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Journal Article
J Health Polit Policy Law (2022) 47 (1): 93–109.
Published: 01 February 2022
...Jack Hoadley; Kevin Lucia Abstract The No Surprises Act, passed by Congress at the end of 2020, offers significant protections to most Americans with private health insurance. Insured Americans are vulnerable to receiving surprise medical bills when they receive services from out-of-network...
Journal Article
J Health Polit Policy Law (2023) 48 (3): 405–434.
Published: 01 June 2023
... to a potential mismatch in legislation that narrowly addresses “surprise billing,” with public support for government addressing disproportionate costs across a broader range of scenarios. [email protected] Copyright © 2023 by Duke University Press 2023 public opinion surprise billing...
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Journal Article
J Health Polit Policy Law (2011) 36 (3): 475.
Published: 01 June 2011
... costs substantially any time soon. As the essays in this section attest, this lack of cost control is surprising given the vast number of cost-containment provisions included in the bill. As a result, the final essays in this section focus on specific regulatory or cost-containment provisions, exploring...
Journal Article
J Health Polit Policy Law (2019) 44 (6): 937–954.
Published: 01 December 2019
..., and Sharp 2013 ). A further effect of narrowing networks has recently featured prominently in both the popular media and scholarly writing: so-called surprise bills (Cooper and Morton 2016 ; Garmon and Chartock 2016 ; Haeder, Weimer, and Mukamel 2019 ). They usually occur in circumstances in which...
Journal Article
J Health Polit Policy Law (2020) 45 (5): 817–830.
Published: 01 October 2020
... . “ Health Care Costs as Much as a New Car .” Axios , August 23 . www.axios.com/health-care-costs-insurance-premiums-deductibles-car-580fa6c8-0dd2-427b-8dda-c898d568e51e.html . Altman Drew . 2019c . “ Surprise Bills Often Hit in Emergencies .” Axios , December 9 . www.axios.com/surprise...
Journal Article
J Health Polit Policy Law (2023) 48 (1): 93–115.
Published: 01 February 2023
...-and-Reports/NationalHealthExpendData/NHE-Fact-Sheet . CMS (Centers for Medicare and Medicaid Services) . 2022 . “ No Surprises: Understand Your Rights against Surprise Medical Bills .” January 3 . https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical...
Journal Article
J Health Polit Policy Law (2022) 47 (3): 319–349.
Published: 01 June 2022
... costs by forcing them to unknowingly seek care from out-of-network providers, thus contributing to surprise billing issues (Busch and Kyanko 2020 ; Syed, Gerber, and Sharp 2013 ). Consumers may also face instances of “coerced billing,” when they knowingly receive out-of-network care because, despite...
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Includes: Supplementary data
Journal Article
J Health Polit Policy Law (2021) 46 (4): 599–609.
Published: 01 August 2021
...—above protecting individuals with preexisting conditions and eliminating surprise billing, both of which have had broad bipartisan support (KFF 2020 ). Though the COVID-19 pandemic and economic downturn have shifted attention away from this and other pressing policy concerns, drug pricing and access...
Journal Article
J Health Polit Policy Law (2023) 48 (6): 951–968.
Published: 01 December 2023
... on the issue of network adequacy, including establishing some requirements for the ACA Marketplaces, such as the limited qualitative network adequacy requirements imposed under the Obama Administration. Federal action on this issue, similar to the issue of surprise billing, is important to extend protections...
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Journal Article
J Health Polit Policy Law (1988) 13 (1): 1–25.
Published: 01 February 1988
...Morris L. Barer This paper traces the development of British Columbia's controversial Bill 41, which empowers that province's Ministry of Health to restrict the issuance of billing numbers entitling physicians to seek payment from the provincial medical services plan. The bill and its predecessors...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 413–416.
Published: 01 June 2011
... is how the legislative
battle got Democrats so invested that they couldn’t afford to fail.
Clearly, the investment began with President Barack Obama’s decision
to make health reform his top legislative priority. Like former President
Bill Clinton, President Obama viewed affordable health care...
Journal Article
J Health Polit Policy Law (2020) 45 (6): 1107–1136.
Published: 01 December 2020
... surprises, or so-called balance billing (Cooper and Scott Morton 2016 ; Garmon and Chartock 2016 ). Finally, some studies have also begun to incorporate travel distance in their assessment of provider networks (Haeder, Weimer, and Mukamel 2015a , 2019a; Haeder 2019b ). We build and expand...
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Journal Article
J Health Polit Policy Law (2011) 36 (3): 375–385.
Published: 01 June 2011
.... . 2010 . Democrats Ask, Can Health Care Bill Be Saved? New York Times , February 5 . Skidmore M. J. 1970 . Medicare and the American Rhetoric of Reconciliation . Tuscaloosa, AL : University of Alabama Press . Truman H. S. 1955 . Memoirs . Vol. 1 , Year of Decisions...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 419–427.
Published: 01 June 2011
... and Law 34 : 157 – 159 . Skocpol T. S. 1996 . Boomerang: Health Care Reform and the Turn against Government . New York : W. W. Norton . Rethinking Conceptual Frameworks
The Elements of Surprise:
How Health Reform Happened...
Journal Article
J Health Polit Policy Law (1995) 20 (2): 399–402.
Published: 01 April 1995
...
When Bill Clinton took office on 20 January 1993, no one doubted that
comprehensive health care reform would be one of his administration’s
principal legislative goals. Ever since the surprise victory of Harris Wof-
ford to the U.S. Senate in a special election in 1991, liberal Democrats
took...
Journal Article
J Health Polit Policy Law (2023) 48 (5): 825–828.
Published: 01 October 2023
... States who rely on health care to live successful and fulfilling lives. References Appelbaum Eileen . 2019 . “ The PR Campaign to Hide the Real Cause of those Sky-High Surprise Medical Bills .” Counterpunch , October 18 . https://www.counterpunch.org/2019/10/18/the-pr-campaign-to-hide...
Journal Article
J Health Polit Policy Law (1980) 4 (4): 691–702.
Published: 01 August 1980
... patients if the Attorney General’s
opinion were now to be enforced.
I was somewhat surprised at the consistency of the versions I was given
of the passage of the Primary Care Act. More than anything, this con-
vinced me that the bill had not been a source of heated controversy at the
time...
Journal Article
J Health Polit Policy Law (2006) 31 (6): 1039–1045.
Published: 01 December 2006
... of responsibility and security not only
is the essence of an insurance product but also affects our sense of well-
being and connectedness to one another. With the stakes this high, it is
not surprising that advocates were quick to take sides and seek the moral
high ground.
Over the past fifteen years...
Journal Article
J Health Polit Policy Law (2013) 38 (1): 187–193.
Published: 01 February 2013
... hospital grilled her about her income and
were very demeaning to her because she couldn’t pay the medical bills.”
It was a lesson that influenced the remainder of his career.
Quotations and some of the historical material in this article were taken from various published
obituaries...
Journal Article
J Health Polit Policy Law (1978) 3 (1): 3–4.
Published: 01 February 1978
... of the inhalation-testing room, a $75 charge for use
of the breath analyzer, and a $30 charge for the paper on which the bill
was written. Naturally, I had to pay by check, having neglected to take
out major hospital inhalation coverage.
Two guards restrained me in a corner of the corridor while a nurse...
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