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Journal Article
J Health Polit Policy Law (2022) 47 (1): 93–109.
Published: 01 February 2022
.... Surprise medical bills are a source of worry for many Americans. Even among insured adults, a 2020 poll found that 65% are at least “somewhat worried” about unexpected medical bills (Lopes et al. 2020 ). Even for those who have not received such bills, the threat is always there. The No Surprises Act aims...
Journal Article
J Health Polit Policy Law (2023) 48 (3): 405–434.
Published: 01 June 2023
...Katherine T. McCabe Abstract Context: Nearly half of the adults in the United States have received an unexpected medical bill in recent years. While government, provider, and insurance policies related to unexpected medical expenses receive attention in the media, this study focuses on variation...
FIGURES
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Journal Article
J Health Polit Policy Law (2023) 48 (1): 93–115.
Published: 01 February 2023
... plans against surprise bills for out-of-network emergency and other services (CMS 2022 ). Billing practices often led to charging more for out-of-network providers, leaving patients with large and unexpected medical bills for their share of uncovered costs. At least three states (Maine, Virginia...
Journal Article
J Health Polit Policy Law (1983) 8 (2): 352–365.
Published: 01 April 1983
... sickness funds
shared a nationwide panel, consisting of most of the medical profession. The
sickness funds paid global sums to the panel managers, who distributed the
money according to fee-schedules; but the doctor could not extra-bill a patient
covered by the statutory scheme (the RVO...
Journal Article
J Health Polit Policy Law (2006) 31 (6): 1039–1045.
Published: 01 December 2006
... for community-rated premiums
and open enrollment, broadening the risk pool as far as possible. The
second conception defined fair prices and practices in terms of expected
future costs — a sort of actuarial fairness. This definition legitimated
medical underwriting and preexisting condition clauses...
Journal Article
J Health Polit Policy Law (2008) 33 (5): 859–860.
Published: 01 October 2008
... and Brian Kaskie’s article then looks at the other end of the
life spectrum, as they examine why it is that so many of us die painful
deaths without access to good palliative care or pain-management pro-
grams. Imhof and Kaskie point out that state medical boards have a signif-
icant impact...
Journal Article
J Health Polit Policy Law (2000) 25 (5): 959–968.
Published: 01 October 2000
... Jersey, go under—
even if it has not paid its telephone bills in eight months. (Yes, that really
happened.) And someone needs to worry about such communal matters as
medical education, drug safety, and infectious diseases.
Second, once competition heats up, someone has to keep designing...
Journal Article
J Health Polit Policy Law (1993) 18 (3): 531–550.
Published: 01 June 1993
... the 1930s;
and they were left out of the legislation for Social Security because of
fears that opposition from the American Medical Association might sink
the entire bill if health insurance was included. Nevertheless, the hopes of
advocates of national health insurance looked as if they might...
Journal Article
J Health Polit Policy Law (2010) 35 (5): 701–704.
Published: 01 October 2010
...; payment reforms to
reward performance and outcomes rather than extra services; and an array
of initiatives that involve the Medicare drug benefit, long-term care insur-
ance, medical malpractice, and public health and wellness programs.
Journal of Health Politics, Policy and Law, Vol. 35, No. 5...
Journal Article
J Health Polit Policy Law (1995) 20 (1): 99–135.
Published: 01 February 1995
... 36 ( 4 ): 823 -79. Bureau of National Affairs. 1994 . Health Care Reform: Mitchell Bill Would “Gut” State Laws, Promote Malpractice Suits, Senators Say. BNA Health Care Daily 19 August. Danzon , P. 1985 . Medical Malpractice: Theory, Evidence and Public Policy. Cambridge, MA: Harvard...
Journal Article
J Health Polit Policy Law (1993) 18 (2): 271–286.
Published: 01 April 1993
... intervention. Another critical social feature is the special entrepreneurial character of the American medical profession. Physicians saw themselves as small businessmen and, as such, shared and promoted a suspicion of governmental intervention. All the while, Americans justified the absence of a national...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 375–385.
Published: 01 June 2011
... process that so long
ensnared them.
Harry Truman and the Search
for Social Insurance
When Truman announced the Roosevelt plan, the American Medical
Association (AMA) did something unprecedented. It hired a public rela-
1. Truman later called his failure to win national health insurance...
Journal Article
J Health Polit Policy Law (2003) 28 (5): 821–858.
Published: 01 October 2003
..., and John P. McIver. 1993 . Statehouse Democracy: Public Opinion and Policy in the American States . New York: Cambridge University Press. Fein, Sidney. 1998 . The Kerr-Mills Act: Medical Care for the Indigent in Michigan, 1960–1965. Journal of the History of Medicine and Allied Sciences 53 (3): 285...
Journal Article
J Health Polit Policy Law (2008) 33 (2): 281–293.
Published: 01 April 2008
... Medical Association, and the
City of Anchorage Department of Health and Human Services — mobi-
lized their membership to support the bill through testimony and direct
lobbying of individual legislators. Representatives of these advocacy
groups argued that the Governor’s Bill adequately addressed...
Journal Article
J Health Polit Policy Law (2019) 44 (1): 67–85.
Published: 01 February 2019
... . Dickey Nancy W. 1998 . “ Statement of the American Medical Association to the Subcommittee on Human Resources, Committee on Government Reform and Oversight, U.S. House of Representatives, on Medicare: Cures for Billing Code Complexity.” H. R. Rep. No. 105-134 . Washington, DC : Government Printing...
Journal Article
J Health Polit Policy Law (2007) 32 (2): 187–219.
Published: 01 April 2007
...
of Congress Assess the Medicare Bill: Senator Kennedy Replies. New England
Journal of Medicine 350:747 – 749.
Levitz, Jennifer, and David Armstrong. 2006. Low-Income Seniors Get Tangled in
Unexpected Medicare Glitch. Wall Street Journal, January 13.
Marmor, Theodore R. 2000. The Politics...
Journal Article
J Health Polit Policy Law (2021) 46 (2): 357–374.
Published: 01 April 2021
... administration's attempt to convert Medicaid into a block grant program through the waiver process is illegal and, if implemented, would leave thousands of people without necessary medical care. This fact, combined with failed legislative efforts to block grant Medicaid during the last forty years, highlights...
Journal Article
J Health Polit Policy Law (1999) 24 (2): 357–382.
Published: 01 April 1999
... does this, contributions may be distributed
differently based on these distinct types of issues.
An example of a vote categorized as narrow is H. J. Res. 631. This bill
would have barred the use of Federal Trade Commission funds to inves-
tigate or make rules relating to the medical profession...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 613–623.
Published: 01 June 2011
... joined this effort: in June a set
of medical-home demonstration projects outlined in the act was unexpect-
edly expanded by the Senate, which additionally directed that the projects
be launched within ninety days — about a year sooner than agency admin-
istrators had anticipated.
Looking more...
Journal Article
J Health Polit Policy Law (1999) 24 (6): 1331–1361.
Published: 01 December 1999
... in a given case.14 In the program’s early years anesthesi-
ologists directly employing and supervising CRNAs were paid their full
allowable charge under Part B (with no separate CRNA charge), just like
office-based physicians who could bill for nurse services provided “under
their medical direction...
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