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.

Oregon's Experiment in Health Care Delivery and Payment Reform: Coordinated Care Organizations Replacing Managed Care
To control Medicaid costs, improve quality, and drive community engagement, the Oregon Health Authority introduced a new system of coordinated care organizations (CCOs). While CCOs resemble traditional Medicaid managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted payments rewarding outcomes and evidence-based practice; increased transparency; and greater community engagement. Th...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Howard, S. W., Bernell, S. L., Yoon, J., Luck, J., Ranit, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Point-Counterpoint Source Type: research

More on Oregon's Coordinated Care Organizations
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Pollack, H. A. Tags: Health Policy & Education, Political Science, General, Public Policy Point-Counterpoint Source Type: research

Addressing Medicaid/Marketplace Churn through Multimarket Plans: Assessing the Current State of Play
Both before and after the Affordable Care Act (ACA), the US health insurance system is characterized by fragmentation. Pre-ACA, this fragmentation included major coverage gaps, causing significant periods of coverage interruption, especially for lower-income people. The ACA does not end the problem of churning among sources of public financing, but it does hold the potential for enabling people to move among sources of coverage rather than go without insurance. Several strategies for reducing coverage churn exist, but none is foolproof and all are in their early stages. Thus the ability of issuers to participate across mul...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Rosenbaum, S. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research

From Coverage to Care: Addressing the Issue of Churn
In any given year, a significant number of individuals will move between Medicaid and qualified health plans (QHP). Known as "churn," this movement could disrupt continuity of health care services, even when no gap in insurance coverage exists. The number of people who churn in any given year is significant, and they often are significant utilizers of health care services. They could experience disruption in care in several ways: (1) changing carrier; (2) changing provider because of network differences; (3) a disruption in ongoing services, even when the benefit is covered in both programs (e.g., surgery that has been aut...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Milligan, C. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research

The Meanings of Universal Health Care in Latin America
In Latin America, competing definitions of universal health care are found. Variants include traditional universalism, basic universalism, and minimal or residual universalism. These definitions are informed by European traditions, a renewed emphasis on equity among Latin American social policy experts, and World Bank strategy. This essay explores these definitions as well as areas of overlap and points of difference between and among them using examples from several Latin American countries. The most important difference concerns the preventive and curative services not covered by the benefits packages of minimal universa...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Clark, M. A. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Resistance and Change: A Multiple Streams Approach to Understanding Health Policy Making in Ghana
Although much has been written on health policy making in developed countries, the same cannot be said of less developed countries, especially in Africa. Drawing largely on available historical and government records, newspaper publications, parliamentary Hansards, and published books and articles, this article uses John W. Kingdon's multiple streams framework to explain how the problem, politics, and policy streams converged for Ghana's National Health Insurance Scheme (NHIS) to be passed into law in 2003. The article contends that a change in government in the 2000 general election opened a "policy window" for eventual p...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Kusi-Ampofo, O., Church, J., Conteh, C., Heinmiller, B. T. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

"Developmental Capture" of the State: Explaining Thailand's Universal Coverage Policy
The notion of "regulatory capture" is typically used to describe the takeover of state agencies by outside interest groups that seek to weaken regulation and advance the agendas of interest groups through control over state policy levers. This concept can be contrasted with that of "developmental capture" of state agencies by networks of reformist bureaucrats within the state who seek to promote inclusive state social and developmental policies of benefit to the broader populace. Building on work that has pointed to instances in which state bureaucrats act autonomously from societal and political pressures, this article ar...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Harris, J. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Women's Political Participation and Health: A Health Capability Study in Rural India
We presented scenarios to each group regarding the limitations and motivations involved in women's political participation and health. Thematic analysis focused on four domains of health agency — participation, autonomy, self-efficacy, and health systems — relevant for understanding the relationship between political participation and health. Elder women demonstrated the greatest sense of self-efficacy and as a group cited the largest number of successful health advocacy efforts. Participation in an associated community-based neonatal intervention had varying effects, showing some differences in self-efficacy, ...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Feldman, C. H., Darmstadt, G. L., Kumar, V., Ruger, J. P. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Responding to Obesity in Brazil: Understanding the International and Domestic Politics of Policy Reform through a Nested Analytic Approach to Comparative Analysis
Why do governments pursue obesity legislation? And is the case of Brazil unique compared with other nations when considering the politics of policy reform? Using a nested analytic approach to comparative research, I found that theoretical frameworks accounting for why nations implement obesity legislation were not supported with cross-national statistical evidence. I then turned to the case of Brazil's response to obesity at three levels of government, national, urban, and rural, to propose alternative hypotheses for why nations pursue obesity policy. The case of Brazil suggests that the reasons that governments respond ar...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Gomez, E. J. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

International Institutions and China's Health Policy
This article examines the role of international institutional actors in China's health policy process. Particular attention is paid to three major international institutional actors: the World Bank, the World Health Organization, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. Through process tracing and comparative case studies, the article looks at how international institutions contribute to policy change in China and seeks to explain different outcomes in the relationship between international institutions and China's health policies. It finds that despite the opaque and exclusive authoritarian structure i...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Huang, Y. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Caught in the Middle: The Contested Politics of HIV/AIDS and Health Policy in Vietnam
Drawing on the changing landscape of responses to HIV in Vietnam, this article describes the key players and analyzes the relationships between global players and local interests, including both the omnipresent state and an emerging civil society presence. We discuss the critical importance of timing for policy intervention and the role of health policy in shaping the broader social terrain. The interventions of external actors such as the US President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund were instrumental in improving both policies and programs at a critical juncture, when the national responses t...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Hirsch, J. S., Giang, L. M., Parker, R. G., Duong, L. B. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

The Global and Domestic Politics of Health Policy in Emerging Nations
In recent years, several emerging nations with burgeoning economies and in transition to democracy have pursued health policy innovations. As these nations have integrated into the world economy through bilateral trade and diplomacy, they have also become increasingly exposed to international pressures and norms and focused on more effective, equitable health care systems. There are several lessons learned from the case studies of Brazil, Ghana, India, China, Vietnam, and Thailand in this special issue on the global and domestic politics of health policy in emerging nations. For the countries examined, although sensitive t...
Source: Journal of Health Politics, Policy and Law - March 5, 2015 Category: Health Management Authors: Gomez, E. J., Ruger, J. P. 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 - March 5, 2015 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Editor ' s Note Source Type: research

Index to Volume 39
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - January 22, 2015 Category: Health Management Tags: Health Policy & Education, Political Science, General, Public Policy Index to Volume 39 Source Type: research

The Globalization of Health Care: Legal and Ethical Issues
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - January 22, 2015 Category: Health Management Authors: Greer, S. L. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research