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Journal Article
J Health Polit Policy Law (1987) 12 (3): 391–408.
Published: 01 June 1987
...Kenneth E. Thorpe By 1983, four states had received waivers from the Health Care Financing Administration and adopted experimental reimbursement programs covering all third-party payers. In general, these programs were designed to moderate cost growth as well as to promote a number of broader...
Journal Article
J Health Polit Policy Law (2012) 37 (4): 677–678.
Published: 01 August 2012
...Harold A. Pollack Point- Counterpoint
All- Payer State Systems
Harold A. Pollack
University of Chicago
High unit prices provide one driver...
Journal Article
J Health Polit Policy Law (2023) 48 (1): 93–115.
Published: 01 February 2023
... of state-based all-payer claims databases (APCDs). APCDs are health data organizations that hold transactional information from public (Medicare and Medicaid) and private health insurers (commercial plans and some self-insured employers). APCDs transform this data into useful information on health care...
Journal Article
J Health Polit Policy Law (1990) 15 (4): 815–831.
Published: 01 August 1990
...Michael D. Rosko The New Jersey all-payer prospective payment system compensates hospitals for charity care and bad debts. This study examines its impact on the provision of care to self-pay patients. Self-pay patients include two types of uninsured individuals: (1) patients who cannot afford...
Journal Article
J Health Polit Policy Law (2015) 40 (3): 447–485.
Published: 01 June 2015
...Ashley M. Fox; Nathan J. Blanchet Abstract In May 2011, a year after the passage of the Affordable Care Act (ACA), Vermont became the first state to lay the groundwork for a single-payer health care system, known as Green Mountain Care. What can other states learn from the Vermont experience...
Journal Article
J Health Polit Policy Law (2017) 42 (1): 5–52.
Published: 01 February 2017
... of rising prices through direct regulation at the state level. Yet this literature fails to account for how change agents in the states gradually reconfigured the politics of prices, forging new, transparency-based policy instruments called all-payer claims databases (APCDs), which are designed to empower...
FIGURES
Journal Article
J Health Polit Policy Law (2009) 34 (4): 447–451.
Published: 01 August 2009
...Michael S. Sparer; Lawrence D. Brown; Lawrence R. Jacobs Duke University Press 2009 Editors’ Note
Exploring the Concept
of Single Payer
As this issue goes to press, President...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 509–530.
Published: 01 August 2009
...Adam Oliver This article discusses some of the merits and demerits of the single-payer model of health care financing, with particular reference to the English National Health Service (NHS). Specifically, it is argued that the main merits are that the model can directly provide universal health...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 531–542.
Published: 01 August 2009
...Deborah Stone Health insurance reform requires political solutions, not technocratic fixes. Single payer frames the problem as a grossly inefficient bursar's office. Great political leadership means reframing the problem as a faulty social compact, rewriting the compact, and making everybody play...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 593–615.
Published: 01 August 2009
...Sherry Glied This article uses Organisation for Economic Co-operation and Development (OECD) data to assess whether a single-payer health system delivers more care at less cost than do other universal coverage models. Single-payer plans are defined as those that rely on a limited number of revenue...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 617–633.
Published: 01 August 2009
...Michael K. Gusmano; Daniel Weisz; Victor G. Rodwin The question posed in this article is whether single-payer health care systems are more likely to provide equal treatment for equal need (horizontal equity) than are multipayer systems. To address this question, we compare access to primary...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 649–670.
Published: 01 August 2009
...Roger Feldman In this article, I argue that unregulated markets will not find the right level of health care quality but that at the same time it is not clear that single-payer systems will do any better. My perspective combines the economic theory of public goods and the institutional payment...
Journal Article
J Health Polit Policy Law (2010) 35 (2): 277–288.
Published: 01 April 2010
...Kip Sullivan © 2010 by Duke University Press 2010 Aetna. n.d. Transforming Health Care. www.aetna.com/about/aoti/aetna_perspective/uninsured.html (accessed May 19, 2009). Albany (NY) Times Union. 2009. Put Single-Payer on the Table. May 19. www.timesunion.com/AspStories/story.asp...
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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 (2012) 37 (4): 697–707.
Published: 01 August 2012
...Mark Pauly; Robert Town © 2012 by Duke University Press 2012 References Centers for Medicare and Medicaid Services . Various years . Health Expenditures by State of Residence: Summary Tables, 1991 – 2009. Tables: Total All Payers per Capita State Estimates by State of Residence...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 453–496.
Published: 01 August 2009
...Carolyn Hughes Tuohy In political discourse, the term “single-payer system” originated in an attempt to stake out a middle ground between the public and private sectors in providing universal access to health care. In this view, a single-payer system is one in which health care is financed...
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