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J Health Polit Policy Law (2016) 41 (3): 315–354.
Published: 01 June 2016
...Andrew S. Kelly Abstract In 2014, Medicare Advantage (MA) enrollment surpassed 30 percent of eligible beneficiaries. Twenty-five years earlier, enrollment hovered at just 3 percent. The expansion of private Medicare plans presents a puzzling instance of policy change within Medicare—a program long...
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J Health Polit Policy Law (2013) 38 (6): 1103–1127.
Published: 01 December 2013
...Alan Maynard Abstract All public and private health care systems ration patient access to care. The private sector rations access to consumers who are willing and able to pay. The poor and disadvantaged have limited access to care and inadequate income protection. In public health systems, care...
J Health Polit Policy Law (1987) 12 (2): 271–298.
Published: 01 April 1987
...Penny H. Feldman; Margaret Gerteis Shifting financial risk from the public to the private sector is an increasingly attractive option to policymakers seeking to constrain Medicaid costs. This paper discusses the potential advantages and disadvantages of private insurance arrangements for Medicaid...
J Health Polit Policy Law (2020) 45 (4): 517–532.
Published: 01 August 2020
...Sherry Glied; Aryana Khalid; Marilyn B. Tavenner Abstract The federal bureaucracy played a critical role in implementing most aspects of the Affordable Care Act's private insurance coverage expansion. Through brief case studies, the authors review three dimensions of this role: the development...
J Health Polit Policy Law (2017) 42 (2): 377–385.
Published: 01 April 2017
..., and impacts of ACA coverage expansions on individual and aggregate well-being must incorporate systematic study of this complex public–private sector ecosystem. Copyright © 2017 by Duke University Press 2017 Freely available online through the Journal of Health Politics, Policy and Law open access option...
J Health Polit Policy Law (1977) 2 (1): 11–19.
Published: 01 February 1977
...Terrance Keenan Copyright © 1977 by Duke University Press 1977 Position Paper The Health Record of Private Foundations Terrance Keenan, Robert Wood Johnson Foundation The sum of private giving to medicine and health amounts to about fifteen percent of the federal health...
J Health Polit Policy Law (1977) 2 (3): 300–303.
Published: 01 June 1977
...Howard S. Berliner Copyright © 1977 by the Dept. of Health Administration, Duke University 1977 Guest Editorial The Health Record of Private Foundations: Another View Howard S. Berliner, University of Massachusetts-Amherst The article written by Terrance Keenan...
J Health Polit Policy Law (2011) 36 (3): 401–411.
Published: 01 June 2011
...Colleen M. Grogan You Call It Public, I Call It Private, Let’s Call the Whole Thing Off? Colleen M. Grogan University of Chicago When President Barack Obama signed the health care...
J Health Polit Policy Law (2010) 35 (6): 999–1026.
Published: 01 December 2010
... about the treatment of bad debts and Medicare shortfalls in light of these findings. Community Benefit Activities of Private, Nonprofit Hospitals Gloria J. Bazzoli...
J Health Polit Policy Law (1977) 1 (4): 471–498.
Published: 01 August 1977
...Clark C. Havighurst The Council on Wage and Price Stability recently has discovered evidence suggesting “an unacknowledged potential of the private sector to exert influence and control in the area of health care cost inflation.” This article examines the limitations on private-sector cost-control...
J Health Polit Policy Law (1983) 8 (2): 293–313.
Published: 01 April 1983
...Douglas A. Hastings Increasingly, medical peer-review organizations are entering into contracts with insurance companies and self-insured employers to conduct utilization reviews and quality-of-care assessments. Such private review activities raise new legal issues, requiring analysis of state law...
J Health Polit Policy Law (1983) 8 (3): 598–606.
Published: 01 June 1983
...Robert E. Schlenker; Nancy H. Shanks This paper reviews the historical trends in the regulatory and competitive approaches to containment of health care costs, covering efforts in both public and private sectors. The current interest in the potential of private-sector initiatives to stimulate...
J Health Polit Policy Law (1982) 7 (3): 580–628.
Published: 01 June 1982
... is the historical selection of organizational forms: why hospitals, clinics, public health agencies, medical schools, or, in this case, private health insurance and prepayment plans assumed distinctive organizational forms in the United States. These issues come up in the context of a more general argument about...
J Health Polit Policy Law (1982) 7 (2): 380–406.
Published: 01 April 1982
...Thomas G. McGuire; John T. Montgomery Eleven states mandate coverage of inpatient and outpatient mental health care in private health insurance. Health insurers have objected to these laws on the grounds that they interfere with consumer choice of health insurance benefits and are too costly...
J Health Polit Policy Law (1982) 7 (1): 80–95.
Published: 01 February 1982
...Deborah H. Harrison; John R. Kimberly Public policy controversies about the cost-containing potential of HMOs and the failures of many plans should not overshadow the fact that HMOs will be forces in the health care sector in the 1980s, largely as the result of increasing private investment...
J Health Polit Policy Law (1983) 7 (4): 945–952.
Published: 01 August 1983
...Joel W. Hay Two of the best-known economic models of hospital behavior are utilized to examine theoretically the issue of cross-subsidization of hospital costs between public and private-pay patients. It is shown that the existence of public/private hospital-charge differentials does not, in itself...
J Health Polit Policy Law (1988) 13 (1): 191–195.
Published: 01 February 1988
...Ellen M. Immergut C. David Naylor, Private Practice, Public Payment: Canadian Medicine and the Politics of Health Insurance, 1911–1966 (Kingston and Montreal: McGill-Queen's University Press, 1986), 324 pp., $35.00 cloth, $ 15.95 paper. Copyright © 1988 by Duke University Press 1988...
J Health Polit Policy Law (2004) 29 (3): 359–396.
Published: 01 June 2004
...Carolyn Hughes Tuohy; Colleen M. Flood; Mark Stabile The impact of private finance on publicly funded health care systems depends on how the relationship between public and private finance is structured. This essay first reviews the experience in five nations that exemplify different ways...
J Health Polit Policy Law (2005) 30 (1-2): 295–298.
Published: 01 April 2005
...Brian K. Gran Jacob Hacker. The Divided Welfare State: The Battle over Public and Private Social Benefits in the United States . New York: Cambridge University Press, 2002. 464 pp. $55.00 cloth; $23.00 paper. © 2005 by Duke University Press 2005...
J Health Polit Policy Law (2006) 31 (6): 1156–1158.
Published: 01 December 2006
...Theodore R. Marmor Colleen M. Flood, Kent Roach, and Lorne Sossin, eds. Access to Care, Access to Justice: The Legal Debate over Private Health Insurance in Canada. Toronto: University of Toronto Press, 2005. 611 pp. $37.95 cloth Duke University Press 2006...