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Journal Article
J Health Polit Policy Law (2012) 37 (4): 679–695.
Published: 01 August 2012
...Robert Murray Point- Counterpoint The Case for a Coordinated System of Provider Payments in the United States Robert Murray...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (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
J Health Polit Policy Law (2019) 44 (6): 937–954.
Published: 01 December 2019
...Simon F. Haeder; David L. Weimer; Dana B. Mukamel Abstract In order to increase access to medical services, expanding coverage has long been the preferred solution of policy makers and advocates alike. The calculus appeared straightforward: provide individuals with insurance, and they will be able...
Journal Article
J Health Polit Policy Law (1985) 10 (3): 513–532.
Published: 01 June 1985
.... That emphasis reflects not only the personal predilections of the author, but also the contention that those are the most sensible things to talk about. Reforming Medicare Provider Payment Bruce C. Vladeck, United Hospital Fund of New York Abstract. The basic thesis of this paper...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (1995) 20 (4): 885–908.
Published: 01 August 1995
... and 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...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (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
J Health Polit Policy Law (2015) 40 (6): 1179–1202.
Published: 01 December 2015
... and 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
J Health Polit Policy Law (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
J Health Polit Policy Law (2022) 47 (3): 319–349.
Published: 01 June 2022
...Abigail Burman; Simon F. Haeder Abstract Context: The accuracy of provider directories and whether consumers can schedule timely appointments are crucial determinants of health access and outcomes. Methods: We evaluated accuracy and timely access data obtained from the California Department...
FIGURES | View All (10)
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (2020) 45 (6): 1107–1136.
Published: 01 December 2020
...Simon F. Haeder; David L. Weimer; Dana B. Mukamel Abstract Context: The practical accessibility to medical care facilitated by health insurance plans depends not just on the number of providers within their networks but also on distances consumers must travel to reach the providers. Long travel...
FIGURES | View All (6)
Journal Article
J Health Polit Policy Law (2021) 46 (4): 703–730.
Published: 01 August 2021
...Arima Mishra; Maya Annie Elias; Veena Sriram Abstract A comprehensive picture of provider coalitions in health policy making remains incomplete because of the lack of empirically driven insights from low- and middle-income countries. The authors examined the politics of provider coalitions...
Journal Article
J Health Polit Policy Law 10852610.
Published: 07 July 2023
...Simon F. Haeder; Wendy Y. Xu; Thomas Elton IV; Ariana Pitcher Abstract Managed care arrangements are the dominant form of insurance coverage in the United States today. These arrangements rely on a network of contracted providers to deliver services to their enrollees. After the managed care...
Published: 01 October 2021
Figure 1 Average provider relief fund payment per bed by outpatient share of revenue. Note : *** = < = 0.001 significance level is based on OLS regression results as described in the Methods section above and provided in appendix B of the online-only appendix. More