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Journal Article
Inside “Operation Change Agent”: Mallinckrodt's Plan for Capturing the Opioid Market
Available to Purchase
J Health Polit Policy Law (2024) 49 (4): 599–630.
Published: 01 August 2024
...Daniel Eisenkraft Klein; Ross MacKenzie; Ben Hawkins; Adam D. Koon Abstract Context: The United States is deeply entangled in an opioid crisis that began with the overuse of prescription painkillers. At the height of the prescription opioid crisis (2006–2012), Mallinckrodt Pharmaceuticals...
FIGURES
Journal Article
False Claims Act Liability for Overtreatment
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J Health Polit Policy Law (2020) 45 (3): 419–437.
Published: 01 June 2020
... of the False Claims Act as a tool for reducing overuse. Methods: The author reviewed (1) recent cases where litigants sparred over the applicability of the False Claims Act to overtreatment, and (2) criticisms of the expanding use of the False Claims Act in health care. Findings: Some judges have dismissed...
FIGURES
Journal Article
Physicians' Conflicts of Interest in Japan and the United States: Lessons for the United States
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J Health Polit Policy Law (2000) 25 (2): 343–376.
Published: 01 April 2000
... as ways to avoid commercialization of medicine. Instead, they create physicians' conflicts and fuel patient overuse of services. Japan's Ministry of Health and Welfare (MHW) has responded by introducing per-diem payment, thereby creating incentives to decrease services in ways similar to those of American...
Journal Article
Overutilization, Overutilized
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J Health Polit Policy Law (2015) 40 (2): 421–437.
Published: 01 April 2015
... that the health care system should be more efficient by “avoiding waste, including waste of equipment, supplies, ideas, and energy” (6). Shortcomings in each of these domains were understood as symptoms of an uncoordinated health system with serious design flaws: “There is substantial evidence documenting overuse...
Journal Article
The ADHD Explosion: Myths, Medication, Money, and Today's Push for Performance
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J Health Polit Policy Law (2015) 40 (3): 619–625.
Published: 01 June 2015
... objective clinical signs or indicators, debates about under- or overdiagnosis invariably tap into society's ambivalence and even skepticism about some mental disorders. What is different about the misdiagnosis of ADHD and the related overuse of stimulants is that they are more likely to raise heated...
Journal Article
Setting Boundaries: Public Views on Limiting Patient and Physician Autonomy in Health Care Decisions
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J Health Polit Policy Law (2017) 42 (4): 579–605.
Published: 01 August 2017
... hospital. Upper Respiratory Infection in Children: Antibiotics Versus Symptom Treatment (Discussed in two methods) The upper respiratory infection case study focused on whether the evidence of harm from overusing antibiotics warranted societal boundaries. Participants received evidence that antibiotics...
Journal Article
The Landscape in 2009: A Conversation with Bruce C. Vladeck
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J Health Polit Policy Law (2009) 34 (3): 401–415.
Published: 01 June 2009
... to argue that we can increase access, improve quality, and reduce
costs simultaneously. Do you agree?
BV: No, because every systematic study we have shows there’s as much
underuse of health care in this country as there is overuse. I think we
could take every dollar of savings from eliminating...
Journal Article
Books in Brief
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J Health Polit Policy Law (1984) 9 (1): 190.
Published: 01 February 1984
... analyzes
and reanalyzes until both he and the data are exhausted; but the differences just
don’t go away, and the regroupings used in a vain effort to suggest logic in
inconsistency are unconvincing. The researcher may take some umbrage at the
overuse and possible misuse of statistics...
Journal Article
Moral Hazard vs. Real Hazard: Quality of Care Post-Arrow
Available to Purchase
J Health Polit Policy Law (2001) 26 (5): 1069–1080.
Published: 01 October 2001
... companies.” It was
“a far from perfect check,” he acknowledged, leaving physicians open to
overusing “marginal” care for well-insured patients who, for instance,
pressed for “more expensive medication.” (It was, as we now know, a
prescient fear.) Still, Arrow argued...
Journal Article
Intensive Care: Medical Ethics and the Medical Profession
Available to Purchase
J Health Polit Policy Law (1995) 20 (3): 810–811.
Published: 01 June 1995
... of long-term care; or a full public insurance program with substan-
tial cost sharing to deter overuse of services. The “front-end” care of the
catastrophic program, or the deductibles and coinsurance for the full pro-
gram, would be financed for the poor through public purchase of private...
Journal Article
Competition in the Market for Nursing Home Care
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J Health Polit Policy Law (1988) 13 (2): 341–360.
Published: 01 April 1988
... expenditures.
Quantity. Concerns about quantity outcomes achieved by the current nursing
home market are reflected in the longstanding policy debate about the overuse
of institutional care for the elderly and the provision of “unneeded” nursing home
care to elderly persons with low levels...
Journal Article
The Real Lessons of National Health Planning
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J Health Polit Policy Law (1982) 7 (1): 125–127.
Published: 01 February 1982
... these evolving technologies and theories into their
regulatory and planning frameworks, in a flexible and timely manner. In
fact, health planning helps to foster oligopolistic pricing. There is no
evidence that third-party payers will stand for gross overuse of expensive
high technology such as CAT...
Journal Article
Rate Setting and Health Maintenance Organizations
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J Health Polit Policy Law (1996) 21 (3): 511–513.
Published: 01 June 1996
...’ services. The poten-
tial problem has increased over time as HMOs have employed more com-
plex and varied payment mechanisms to compensate physicians. Recog-
nizing that fee-for-service payment provides incentives for overuse of
services, that capitation provides incentives for underuse of services...
Journal Article
The Benefits of Old Age: Social Welfare Policy for the Elderly
Available to Purchase
J Health Polit Policy Law (1982) 7 (1): 282–284.
Published: 01 February 1982
.... As soon as I felt
my blood pressure rise, I knew it was a book worth reading and worth
recommending.
The major problem I found with this book was the overuse of cate-
gories. Kutza employs four categories, with many subcategories, to
describe programs; she identifies four rationales...
Journal Article
State Autonomy, Policy Paralysis: Paradoxes of Institutions and Culture in the French Health Care System
Available to Purchase
J Health Polit Policy Law (2005) 30 (1-2): 97–120.
Published: 01 April 2005
... care during that period were aimed
at demand regulation, usually by increasing user charges in the hope of
reducing overuse of medical goods and services. Among these measures
were the exclusion of certain procedures or drugs from reimbursement;
increases in co-payments for certain...
Journal Article
What Passes and Fails as Health Policy and Management
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J Health Polit Policy Law (2014) 39 (5): 1113–1126.
Published: 01 October 2014
... returns cyclically to financial incentives as solutions to perceived health system problems. An important body of work catalogs the overuse and inappropriate nature of economic models applied to the health care sector (Hsiao 1994 ; Oliver and Brown 2011 ; White 2007 ). Policies inspired...
Journal Article
Disability: From Social Problem to Federal Program
Available to Purchase
J Health Polit Policy Law (1982) 7 (1): 284–288.
Published: 01 February 1982
... was the overuse of cate-
gories. Kutza employs four categories, with many subcategories, to
describe programs; she identifies four rationales that undergird the pro-
grams, and then outlines three perspectives for analyzing them. This, at
times, became a little confusing, and I searched to see them...
Journal Article
Federal Enforcement of Pharmaceutical Fraud under the False Claims Act, 2006–2022
Available to Purchase
J Health Polit Policy Law (2024) 49 (2): 249–268.
Published: 01 April 2024
... of fraud enforcement policies. Researchers have long recognized overuse of antipsychotic agents and other nervous system drugs as a problem in patient care (Gurwitz, Bonner, and Berwick 2017 ). We found that manufacturers of psychotropic drugs frequently settled allegations of promoting their products...
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Journal Article
The Politics of Health in India
Available to Purchase
J Health Polit Policy Law (1991) 16 (3): 616–620.
Published: 01 June 1991
...
change. However, that would only be part of the story." His overuse of tech-
nical terminology also weakens the power of his arguments and undermines
his case.
Jeffrey typifies the technocrat who scorns the unruly arena of practical pol-
itics. For example, after noting (p. 298...
Journal Article
Foreword
Available to Purchase
J Health Polit Policy Law (2001) 26 (5): 829–834.
Published: 01 October 2001
... consumers, politicians, and even physicians about
the possible overuse of now highly costly (as well as dangerous) medical
services. There was a third noneconomic cause, the passage of legislation
permitting selective contracting (over the objections of organized medi...
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