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Journal Article

Medicaid and the Great Unwinding: The Administrative Presidency Meets Federalism

Free
Michael K. Gusmano, Frank J. Thompson
J Health Polit Policy Law 11859429.
DOI: https://doi.org/10.1215/03616878-11859429
Published: 03 April 2025
... that led Medicaid enrollments to soar. The end of the public health emergency presented the Biden administration and state Medicaid programs with the daunting task of implementing the “great unwinding” - redetermining eligibility for millions of enrollees. This article describes the core strategies...
View articletitled, Medicaid and the Great <span class="search-highlight">Unwinding</span>: The Administrative Presidency Meets Federalism View PDF for article titled, Medicaid and the Great <span class="search-highlight">Unwinding</span>: The Administrative Presidency Meets Federalism
Journal Article

Policy Feedbacks and Medicaid on Its 60th Anniversary

Open Access
Andrea Louise Campbell
J Health Polit Policy Law (2025) 50 (2): 165–188.
DOI: https://doi.org/10.1215/03616878-11567676
Published: 01 April 2025
... narrow victory); the periodic attempts to block grant the program; the aggressive disenrollment of recipients during the “unwinding” of pandemic-era protections; and the enormous gulf between Democratic-identified and Republican-identified people in their support for Medicaid and the ACA (even...
View articletitled, Policy Feedbacks and Medicaid on Its 60th Anniversary View PDF for article titled, Policy Feedbacks and Medicaid on Its 60th Anniversary
Journal Article

Medicaid's Political Development since 1965: How a Fragmented and Unequal Program Has Expanded

Open Access
Colleen M. Grogan
J Health Polit Policy Law (2025) 50 (2): 137–164.
DOI: https://doi.org/10.1215/03616878-11567692
Published: 01 April 2025
...). This central partisan ideological tension helps shed light on the politics of Medicaid's most recent retrenchment: the unwinding of Medicaid COVID expansions starting in 2023. While estimates of the total number of Medicaid enrollees losing coverage during the unwinding period (May 2023 to May 2024) vary...
FIGURES
View articletitled, Medicaid's Political Development since 1965: How a Fragmented and Unequal Program Has Expanded View PDF for article titled, Medicaid's Political Development since 1965: How a Fragmented and Unequal Program Has Expanded
Journal Article

Recoding America: Why Government Is Failing in the Digital Age and How We Can Do Better

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Paul Shafer
J Health Polit Policy Law (2025) 50 (3): 509–516.
DOI: https://doi.org/10.1215/03616878-11672675
Published: 01 June 2025
... . KFF (Kaiser Family Foundation) . 2024 . “ Medicaid Enrollment and Unwinding Tracker .” https://www.kff.org/medicaid/issue-brief/medicaid-enrollment-and-unwinding-tracker/ (accessed April 30 , 2024 ). Michener Jamila . 2018 . Fragmented Democracy: Medicaid, Federalism, and Unequal...
View articletitled, Recoding America: Why Government Is Failing in the Digital Age and How We Can Do Better View PDF for article titled, Recoding America: Why Government Is Failing in the Digital Age and How We Can Do Better
Journal Article

Medicaid Home and Community-Based Services in the Wake of the COVID-19 Pandemic

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Edward Alan Miller, Lisa Kalimon Beauregard
J Health Polit Policy Law (2024) 49 (2): 289–313.
DOI: https://doi.org/10.1215/03616878-10989703
Published: 01 April 2024
... in Medicaid: State Home and Community-Based Services Pandemic Response and Unwinding COVID-Related Waivers .” http://www.advancingstates.org/sites/nasuad/files/u24453/Innovations%20in%20Medicaid%20State%20HCBS%20PHE%20and%20Unwinding%20COVID%20Final.pdf (accessed November 14 , 2023 ). CMS (Centers...
View articletitled, Medicaid Home and Community-Based Services in the Wake of the COVID-19 Pandemic View PDF for article titled, Medicaid Home and Community-Based Services in the Wake of the COVID-19 Pandemic
Journal Article

Introduction: Medicaid at 60

Open Access
Eric M. Patashnik
J Health Polit Policy Law (2025) 50 (2): 131–136.
DOI: https://doi.org/10.1215/03616878-11584279
Published: 01 April 2025
... program for combating health disparities. In June 2024, Medicaid covered 73 million people, or around one in five Americans (CMS 2024 ). While the number of Medicaid enrollees has declined from its COVID-era peak as a result of the unwinding of the continuous enrollment provision, the program...
View articletitled, Introduction: Medicaid at 60 View PDF for article titled, Introduction: Medicaid at 60
Journal Article

Medicaid by Any Other Name? Investigating Malleability of Partisan Attitudes toward the Public Program

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Adrianna McIntyre, Josh McCrain, Danielle Pavliv
J Health Polit Policy Law (2024) 49 (3): 451–471.
DOI: https://doi.org/10.1215/03616878-11066320
Published: 01 June 2024
... of the Assistant Secretary of Planning and Evaluation) . 2022 . “ Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches .” Issue Brief, August 19 . https://aspe.hhs.gov/sites/default/files/documents/a892859839a80f8c3b9a1df1fcb79844/aspe-end-mcaid-continuous...
FIGURES
View articletitled, Medicaid by Any Other Name? Investigating Malleability of Partisan Attitudes toward the Public Program View PDF for article titled, Medicaid by Any Other Name? Investigating Malleability of Partisan Attitudes toward the Public Program
Includes: Supplementary data
Journal Article

Addressing Pricing Power in Integrated Delivery: The Limits of Antitrust

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Robert Berenson
J Health Polit Policy Law (2015) 40 (4): 711–744.
DOI: https://doi.org/10.1215/03616878-3150026
Published: 01 August 2015
... is desirable and commendable, antitrust law has little to say about monopolies lawfully acquired or, in the case of consummated mergers, fully entwined entities that are impractical to successfully unwind (Greaney 2013 ). A common misunderstanding among policy makers is that antitrust law provides...
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Journal Article

Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence

Open Access
Laura R. Wherry, Rachel E. Fabi, Maria W. Steenland
J Health Polit Policy Law (2025) 50 (2): 283–306.
DOI: https://doi.org/10.1215/03616878-11567684
Published: 01 April 2025
... . Brooks Tricia , Gardner Allexa , Yee Peyton , Tolbert Jennifer , Corallo Bradley , Moreno Sophia , and Ammula Meghana. 2023 . “ Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for the Unwinding of the Pandemic-Era Continuous...
View articletitled, Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence View PDF for article titled, Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence
Includes: Supplementary data
Journal Article

Same as It Ever Was? Persistence and Transformation in US Health Care Policy

Free
Jonathan Oberlander
J Health Polit Policy Law 11995208.
DOI: https://doi.org/10.1215/03616878-11995208
Published: 20 June 2025
... for financial reasons to take Medicaid or uninsured patients (Evans, Berzon, and Hernandez 2020) and that in the pandemic s aftermath state Medicaid programs disenrolled, as part of an unwinding of continuous coverage provisions (Gusmano and Thompson 2025), millions of low-income persons on procedural grounds...
View articletitled, Same as It Ever Was? Persistence and Transformation in US Health Care Policy View PDF for article titled, Same as It Ever Was? Persistence and Transformation in US Health Care Policy
Journal Article

Accountable Care Organizations and Antitrust Enforcement: Promoting Competition and Innovation

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Deborah L. Feinstein, Patrick Kuhlmann, Peter J. Mucchetti
J Health Polit Policy Law (2015) 40 (4): 875–886.
DOI: https://doi.org/10.1215/03616878-3150112
Published: 01 August 2015
... it to demand higher rates ( ProMedica Health Sys., Inc. , 749 F.3d at 562, 570). Also in 2014, the FTC persuaded a federal district court to unwind the combination of Saltzer Medical Group, the largest multispecialty physician group in Idaho, and St. Luke's Health System, a system with four hospitals...
View articletitled, Accountable Care Organizations and Antitrust Enforcement: Promoting Competition and Innovation View PDF for article titled, Accountable Care Organizations and Antitrust Enforcement: Promoting Competition and Innovation
Journal Article

More Than Words? How Highlighting Target Populations Affects Public Opinion about the Medicaid Program

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Simon F. Haeder, Steven M. Sylvester, Timothy Callaghan
J Health Polit Policy Law (2023) 48 (5): 713–760.
DOI: https://doi.org/10.1215/03616878-10637708
Published: 01 October 2023
... , edited by B. Cohen Alan , Colby David C. , Wailoo Keith A. , and Zelizer Julian E. , 191 – 212 . New York : Oxford University Press . Tolbert Jennifer , and Ammula Meghana . 2023 . “ 10 Things to Know about the Unwinding of the Medicaid Continuous Enrollment...
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View articletitled, More Than Words? How Highlighting Target Populations Affects Public Opinion about the Medicaid Program View PDF for article titled, More Than Words? How Highlighting Target Populations Affects Public Opinion about the Medicaid Program
Journal Article

Why Some Nonelderly Adult Medicaid Enrollees Appear Ineligible Based on Their Annual Income

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Geena Kim, Alexandra Minicozzi, Chapin White
J Health Polit Policy Law (2024) 49 (6): 1051–1074.
DOI: https://doi.org/10.1215/03616878-11373728
Published: 01 December 2024
... Response Act (Hanson et al. 2023 ). With the unwinding of the PHE underway, the 2017 tax data may offer a clearer view of the income distribution of Medicaid enrollees going forward. 2. For a list of eligibility codes in T-MSIS, see the CMS's T-MSIS Data Dictionary Appendices , at https...
FIGURES
View articletitled, Why Some Nonelderly Adult Medicaid Enrollees Appear Ineligible Based on Their Annual Income View PDF for article titled, Why Some Nonelderly Adult Medicaid Enrollees Appear Ineligible Based on Their Annual Income
Includes: Supplementary data
Journal Article

Antitrust and Hospital Mergers: Does the Nonprofit Form Affect Competitive Substance?

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Thomas L. Greaney
J Health Polit Policy Law (2006) 31 (3): 511–529.
DOI: https://doi.org/10.1215/03616878-2005-004
Published: 01 June 2006
...’ opinions cast a pall over enforcement efforts, as federal authorities did not initiate a single challenge to a hospital merger from 1997 until 2004, when the FTC initiated its Evanston Northwestern case — a proceeding seeking to unwind a merger that it had allowed to go Greaney...
View articletitled, Antitrust and Hospital Mergers: Does the Nonprofit Form Affect Competitive Substance? View PDF for article titled, Antitrust and Hospital Mergers: Does the Nonprofit Form Affect Competitive Substance?
Journal Article

Closing Gaps or Holding Steady? The Affordable Care Act, Medicaid Expansion, and Racial Disparities in Coverage, 2010–2021

Open Access
Benjamin D. Sommers, Rebecca Brooks Smith, Jose F. Figueroa
J Health Polit Policy Law (2025) 50 (2): 253–281.
DOI: https://doi.org/10.1215/03616878-11567660
Published: 01 April 2025
... to Care Among Latinos: Recent Trends and Key Challenges .” October 8 . https://aspe.hhs.gov/sites/default/files/documents/125e672c9d7b9fa620ec62afe0435160/ASPE_Latino_Health_Coverage_IB.pdf . ASPE (Office of the Assistant Secretary for Planning and Evaluation) . 2022 . “ Unwinding the Medicaid...
FIGURES
View articletitled, Closing Gaps or Holding Steady? The Affordable Care Act, Medicaid Expansion, and Racial Disparities in Coverage, 2010–2021 View PDF for article titled, Closing Gaps or Holding Steady? The Affordable Care Act, Medicaid Expansion, and Racial Disparities in Coverage, 2010–2021
Includes: Supplementary data