2002 . Does Managed Care Need to Be Replaced? The Physician Executive ,January–February, 26 -31. Ellwood, Paul M., Jr., Nancy N. Anderson, James E. Billings, Rick J. Carlson, Earl J. Hoagberg, and Walter McClure. 1970 . The Health Maintenance...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2007) 32 (4): 685–731.
Published: 01 August 2007
...Etienne E. Pracht The objective of this article is to understand the political motivations underlying Medicaid managed care reforms by examining the determinants of enrollment of beneficiaries in managed care plans in the fifty states. To highlight the role of the model variables, including...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2009) 34 (2): 219–259.
Published: 01 April 2009
...Karl Kronebusch; Mark Schlesinger; Tracey Thomas While the states engaged in an extended period of adopting and revising laws regulating managed care during the 1990s, there has been to date only limited empirical assessment of the impacts of these laws. For this analysis, we constructed a data set...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2004) 29 (6): 1241–1248.
Published: 01 December 2004
...Ellen Waldman Peter D. Jacobson. Strangers in the Night: Law and Medicine in the Managed Care Era. New York: Oxford University Press, 2002. 296 pp.$36.00 cloth. © 2004 by Duke University Press 2004 Bloche, M. Gregg, and David M. Studdert. 2004 . A Quiet Revolution: Law as an Agent of Health...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2009) 34 (1): 5–35.
Published: 01 February 2009
.... 2003 . A Voice for Nonprofits . Washington, DC: Brookings Institution Press. Bindman, A. B., K. Grumbach, S. Bernheim, K. Vranizan, and M. Cousineau. 2000 . Medicaid Managed Care's Impact on Safety-Net Clinics in California. Health Affairs 19 ( 1 ): 194 -202. Boris, E. T., and C. E...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 345–352.
Published: 01 June 2002
... Chronically Ill Persons under Medicare. Health Affairs 17 (2): 144 -151. Lamphere, Jo Ann, Patrician Neuman, Kathryn Langwell, and Daniel Sherman. 1997 . The Surge in Medicare Managed Care. Health Affairs 16 (3): 127 -133. Mechanic, David, Donna D. McAlpine, and Marsha Rosenthal. 2001 . Are...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 441–464.
Published: 01 June 2002
... objective of this study is to test the effects of insurance type, competition among hospitals, and market pressure from managed care plans on the supply and cost of NIC. The analysis uses logistic and linear models with techniques to avoid bias from (a) market area definitions based on actual patient flows...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 465–494.
Published: 01 June 2002
... highlight both the promise and the pitfalls of relying on courts to correct deficiencies in public managed care programs. This article argues that while litigation over inadequacies in Medicare and Medicaid managed care can serve an important signaling function in alerting agencies and legislatures about...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2007) 32 (3): 379–413.
Published: 01 June 2007
...Bruce Spitz Duke University Press 2007 American Academy of Actuaries, CMS Medicaid Rate Certification Work Group. 2005 . Actuarial Certification Rates for Medicaid Managed Care Programs . Health Practice Note 2004-1. Washington, DC: American Academy of Actuaries. Bailit, M., L. Bailit, and T...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2007) 32 (3): 457–495.
Published: 01 June 2007
...Virginia Gray; David Lowery; Erik K. Godwin In the 1990s, strong incentives for managed care organizations to control costs, once regarded as a fortuitous confluence of interests, came to be seen as antithetical to consumers' interests in quality of care. In response to this change in political...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2002) 27 (1): 5–30.
Published: 01 February 2002
...James Maxwell; Peter Temin The theory of managed competition has found favor with many health policy analysts and academic economists alike. Three characteristics—consumer choice, defined contribution, and dissemination of information—signal managed competition strategy. By requiring private...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2002) 27 (1): 31–36.
Published: 01 February 2002
... . Psychology and Economics. Journal of Economic Literature 36 : 11 -46. Schelling, Thomas C. 1984 . Choice and Consequence: Perspectives of an Errant Economist . Cambridge:Harvard University Press. Commentary A Funny Thing Happened on the Way to Managed Competition...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2003) 28 (2-3): 341–354.
Published: 01 June 2003
...James C. Robinson The doctrine of managed competition in health care sought to achieve the social goals of access and efficiency using market incentives and consumer choice rather than governmental regulation and public administration. In retrospect, it demanded too much from both the public and...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2012) 37 (5): 815–849.
Published: 01 October 2012
...Ae-Sook Kim; Edward Jennings This article utilizes a theoretical framework of policy innovation, diffusion, and reinvention to investigate the evolving nature of Medicaid managed care programs over time. By estimating two separate models, one for primary care case management (PCCM) and a second for...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1291–1324.
Published: 01 December 2001
...Christopher J. Conover; Peter J. Rankin; Frank A. Sloan A comparative study was conducted in two neighboring states, Tennessee and North Carolina, to determine whether Medicaid managed care (implemented in Tennessee as TennCare) affected prenatal care, care patterns at labor-delivery, and birth...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1995) 20 (2): 391–398.
Published: 01 April 1995
... York, 1–4 September. Nativism, Hollow Corporations, and Managed Competition: Why the Clinton Health Care Reform Failed James A. Morone Brown University The collapse of health care...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 245–255.
Published: 01 February 2015
... managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2016) 41 (3): 315–354.
Published: 01 June 2016
... and Fiscal Responsibility Act created a policy space that gave the new and lightly controlled managed care industry considerable operational discretion. As the interests of the government's private partners changed in response to new market dynamics, a change occurred in the output and performance of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1995) 20 (4): 1061–1064.
Published: 01 August 1995
...Robert E. Hurley Donald Freeborn and Clyde Pope. Promise and Performance in Managed Care: The Prepaid Group Practice Model . Baltimore, MD: The Johns Hopkins University Press, 1994. 170 pages. $40.00. Copyright © 1995 by Duke University Press 1995 Reviews 1061 Haggerty, Robert J. 1985. The...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 509–532.
Published: 01 April 1997
... firms. I suggest that we cannot understand managed care unless we understand its power as at least substantially due to its reliance on a claim to be better science. In this way, managed care needs to be placed within an analytic historical tradition that is concerned with how accounts of scientific...