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Journal Article

Social Class, Political Power, and the State: Their Implications in Medicine—Part III

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Vicente Navarro
J Health Polit Policy Law (1977) 1 (4): 499–513.
DOI: https://doi.org/10.1215/03616878-1-4-499
Published: 01 August 1977
...Vicente Navarro This is the third part of an article on the distribution of power and the nature of the state in Western industrialized societies and their implications in medicine. Parts I and II were published in the preceding issue of this Journal. Part I presented a critique of contemporary...
View articletitled, Social Class, Political Power, and the State: Their Implications in Medicine—<span class="search-highlight">Part</span> III View PDF for article titled, Social Class, Political Power, and the State: Their Implications in Medicine—<span class="search-highlight">Part</span> III
Journal Article

When Methods Meet Politics: How Risk Adjustment Became Part of Medicare Managed Care

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Joel S. Weissman, Melissa Wachterman, David Blumenthal
J Health Polit Policy Law (2005) 30 (3): 475–504.
DOI: https://doi.org/10.1215/03616878-30-3-475
Published: 01 June 2005
... Risk Adjustment Became Part of Medicare Managed Care Joel S. Weissman Harvard Medical School Melissa Wachterman...
View articletitled, When Methods Meet Politics: How Risk Adjustment Became <span class="search-highlight">Part</span> of Medicare Managed Care View PDF for article titled, When Methods Meet Politics: How Risk Adjustment Became <span class="search-highlight">Part</span> of Medicare Managed Care
Journal Article

Measuring Coverage for Seniors in Medicare Part A and Estimating the Cost of Making It Universal

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Michael Birnbaum, Elizabeth M. Patchias
J Health Polit Policy Law (2010) 35 (1): 49–62.
DOI: https://doi.org/10.1215/03616878-2009-040
Published: 01 February 2010
.... To estimate the number of seniors without full federal Medicare Part A coverage, we examined data for uninsured seniors, seniors with Medicaid and no Medicare coverage of any kind, seniors with Medicare Part B but without Part A, and seniors bought into Part A by their state Medicaid programs. We found...
View articletitled, Measuring Coverage for Seniors in Medicare <span class="search-highlight">Part</span> A and Estimating the Cost of Making It Universal View PDF for article titled, Measuring Coverage for Seniors in Medicare <span class="search-highlight">Part</span> A and Estimating the Cost of Making It Universal
Journal Article

Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government

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Erin Trish, Katrina M. Kaiser, Jeanai Celestin, Geoffrey Joyce
J Health Polit Policy Law (2022) 47 (6): 853–877.
DOI: https://doi.org/10.1215/03616878-10041233
Published: 01 December 2022
...Erin Trish; Katrina M. Kaiser; Jeanai Celestin; Geoffrey Joyce Abstract Context: Reforming the Medicare Part D program—which provides prescription drug coverage to 49 million beneficiaries—has emerged as a key policy priority. Methods: The authors evaluate prescription drug claims from a 100...
FIGURES | View All (8)
View articletitled, Reforming the Medicare <span class="search-highlight">Part</span> D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government View PDF for article titled, Reforming the Medicare <span class="search-highlight">Part</span> D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
Image
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 in the form of higher premium subsidies.

Changes in liability by payer and LIS status under the Part D redesign prop...

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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 More
Journal Article

Lost in the ACA: Bit Parts in a Landmark Law

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John E. McDonough
J Health Polit Policy Law (2020) 45 (4): 533–545.
DOI: https://doi.org/10.1215/03616878-8255469
Published: 01 August 2020
... that varied substantially in details. To avoid a regulatory Tower of Babel, the industry endorsed a national calorie posting requirement in Title 4, the public health part of the law. Though scheduled to start in 2013, the FDA encountered intense conflict over regulatory details from movie theaters, pizza...
View articletitled, Lost in the ACA: Bit <span class="search-highlight">Parts</span> in a Landmark Law View PDF for article titled, Lost in the ACA: Bit <span class="search-highlight">Parts</span> in a Landmark Law
Journal Article

Social Class, Political Power, and the State: Their Implications in Medicine—Parts I and II

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Vicente Navarro
J Health Polit Policy Law (1976) 1 (3): 256–284.
DOI: https://doi.org/10.1215/03616878-1-3-256
Published: 01 June 1976
...Vicente Navarro This three part article presents an analysis of the distribution of power and of the nature of the state in Western industrialized societies and details their implications in medicine. Part I presents a critique of contemporary theories of the Western system of power; discusses...
View articletitled, Social Class, Political Power, and the State: Their Implications in Medicine—<span class="search-highlight">Parts</span> I and II View PDF for article titled, Social Class, Political Power, and the State: Their Implications in Medicine—<span class="search-highlight">Parts</span> I and II
Journal Article

Parting at the Crossroads: The Emergence of Health Insurance in the United States and Canada

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Carolyn Hughes Tuohy
J Health Polit Policy Law (2000) 25 (5): 1005–1008.
DOI: https://doi.org/10.1215/03616878-25-5-1005
Published: 01 October 2000
...Carolyn Hughes Tuohy Antonia Maioni. Parting at the Crossroads: The Emergence of Health Insurance in the United States and Canada . Princeton, NJ: Princeton University Press, 1998. 216 pp. $45.00 cloth. 2000 by Duke University Press 2000 Marmor, Theodore R. 2000 . The Politics...
View articletitled, <span class="search-highlight">Parting</span> at the Crossroads: The Emergence of Health Insurance in the United States and Canada View PDF for article titled, <span class="search-highlight">Parting</span> at the Crossroads: The Emergence of Health Insurance in the United States and Canada
Journal Article

Black Markets: The Supply and Demand of Body Parts

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Jennifer S. Bard
J Health Polit Policy Law (2008) 33 (1): 117–133.
DOI: https://doi.org/10.1215/03616878-2007-049
Published: 01 February 2008
...Jennifer S. Bard Black Markets: The Supply and Demand of Body Parts is an important contribution to the body of scholarship and policy analysis about one of the most difficult problems facing contemporary health policy, public health, and bioethics: the fact that the demand for donor organs far...
View articletitled, Black Markets: The Supply and Demand of Body <span class="search-highlight">Parts</span> View PDF for article titled, Black Markets: The Supply and Demand of Body <span class="search-highlight">Parts</span>
Journal Article

The Evolution of Medicare: Challenges, Responses, and Prospects

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Sherry Glied, Richard Frank, Brendan Lui
J Health Polit Policy Law 11830274.
DOI: https://doi.org/10.1215/03616878-11830274
Published: 28 February 2025
... containment, and benefit design. We then propose a three-pronged approach to reforming Medicare's benefit structure. We argue that a simplified enrollment process, a single benefit that brings together the program's constituent parts (Part A, Part B, and Part D), and a new organizational structure for care...
View articletitled, The Evolution of Medicare: Challenges, Responses, and Prospects View PDF for article titled, The Evolution of Medicare: Challenges, Responses, and Prospects
Journal Article

Regulating Hospital Labor Costs: A Case Study in the Politics of State Rate Commissions

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Carl J. Schramm
J Health Polit Policy Law (1978) 3 (3): 364–374.
DOI: https://doi.org/10.1215/03616878-3-3-364
Published: 01 June 1978
...Carl J. Schramm With the advent of various attempts to control hospital costs by direct state regulation, labor input costs have become a target of particular attention. This focus is due in part to the unique discretion administrators can exercise over labor factors, and in part to the large...
View articletitled, Regulating Hospital Labor Costs: A Case Study in the Politics of State Rate Commissions View PDF for article titled, Regulating Hospital Labor Costs: A Case Study in the Politics of State Rate Commissions
Journal Article

Is Health Care Different? Popular Support of Federal Health and Social Policies

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Mark Schlesinger, Tae-ku Lee
J Health Polit Policy Law (1993) 18 (3): 551–628.
DOI: https://doi.org/10.1215/03616878-18-3-551
Published: 01 June 1993
... part of the analysis relies on survey data collected between 1975 and 1989 to estimate a set of regression models, relating support for federal involvement in health care, antipoverty programs, and general domestic policies to a set of sociodemographic characteristics. Relative to other federal...
View articletitled, Is Health Care Different? Popular Support of Federal Health and Social Policies View PDF for article titled, Is Health Care Different? Popular Support of Federal Health and Social Policies
Journal Article

Forecasting American Health Care: How We Got Here and Where We Might Be Going

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Theodore R. Marmor
J Health Polit Policy Law (1998) 23 (3): 551–571.
DOI: https://doi.org/10.1215/03616878-23-3-551
Published: 01 June 1998
...Theodore R. Marmor This article is a form of thinking about the future properly regarded as conditional forecasting. It begins by reminding readers of the enormous changes in American medicine since World War II. The second part revisits critically an earlier effort at conditional forecasting...
View articletitled, Forecasting American Health Care: How We Got Here and Where We Might Be Going View PDF for article titled, Forecasting American Health Care: How We Got Here and Where We Might Be Going
Image
Figure 6 Distribution of out-of-pocket savings for non-LIS beneficiaries under the Part D redesign proposal included in the Build Back Better Act. Note: LIS = low-income subsidy.

Distribution of out-of-pocket savings for non-LIS beneficiaries under the P...

Available to Purchase
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 6 Distribution of out-of-pocket savings for non-LIS beneficiaries under the Part D redesign proposal included in the Build Back Better Act. Note : LIS = low-income subsidy. More
Journal Article

People, Places, Power: Medicaid Concentration and Local Political Participation

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Jamila D. Michener
J Health Polit Policy Law (2017) 42 (5): 865–900.
DOI: https://doi.org/10.1215/03616878-3940468
Published: 01 October 2017
...Jamila D. Michener Abstract The geographic concentration of disadvantage is a key mechanism of inequity. In the United States, the spatial patterning of disadvantage renders it more than the sum of its individual parts and disproportionately harms economically and racially marginalized Americans...
FIGURES | View All (7)
View articletitled, People, Places, Power: Medicaid Concentration and Local Political Participation View PDF for article titled, People, Places, Power: Medicaid Concentration and Local Political Participation
Journal Article

The Effect of EU Integration on Health Care in Central and Eastern Europe

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Tomislav Sokol
J Health Polit Policy Law (2021) 46 (1): 147–175.
DOI: https://doi.org/10.1215/03616878-8706651
Published: 01 February 2021
...Tomislav Sokol Abstract The effect of EU policy and its legal framework on health care in CEE member states has been complex. In relation to health care access and financial sustainability, it has been detrimental in certain parts of CEE. This has primarily been the result of economic/fiscal...
View articletitled, The Effect of EU Integration on Health Care in Central and Eastern Europe View PDF for article titled, The Effect of EU Integration on Health Care in Central and Eastern Europe
Journal Article

Paying for Medicare: Benefits, Budgets, and Wilbur Mills's Policy Legacy

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Eric Patashnik, Julian Zelizer
J Health Polit Policy Law (2001) 26 (1): 7–36.
DOI: https://doi.org/10.1215/03616878-26-1-7
Published: 01 February 2001
...Eric Patashnik; Julian Zelizer Medicare features an unusually complex financing design. The Hospital Insurance Trust Fund pays for Part A of Medicare (hospital stays), while the Supplementary Medical Insurance Trust Fund finances Part B (doctor visits,outpatient care, and certain home health...
View articletitled, Paying for Medicare: Benefits, Budgets, and Wilbur Mills's Policy Legacy View PDF for article titled, Paying for Medicare: Benefits, Budgets, and Wilbur Mills's Policy Legacy
Journal Article

The Rhetorical Transformations and Policy Failures of Prescription Drug Pricing Reform under the Trump Administration

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Rachel E. Sachs
J Health Polit Policy Law (2021) 46 (6): 1053–1068.
DOI: https://doi.org/10.1215/03616878-9349156
Published: 01 December 2021
..., the Trump administration failed to implement any of their more ambitious reform ideas. This article considers three of the Trump administration's signature policies—state-sponsored prescription drug importation, Medicare Part B international reference pricing, and reforms to the Medicare Part D rebate...
View articletitled, The Rhetorical Transformations and Policy Failures of Prescription Drug Pricing Reform under the Trump Administration View PDF for article titled, The Rhetorical Transformations and Policy Failures of Prescription Drug Pricing Reform under the Trump Administration
Image
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.

Distribution of liability by payer, benefit phase, and beneficiary LIS stat...

Available to Purchase
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
Image
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.

Distribution of liability by payer, benefit phase, and beneficiary LIS stat...

Available to Purchase
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