Journal of Health Politics, Policy and Law This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Governing Health Care through Free Choice: Neoliberal Reforms in Denmark and the United States
We compare free choice reforms in Denmark and the United States to understand what ideas and political forces could generate such similar policy reforms in radically different political contexts. We analyze the two cases using our own interpretation of neoliberalism as having "two faces." The first face seeks to expand private markets and shrink the public sector; the second face seeks to strengthen the public sector's capacity to govern through incentives and competition. First, we show why these two most-different cases offer a useful comparison to understand similar policy tools. Second, we develop our theoretical frame...
Source: Journal of Health Politics, Policy and Law - November 30, 2015 Category: Health Management Authors: Larsen, L. T., Stone, D. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

A Conceptual Advance -- Two Faces of Neoliberalism
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 30, 2015 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Editor ' s Note Source Type: research

TennCare, One State's Experiment with Medicaid Expansion
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Olson, L. K. Tags: Health Policy & Education, Political Science, General, Public Policy Review Source Type: research

Medicare for All -- If It Were Politically Possible -- Would Necessarily Replicate the Defects of Our Current System
Medicare for All, ideally implemented, could offer powerful advantages over our current health care financial system. Unfortunately, the political obstacles to such a system are formidable and are likely to remain so for decades. More to the point, a politically viable single-payer system would not replace our currently dysfunctional health care politics. It would be a product of that same legislative process and political economy and thus be disfigured by the same interest group politics, path dependence, and fragmentation that Laurence Seidman rightly laments. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Pollack, H. Tags: Health Policy & Education, Political Science, General, Public Policy Point-Counterpoint Source Type: research

The Affordable Care Act versus Medicare for All
Many problems facing the Affordable Care Act would disappear if the nation were instead implementing Medicare for All — the extension of Medicare to every age group. Every American would be automatically covered for life. Premiums would be replaced with a set of Medicare taxes. There would be no patient cost sharing. Individuals would have free choice of doctors. Medicare's single-payer bargaining power would slow price increases and reduce medical cost as a percentage of gross domestic product (GDP). Taxes as a percentage of GDP would rise from below average to average for economically advanced nations. Medicare for...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Seidman, L. Tags: Health Policy & Education, Political Science, General, Public Policy Point-Counterpoint Source Type: research

Commentary -- Patients' Rights Matter in Regulating Accountable Care Organizations
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Fox, D. M. Tags: Health Policy & Education, Political Science, General, Public Policy Part III: ACO Accountability and Enforcement: An Overview and Perspective Essays Source Type: research

Commentary -- Competition Policy after Health Care Reform: Mending Holes in Antitrust Law's Protective Net
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Greaney, T. L. Tags: Health Policy & Education, Political Science, General, Public Policy Part III: ACO Accountability and Enforcement: An Overview and Perspective Essays Source Type: research

A Few Thoughts about ACO Antitrust Issues from a Local Enforcement Perspective
This article, representing our personal views as state antitrust enforcers in the California attorney general's office, offers our reflection on a number of ACO articles and studies in this special issue through the prism of this key question and sets out a number of additional issues that we believe warrant study in conjunction with ACOs. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Foote, K. E., Varanini, E. E. Tags: Health Policy & Education, Political Science, General, Public Policy Part III: ACO Accountability and Enforcement: An Overview and Perspective Essays Source Type: research

Accountable Care Organizations and Antitrust Enforcement: Promoting Competition and Innovation
This article summarizes the legal framework that the federal antitrust agencies — the Federal Trade Commission and the Antitrust Division of the US Department of Justice — use to analyze ACOs and other collaborations among health care providers. It outlines the guidance provided by the federal antitrust agencies concerning when ACOs and other provider collaborations likely would harm competition and consumers. In addition, it reviews common antitrust issues that can arise with ACOs and provides examples of enforcement actions that have prevented health care providers from taking or continuing anticompetitive ac...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Feinstein, D. L., Kuhlmann, P., Mucchetti, P. J. Tags: Health Policy & Education, Political Science, General, Public Policy Part III: ACO Accountability and Enforcement: An Overview and Perspective Essays Source Type: research

Antitrust and Provider Collaborations: Where We've Been and What Should Be Done Now
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 to refine their approach in two fundamental ways. First, in addition to focusing on whether particular transactions or conduct will increase prices above competitive levels, a more pressing concern should be on assuring that health care markets are conducive to fundamental changes in how care is reimbursed and delivered — that is, the impact on payment and...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Leibenluft, R. F. Tags: Health Policy & Education, Political Science, General, Public Policy Part III: ACO Accountability and Enforcement: An Overview and Perspective Essays Source Type: research

Commentary -- Payment Policy Disruption and Policy Drift
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Laugesen, M. J. Tags: Health Policy & Education, Political Science, General, Public Policy Part II: What Do We Want ACOs to Achieve and Can They Do It? Source Type: research

Accountable Care Organizations and Population Health Organizations
We present arguments for and against ACOs and hospitals investing in affecting the socioeconomic determinants of health to improve the health of the population in their geographic area, and we provide examples of ACOs and hospitals that are doing so in a limited way. These examples suggest that ACOs and hospitals can work with other organizations in their community to improve population health. We briefly present recent proposals for such coalitions and for how they could be financed to be sustainable. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Casalino, L. P., Erb, N., Joshi, M. S., Shortell, S. M. Tags: Health Policy & Education, Political Science, General, Public Policy Part II: What Do We Want ACOs to Achieve and Can They Do It? Source Type: research

Integration of Substance Abuse Treatment Organizations into Accountable Care Organizations: Results from a National Survey
This article examines the extent to which the nation's fourteen thousand specialty substance abuse treatment (SAT) organizations, which have a daily census of more than 1 million patients, are contracting with ACOs across the country; we also examine factors associated with SAT organization involvement with ACOs. We draw on data from a recent (2014) nationally representative survey of executive directors and clinical supervisors from 635 SAT organizations. Results show that only 15 percent of these organizations had signed contracts with ACOs. Results from multivariate analyses show that directors' perceptions of market co...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: D'Aunno, T., Friedmann, P. D., Chen, Q., Wilson, D. M. Tags: Health Policy & Education, Political Science, General, Public Policy Part II: What Do We Want ACOs to Achieve and Can They Do It? Source Type: research

Review of Medicare, Medicaid, and Commercial Quality of Care Measures: Considerations for Assessing Accountable Care Organizations
This article assesses quality measurement across public and private sectors. We reviewed available quality measures for a subset of programs in six organizations and assessed the number and domain of measures (structure, process, outcomes, and patient experience). Two-thirds of all quality measures were categorized as process measures. Outcome measures made up nearly 20 percent of measures. Patient experience and structure measures made up approximately 8 percent and 7 percent, respectively. We propose further improvements to quality measurement initiatives. For example, programs that reward providers should consider rewar...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Kessell, E., Pegany, V., Keolanui, B., Fulton, B. D., Scheffler, R. M., Shortell, S. M. Tags: Health Policy & Education, Political Science, General, Public Policy Part II: What Do We Want ACOs to Achieve and Can They Do It? Source Type: research

The Economics of Provider Payment Reform: Are Accountable Care Organizations the Answer?
This article questions the consensus that FFS must go. If the fees are too high, then someone needs to "bite the bullet" and reduce fees in key areas. Hoping to control overspending by investment in ACOs is wishful thinking. I describe the theory and practice of shared savings payment systems and summarize recent TCOC contracting initiatives in the private sector. Medicare's shared savings approach is likely to be less effective than private contracts. Cutting providers' fees would be more efficient. Finally, the new payment models in the Affordable Care Act will not ease the problem of high prices for private payers. (Sou...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Feldman, R. Tags: Health Policy & Education, Political Science, General, Public Policy Part II: What Do We Want ACOs to Achieve and Can They Do It? Source Type: research