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Journal Article
Journal of Health Politics, Policy and Law (1 August 1995) 20 (4): 885–908.
Published: 01 August 1995
... provider sides, with the NHS District Health Authorities becoming purchasers, and the NHS hospitals, now reconstructed as independent NHS trusts, becoming providers. The U.S. health care system, driven by market forces rather than government fiat, has been moving rapidly toward integration, with...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2002) 27 (6): 927–946.
Published: 01 December 2002
...Anne Carroll; Jan M. Ambrose Any-Willing-Provider (AWP) legislation requires that health plans accept any health care provider who agrees to conform to the plan's conditions,terms, and reimbursement rates. Many states have adopted such legislation,raising questions about its effect on the managed...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2004) 29 (6): 1045–1072.
Published: 01 December 2004
...Lawrence D. Brown; Elizabeth Eagan The recent decline, indeed perhaps dismantling, of managed care is sometimes treated as both consequence and cause of the political reempowerment of medical providers, whose professional dominance managed care had challenged. Drawing evidence from Round III of the...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1988) 13 (2): 293–303.
Published: 01 April 1988
.... California decision, indicates that the primary barriers to cost containment today are not obstructive tactics by providers or provider-controlled health insurance plans. Rather, the primary barriers are increases in the development and diffusion of new technology and society's apparent preference for paying...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2001) 26 (5): 1003–1018.
Published: 01 October 2001
.... Dynan, and L. R. Burns. 1999 /2000. Capitated Contracting of Integrated Health Provider Organizations. Inquiry (winter 1999/2000): 426 -444. Bazzoli, G. J., R. H. Miller, and L. R. Burns. 2000 . Capitated Contracting Relationships in Health Care. Journal of Healthcare Management 45 (May/June...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2012) 37 (4): 679–695.
Published: 01 August 2012
.../uploadedpdf/412438-Accountable-Care-Organizations-in-Medicare-and-the-Private-Sector.pdf . Berenson R. A. Ginsburg P. B. Kemper N. . 2010 . Unchecked Provider Clout in California Foreshadows Challenges to Health Reform . Health Affairs 29 ( 4 ): 699 – 705 . Bishop T...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2006) 31 (6): 1075–1106.
Published: 01 December 2006
...Anna D. Sinaiko; Thomas G. McGuire Public mental health systems are increasingly facing demands from the criminal justice system and social services agencies to provide services and support in cases in which mental illness contributes to crime, homelessness, or poverty. In this article we analyze...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2009) 34 (6): 899–930.
Published: 01 December 2009
...Edward Alan Miller; Lili Wang Since Medicaid is jointly financed by the federal and state governments, state officials have sought to offset state expenditures by maximizing federal contributions. One such strategy is to adopt a provider tax, which enables states to collect revenues from providers...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2014) 39 (4): 901–917.
Published: 01 August 2014
...Karen Hacker; Palmira Santos; Douglas Thompson; Somava S. Stout; Adriana Bearse; Robert E. Mechanic Abstract Although safety net providers will benefit from health insurance expansions under the Affordable Care Act, they also face significant challenges in the postreform environment. Some have...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 745–760.
Published: 01 August 2015
...Roger Feldman Abstract A remarkable consensus has developed that the fee-for-service (FFS) approach for paying medical providers must be replaced. This payment approach is said to increase the volume of services without improving care coordination. In response to these calls, Medicare and private...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2015) 40 (2): 395–401.
Published: 01 April 2015
...Howard A. Kahn Abstract The safety net is the delivery system that provides health care to low-income and uninsured populations. Following the recent implementation of health care reform, hundreds of thousands of people in Los Angeles County gained or became eligible for health care coverage. The...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 847–874.
Published: 01 August 2015
...Robert F. Leibenluft Abstract Antitrust enforcement has a crucial role to play in consolidated health care markets as providers undertake mergers, acquisitions, and other types of collaborations to integrate care and achieve greater size and scale. But antitrust enforcers and policy makers need to...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2015) 40 (6): 1179–1202.
Published: 01 December 2015
... exclude others. During the 2014 open-enrollment period, it enrolled 1.3 million people, who are covered by eleven health plans. We describe the market shares of health plans in California and in each of the nineteen rating regions. We examine the empirical relationship between measures of provider market...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 513–532.
Published: 01 June 1985
... emphasis reflects not only the personal predilections of the author, but also the contention that those are the most sensible things to talk about. Copyright © 1985 by Duke University Press 1985 Reforming Medicare Provider Payment Bruce C. Vladeck, United Hospital Fund of New York...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2009) 34 (1): 5–35.
Published: 01 February 2009
...Colleen M. Grogan; Michael K. Gusmano Safety-net providers play a central role in the U.S. health care system because they provide the bulk of services to the poor and the uninsured. The health policy literature focuses a great deal on the capacity of these institutions to provide services and the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 379–400.
Published: 01 June 2002
... report card data are collected, analyzed, and presented may further marginalize the experiences of these groups who in any case are already underserved by the health system. This observation also has important implications for health care providers who serve primarily large numbers of vulnerable patients...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 779–792.
Published: 01 August 1990
...Katherine Swartz There is mounting pressure at the federal (and state) level to require employers to provide health insurance to their employees. However, two quite different groups of workers could be affected by such a mandate. In addition, there are at least five major problems with requiring...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1997) 22 (3): 839–878.
Published: 01 June 1997
...Karl Kronebusch There is a substantial heterogeneity of interests within the Medicaid program. Its major beneficiary groups include the elderly, people with disabilities, children in low-income families, and adults receiving Aid to Families with Dependent Children. Providers who deliver medical...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1981) 5 (4): 588–592.
Published: 01 August 1981
...Neville Doherty Copyright © 1981 by the Dept. of Health Administration, Duke University 1981 Competition in the Provision of Dental Services-Impacts on Providers and Consumers: An Introduction Neville Doherty, University of Connecticut Health Center...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1992) 17 (2): 255–264.
Published: 01 April 1992
...Sandra Christensen Contributions made by or for current enrollees to Medicare will cover less than a third of the costs of their expected lifetime benefits, on average. This subsidy is of concern for two reasons. First, because the subsidy is provided regardless of income, some transfers are...