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.

An Assessment of State-Led Reform of Long-Term Services and Supports
Health care in the United States is fragmented, inefficient, and rife with quality concerns. These shortcomings have particularly serious implications for adults with disabilities and functionally impaired older adults in need of long-term services and supports (LTSS). Three strategies have been commonly pursued by state governments to improve LTSS: expanding noninstitutional care, integrating payment and care delivery, and realigning incentives through market-based reforms. These strategies were analyzed using an evaluation framework consisting of the following dimensions: ease of access; choice of setting/provider; quali...
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Naylor, M. D., Kurtzman, E. T., Miller, E. A., Nadash, P., Fitzgerald, P. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Do Advance Directives Direct?
Resolution of long-standing debates about the role and impact of advance directives — living wills and powers of attorney for health care — has been hampered by a dearth of appropriate data, in particular data that compare the process and outcomes of end-of-life decision making on behalf of patients with and without advance directives. Drawing on a large ethnographic study of patients in two intensive care units in a large urban teaching hospital, this article compares aspects of the medical decision-making process and outcomes by advance-directive status. Controlling for demographic characteristics and severit...
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Shapiro, S. P. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

The Little State That Couldn't Could? The Politics of "Single-Payer" Health Coverage in Vermont
This article summarizes the findings from interviews with nearly 120 stakeholders as part of a study to inform the design of the health reform legislation. Comparing Vermont's failed effort to adopt single-payer legislation in 1994 to present efforts, we find that Vermont faced similar challenges but greater opportunities in 2010 that enabled reform. A closely contested gubernatorial election and a progressive social movement opened a window of opportunity to advance legislation to design three comprehensive health reform options for legislative consideration. With a unified Democratic government under the leadership of a ...
Source: Journal of Health Politics, Policy and Law - June 8, 2015 Category: Health Management Authors: Fox, A. M., Blanchet, N. J. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Editor's Note
(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 Editor ' s Note Source Type: research

American Federalism in Practice: The Formulation and Implementation of Contemporary Health Policy
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Jones, D. K. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research

Overutilization, Overutilized
This article traces how the term overutilization has spread in popularity from a relatively small community of mid-twentieth-century insurance experts to economists, physicians, epidemiologists, and eventually the news media of the early twenty-first century. A quick glimpse at the history of the term reveals that there has been constant disagreement and debate over the meaning and impact of overutilization. Moreover, the term has been put to very different uses, from keeping socialism at bay to preserving the fiscal integrity of Medicare to protecting the health of patients. The overutilization narrative, seductive in its...
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Levine, D., Mulligan, J. Tags: Health Policy & Education, Political Science, General, Public Policy Behind the Jargon Source Type: research

Safety Net Integration: A Shared Strategy for Becoming Providers of Choice
With the expansion of coverage as a result of federal health care reform, safety net providers are confronting a challenge to care for the underserved while also competing as a provider of choice for the newly insured. Safety net institutions may be able to achieve these goals by pursuing greater delivery system integration. We interviewed safety net hospital and community health center (CHCs) leaders in five US cities to determine what strategies these organizations are employing to promote care integration in the safety net. Although there is some experimentation with payment reform and health information exchange, safet...
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Murphy, J., Ko, M., Kizer, K. W., Bindman, A. B. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research

What Changes Are Needed to Enable the Safety Net to Become a Provider of Choice? And How Does It Get Done?
The safety net is the delivery system that provides health care to low-income and uninsured populations. Following the recent implementation of health care reform, hundreds of thousands of people in Los Angeles County gained or became eligible for health care coverage. The safety net now has the potential to remain a regular source of care for these newly covered patients who historically have been dependent on the safety net for their health care. Safety net providers may need to rethink current practices, operate more efficiently, document more consistently, and improve patient experience to keep and attract this newly i...
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Kahn, H. A. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research

Analysis of Pediatric Lung Donor Allocation Policy: A Call for Change?
This article examines the creation of the current US lung allocation policy and its impact on outcomes and analyzes the multidimensionality of the ruling. After analyzing the current policy and investigating alternatives for donor pool expansion, the article concludes by articulating options that may mitigate the need for current policy revision. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Gajarski, R., Bowman, D. M. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Corporate Coalitions and Policy Making in the European Union: How and Why British American Tobacco Promoted "Better Regulation"
Over the past fifteen years, an interconnected set of regulatory reforms, known as Better Regulation, has been adopted across Europe, marking a significant shift in the way that European Union policies are developed. There has been little exploration of the origins of these reforms, which include mandatory ex ante impact assessment. Drawing on documentary and interview data, this article discusses how and why large corporations, notably British American Tobacco (BAT), worked to influence and promote these reforms. Our analysis highlights (1) how policy entrepreneurs with sufficient resources (such as large corporations) ca...
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Smith, K. E., Fooks, G., Gilmore, A. B., Collin, J., Weishaar, H. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

You Can't Make Me Do It, but I Could Be Persuaded: A Federalism Perspective on the Affordable Care Act
The Affordable Care Act (ACA) seeks to change fundamentally the US health care system. The responses of states have been diverse and changing. What explains these diverse and dynamic responses? We examine the decision making of states concerning the creation of Pre-existing Condition Insurance Plan programs and insurance marketplaces and the expansion of Medicaid in historical context. This frames our analysis and its implications for future health reform in broader perspective by identifying a number of characteristics of state-federal grants programs: (1) slow and uneven implementation; (2) wide variation across states; ...
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Haeder, S. F., Weimer, D. L. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Editor's Note
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - May 19, 2015 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Editor ' s Note Source Type: research

Insuring Children's Health: Contentious Politics and Public Policy
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Beamer, G. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research

Interest Groups and Health Care Reform across the United States
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Alt, P. M. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research

Oregon's Medicaid Transformation -- Observations on Organizational Structure and Strategy
In the Point article, Steven W. Howard et al. argue that the Oregon Health Authority's coordinated care organizations (CCOs) are different from traditional Medicaid managed care organizations in ways designed to improve care coordination and transparency, incorporate greater collaborative governance and community accountability, and reform payment and delivery of care. Although the Point article notes specific challenges to implementing reforms, this Counterpoint article identifies the progress and successes of Oregon's CCOs in each of the aforementioned areas on the basis of empirical research, which suggests that CCOs ap...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Chang, A. M., Cohen, D. J., McCarty, D., Rieckmann, T., McConnell, K. J. Tags: Health Policy & Education, Political Science, General, Public Policy Point-Counterpoint Source Type: research