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Journal Article

Any-Willing-Provider Laws: Their Financial Effect on HMOs

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Anne Carroll, Jan M. Ambrose
J Health Polit Policy Law (2002) 27 (6): 927–946.
DOI: https://doi.org/10.1215/03616878-27-6-927
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...
View articletitled, Any-Willing-<span class="search-highlight">Provider</span> Laws: Their Financial Effect on HMOs View PDF for article titled, Any-Willing-<span class="search-highlight">Provider</span> Laws: Their Financial Effect on HMOs
Journal Article

The Paradoxical Politics of Provider Reempowerment

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Lawrence D. Brown, Elizabeth Eagan
J Health Polit Policy Law (2004) 29 (6): 1045–1072.
DOI: https://doi.org/10.1215/03616878-29-6-1045
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...
View articletitled, The Paradoxical Politics of <span class="search-highlight">Provider</span> Reempowerment View PDF for article titled, The Paradoxical Politics of <span class="search-highlight">Provider</span> Reempowerment
Journal Article

State Efforts to Regulate Provider Networks and Directories: Lessons for the Future

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Simon F. Haeder, Wendy Y. Xu, Thomas Elton, IV, Ariana Pitcher
J Health Polit Policy Law (2023) 48 (6): 951–968.
DOI: https://doi.org/10.1215/03616878-10852610
Published: 01 December 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...
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View articletitled, State Efforts to Regulate <span class="search-highlight">Provider</span> Networks and Directories: Lessons for the Future View PDF for article titled, State Efforts to Regulate <span class="search-highlight">Provider</span> Networks and Directories: Lessons for the Future
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Figure 2 Statutes and regulations addressing provider directory accuracy.

Statutes and regulations addressing provider directory accuracy.

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in State Efforts to Regulate Provider Networks and Directories: Lessons for the Future > Journal of Health Politics, Policy and Law
Published: 01 December 2023
Figure 2 Statutes and regulations addressing provider directory accuracy. More
Journal Article

A Knotty Problem: Consumer Access and the Regulation of Provider Networks

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Simon F. Haeder, David L. Weimer, Dana B. Mukamel
J Health Polit Policy Law (2019) 44 (6): 937–954.
DOI: https://doi.org/10.1215/03616878-7785835
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...
View articletitled, A Knotty Problem: Consumer Access and the Regulation of <span class="search-highlight">Provider</span> Networks View PDF for article titled, A Knotty Problem: Consumer Access and the Regulation of <span class="search-highlight">Provider</span> Networks
Journal Article

Going the Extra Mile? How Provider Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers

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Simon F. Haeder, David L. Weimer, Dana B. Mukamel
J Health Polit Policy Law (2020) 45 (6): 1107–1136.
DOI: https://doi.org/10.1215/03616878-8641591
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)
View articletitled, Going the Extra Mile? How <span class="search-highlight">Provider</span> Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers View PDF for article titled, Going the Extra Mile? How <span class="search-highlight">Provider</span> Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers
Journal Article

Patient Inducement, Provider Priorities, and Resource Allocation in Public Mental Health Systems

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Anna D. Sinaiko, Thomas G. McGuire
J Health Polit Policy Law (2006) 31 (6): 1075–1106.
DOI: https://doi.org/10.1215/03616878-2006-020
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...
View articletitled, Patient Inducement, <span class="search-highlight">Provider</span> Priorities, and Resource Allocation in Public Mental Health Systems View PDF for article titled, Patient Inducement, <span class="search-highlight">Provider</span> Priorities, and Resource Allocation in Public Mental Health Systems
Journal Article

Maximizing Federal Medicaid Dollars: Nursing Home Provider Tax Adoption, 2000–2004

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Edward Alan Miller, Lili Wang
J Health Polit Policy Law (2009) 34 (6): 899–930.
DOI: https://doi.org/10.1215/03616878-2009-031
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...
View articletitled, Maximizing Federal Medicaid Dollars: Nursing Home <span class="search-highlight">Provider</span> Tax Adoption, 2000–2004 View PDF for article titled, Maximizing Federal Medicaid Dollars: Nursing Home <span class="search-highlight">Provider</span> Tax Adoption, 2000–2004
Journal Article

Health Insurance without Provider Influence: The Limits of Cost Containment

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Lawrence G. Goldberg, Warren Greenberg
J Health Polit Policy Law (1988) 13 (2): 293–303.
DOI: https://doi.org/10.1215/03616878-13-2-293
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...
View articletitled, Health Insurance without <span class="search-highlight">Provider</span> Influence: The Limits of Cost Containment View PDF for article titled, Health Insurance without <span class="search-highlight">Provider</span> Influence: The Limits of Cost Containment
Journal Article

Medical Service Risk and the Evolution of Provider Compensation Arrangements

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Gloria J. Bazzoli
J Health Polit Policy Law (2001) 26 (5): 1003–1018.
DOI: https://doi.org/10.1215/03616878-26-5-1003
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...
View articletitled, Medical Service Risk and the Evolution of <span class="search-highlight">Provider</span> Compensation Arrangements View PDF for article titled, Medical Service Risk and the Evolution of <span class="search-highlight">Provider</span> Compensation Arrangements
Journal Article

Reforming Medicare Provider Payment

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Bruce C. Vladeck
J Health Polit Policy Law (1985) 10 (3): 513–532.
DOI: https://doi.org/10.1215/03616878-10-3-513
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. Copyright © 1985 by Duke University Press 1985 Reforming Medicare Provider Payment Bruce C. Vladeck, United Hospital Fund of New York...
View articletitled, Reforming Medicare <span class="search-highlight">Provider</span> Payment View PDF for article titled, Reforming Medicare <span class="search-highlight">Provider</span> Payment
Journal Article

The Case for a Coordinated System of Provider Payments in the United States

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Robert Murray
J Health Polit Policy Law (2012) 37 (4): 679–695.
DOI: https://doi.org/10.1215/03616878-1597493
Published: 01 August 2012
...-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. Little R. . 2010 . St. Joe's, Two...
View articletitled, The Case for a Coordinated System of <span class="search-highlight">Provider</span> Payments in the United States View PDF for article titled, The Case for a Coordinated System of <span class="search-highlight">Provider</span> Payments in the United States
Journal Article

Early Experience of a Safety Net Provider Reorganizing into an Accountable Care Organization

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Karen Hacker, Palmira Santos, Douglas Thompson, Somava S. Stout, Adriana Bearse ...
J Health Polit Policy Law (2014) 39 (4): 901–917.
DOI: https://doi.org/10.1215/03616878-2744284
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...
FIGURES
View articletitled, Early Experience of a Safety Net <span class="search-highlight">Provider</span> Reorganizing into an Accountable Care Organization View PDF for article titled, Early Experience of a Safety Net <span class="search-highlight">Provider</span> Reorganizing into an Accountable Care Organization
Journal Article

The British Health Care Reforms, the American Health Care Revolution, and Purchaser/Provider Contracts

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Timothy Stoltzfus Jost, David Hughes, Jean McHale, Lesley Griffiths
J Health Polit Policy Law (1995) 20 (4): 885–908.
DOI: https://doi.org/10.1215/03616878-20-4-885
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...
View articletitled, The British Health Care Reforms, the American Health Care Revolution, and Purchaser&#x2F;<span class="search-highlight">Provider</span> Contracts View PDF for article titled, The British Health Care Reforms, the American Health Care Revolution, and Purchaser&#x2F;<span class="search-highlight">Provider</span> Contracts
Journal Article

Potemkin Protections: Assessing Provider Directory Accuracy and Timely Access for Four Specialties in California

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Abigail Burman, Simon F. Haeder
J Health Polit Policy Law (2022) 47 (3): 319–349.
DOI: https://doi.org/10.1215/03616878-9626866
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)
View articletitled, Potemkin Protections: Assessing <span class="search-highlight">Provider</span> Directory Accuracy and Timely Access for Four Specialties in California View PDF for article titled, Potemkin Protections: Assessing <span class="search-highlight">Provider</span> Directory Accuracy and Timely Access for Four Specialties in California
Includes: Supplementary data
Journal Article

A Draconian Law: Examining the Navigation of Coalition Politics and Policy Reform by Health Provider Associations in Karnataka, India

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Arima Mishra, Maya Annie Elias, Veena Sriram
J Health Polit Policy Law (2021) 46 (4): 703–730.
DOI: https://doi.org/10.1215/03616878-8970895
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...
FIGURES
View articletitled, A Draconian Law: Examining the Navigation of Coalition Politics and Policy Reform by Health <span class="search-highlight">Provider</span> Associations in Karnataka, India View PDF for article titled, A Draconian Law: Examining the Navigation of Coalition Politics and Policy Reform by Health <span class="search-highlight">Provider</span> Associations in Karnataka, India
Image
Figure 1 Average provider relief fund payment per bed by outpatient share of revenue. Note: *** = &lt; = 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.

Average provider relief fund payment per bed by outpatient share of revenue...

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in Unsanitized and Unfair: How COVID-19 Bailout Funds Refuel Inequity in the US Health Care System > Journal of Health Politics, Policy and Law
Published: 01 October 2021
Figure 1 Average provider relief fund payment per bed by outpatient share of revenue. Note : *** = &lt; = 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
Image
Figure 2 Average provider relief fund payment per bed by days of cash on hand. Note: * = &lt; 0.05, ** = &lt; 0.01, and *** = &lt; = 0.001 significance levels are based on OLS regression results as described in the Methods section above and provided in appendix B of the online-only appendix.

Average provider relief fund payment per bed by days of cash on hand. Not...

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in Unsanitized and Unfair: How COVID-19 Bailout Funds Refuel Inequity in the US Health Care System > Journal of Health Politics, Policy and Law
Published: 01 October 2021
Figure 2 Average provider relief fund payment per bed by days of cash on hand. Note : * = &lt; 0.05, ** = &lt; 0.01, and *** = &lt; = 0.001 significance levels are based on OLS regression results as described in the Methods section above and provided in appendix B of the online-only appendix. More
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Figure 1a Results for surveys of provider directories by specialty.

Results for surveys of provider directories by specialty.

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in Potemkin Protections: Assessing Provider Directory Accuracy and Timely Access for Four Specialties in California > Journal of Health Politics, Policy and Law
Published: 01 June 2022
Figure 1a Results for surveys of provider directories by specialty. More
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Figure 1b Results for surveys of provider directories by specialty conditional on reaching provider.

Results for surveys of provider directories by specialty conditional on rea...

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in Potemkin Protections: Assessing Provider Directory Accuracy and Timely Access for Four Specialties in California > Journal of Health Politics, Policy and Law
Published: 01 June 2022
Figure 1b Results for surveys of provider directories by specialty conditional on reaching provider. More