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.

Addressing Pricing Power in Integrated Delivery: The Limits of Antitrust
This article proposes approaches that public and private payers should consider to complement the role of antitrust to assure that ACOs will actually help control costs in commercial markets as well as in Medicare and Medicaid. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Berenson, 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

Commentary -- Accountable Care Organizations and Narrow Network Insurance Plans
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Handel, B. Tags: Health Policy & Education, Political Science, General, Public Policy Part I: The Current Landscape Source Type: research

Accountable Care Organizations in California: Market Forces at Work?
This study examines the market-level competition factors that are associated with ACO participation and the number of ACOs. Using data from California, we find that higher levels of preexisting managed care leads to higher ACO entry and enrollment growth, while hospital concentration leads to fewer ACOs and lower enrollment. We find interesting results for physician market power — markets with concentrated physician markets have a smaller share of individuals in commercial ACOs but a larger number of commercial ACO organizations. This finding implies smaller ACOs in these markets. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Whaley, C., Frech, H. E., Scheffler, R. M. Tags: Health Policy & Education, Political Science, General, Public Policy Part I: The Current Landscape Source Type: research

Growth of Accountable Care Organizations in California: Number, Characteristics, and State Regulation
This article (1) describes California ACOs within Medicare, the commercial market, and Medi-Cal and the safety net; (2) discusses how ACOs are regulated by the California Department of Managed Health Care and the California Department of Insurance; and (3) analyzes the increase of ACOs in California using data from Cattaneo and Stroud. While ACOs in California are well established within Medicare and the commercial market, they are still emerging within Medi-Cal and the safety net. Notwithstanding, the state has not enacted a law or issued a regulation specific to ACOs; they are regulated under existing statutes and regula...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Fulton, B. D., Pegany, V., Keolanui, B., Scheffler, R. M. Tags: Health Policy & Education, Political Science, General, Public Policy Part I: The Current Landscape Source Type: research

Accountable Care Organizations: The National Landscape
This article describes some of their most salient characteristics including the number and types of contracts involved, organizational structures, the scope of services offered, care management capabilities, and the development of a three-category taxonomy that can be used to target technical assistance efforts and to examine performance. The current evidence on the performance of ACOs is reviewed. Since California has the largest number of ACOs (N=67) and a history of providing care under risk-bearing contracts, some additional assessments of quality and patient experience are made between California ACOs and non-ACO prov...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Shortell, S. M., Colla, C. H., Lewis, V. A., Fisher, E., Kessell, E., Ramsay, P. Tags: Health Policy & Education, Political Science, General, Public Policy Part I: The Current Landscape Source Type: research

Accountable Care Organizations: Integrated Care Meets Market Power
Will accountable care organizations (ACOs) deliver high-quality care at lower costs? Or will their potential market power lead to higher prices and lower quality? ACOs appear in various forms and structures with financial and clinical integration at their core; however, the tools to assess their quality and the incentive structures that will determine their success are still evolving. Both market forces and regulatory structures will determine how these outcomes emerge. This introduction reviews the evidence presented in this special issue to tackle this thorny trade-off. In general the evidence is promising, but the full ...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Scheffler, R. M. Tags: Health Policy & Education, Political Science, General, Public Policy Introductory Essays Source Type: research

Encouraging Competition and Cooperation: The Affordable Care Act's Contradiction?
This introductory essay to JHPPL's special issue on accountable care organizations (ACOs) presents the broader themes addressed in the issue, including (1) a central tension between cooperation versus competition in health care markets with regard to how to bring about improved quality, lower costs, and better access; (2) US regulatory policy — whether it will be able to achieve the appropriate balance in health care markets under which ACOs could realize expected outcomes; and (3) ACO realities — whether ACOs will be able to overcome or further embed existing inequities in US health care markets. (Source: Jour...
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Introductory Essays Source Type: research

Editor's Note
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 13, 2015 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Editor ' s Note Source Type: research

Books Received
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Tags: Health Policy & Education, Political Science, General, Public Policy Books Received Source Type: research

The ADHD Explosion: Myths, Medication, Money, and Today's Push for Performance
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Mayes, R. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research

Politics, Policy, Law, and Friendship: Celebrating Daniel C. Schaffer, 1938-2013
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Fox, D. M. Tags: Health Policy & Education, Political Science, General, Public Policy In Memoriam Source Type: research

The ACA Medicaid Expansion Waiver in the Keystone State: Do the Medically Uninsured "Got a Friend in Pennsylvania"?
Medicaid is fundamental to near universal health insurance coverage under the 2010 Affordable Care Act (ACA). Its goal of broadening the program to all households with income at or below 138 percent of the federal poverty level was thwarted in 2012 by a Supreme Court decision that allowed the states to choose whether or not they would join. This essay seeks to assess the status of Pennsylvania with regard to the Medicaid expansion controversy. It briefly describes the Keystone State's existing Medicaid program and the potential impact of the ACA on its growth. It then discusses Governor Tom Corbett's market-based alternati...
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Olson, L. K. Tags: Health Policy & Education, Political Science, General, Public Policy Report from the States Source Type: research

Three Words and the Future of the Affordable Care Act
As an essential part of its effort to achieve near universal coverage, the Affordable Care Act (ACA) extends sizable tax credits to most people who buy insurance on the newly established health care exchanges. Yet several lawsuits have been filed challenging the availability of those tax credits in the thirty-four states that refused to set up their own exchanges. The lawsuits are premised on a strained interpretation of the ACA that, if accepted, would make a hash of other provisions of the statute and undermine its effort to extend coverage to the uninsured. The courts should reject this latest effort to dismantle a crit...
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Bagley, N. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research

King v. Burwell: Desperately Seeking Ambiguity in Clear Statutory Text
Does the Patient Protection and Affordable Care Act (ACA) of 2010 authorize tax credits within the thirty-six states that failed to establish health insurance exchanges? That is the question presented in Pruitt v. Burwell, Halbig v. Burwell, King v. Burwell, and Indiana v. IRS. The plaintiffs argue that the statute is clear and forecloses any possibility of tax credits in federal exchanges. The government argues that the statute plainly authorizes tax credits in federal exchanges, or is at least ambiguous on the question. Mere disagreement is not evidence of ambiguity. Reaching the truth requires wading deep into each side...
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Adler, J. H., Cannon, M. F. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research

Introduction
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research