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Milbank Quarterly

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https://www.readbyqxmd.com/read/29693286/revisiting-the-land-of-the-individual-mandate
#1
John E McDonough
No abstract text is available yet for this article.
April 25, 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29667220/the-war-on-poverty-2018-style
#2
Sara Rosenbaum
No abstract text is available yet for this article.
April 17, 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29652094/from-in-vivo-to-in-vitro-how-the-guatemala-std-experiments-transformed-bodies-into-biospecimens
#3
Kayte Spector-Bagdady, Paul A Lombardo
Policy Points: While most scholarship regarding the US Public Health Service's STD experiments in Guatemala during the 1940s has focused on the intentional exposure experiments, secondary research was also conducted on biospecimens collected from these subjects. These biospecimen experiments continued after the Guatemala grant ended, and the specimens were used in conjunction with those from the Tuskegee syphilis experiments for ongoing research. We argue there should be a public accounting of whether there are still biospecimens from the Guatemala and Tuskegee experiments held in US government biorepositories today...
April 13, 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29652089/crises-and-population-health
#4
Joshua M Sharfstein
No abstract text is available yet for this article.
April 13, 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29635718/a-beautiful-life-in-a-vibrant-yet-vulnerable-city
#5
Lawrence O Gostin
No abstract text is available yet for this article.
April 10, 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504206/the-role-of-hipaa-omnibus-rules-in-reducing-the-frequency-of-medical-data-breaches-insights-from-an-empirical-study
#6
Niam Yaraghi, Ram D Gopal
Policy Points: Frequent data breaches in the US health care system undermine the privacy of millions of patients every year-a large number of which happen among business associates of the health care providers that continue to gain unprecedented access to patients' data as the US health care system becomes digitally integrated. Implementation of the HIPAA Omnibus Rules in 2013 has led to a significant decrease in the number of privacy breach incidents among business associates. CONTEXT: Frequent data breaches in the US health care system undermine the privacy of millions of patients every year...
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504205/geographic-variation-in-household-and-catastrophic-health-spending-in-india-assessing-the-relative-importance-of-villages-districts-and-states-2011-2012
#7
Sanjay K Mohanty, Rockli Kim, Pijush Kanti Khan, S V Subramanian
Policy Points: Per-capita household health spending was higher in economically developed states and was associated with ability to pay, but catastrophic health spending (CHS) was equally high in both poorer and more developed states in India. Based on multilevel modeling, we found that the largest geographic variation in health spending and CHS was at the state and village levels, reflecting wide inequality in the accessibility to and cost of health care at these levels. Contextual factors at macro and micro political units are important to reduce health spending and CHS in India...
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504204/on-creating-a-national-health-conversation
#8
Sandro Galea
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504203/the-effect-of-medicaid-on-management-of-depression-evidence-from-the-oregon-health-insurance-experiment
#9
Katherine Baicker, Heidi L Allen, Bill J Wright, Sarah L Taubman, Amy N Finkelstein
Policy Points: We take advantage of Oregon's Medicaid lottery to gauge the causal effects of Medicaid coverage on mental health care, how effectively it addresses unmet needs, and how those effects differ for those with and without a history of depression. Medicaid coverage reduced the prevalence of undiagnosed depression by almost 50% and untreated depression by more than 60%. It increased use of medications and reduced the share of respondents reporting unmet mental health care needs by almost 40%. There are likely to be substantial mental health consequences of policy decisions about Medicaid coverage for vulnerable populations...
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504202/states-protecting-the-public-interest-in-the-era-of-trump
#10
David K Rosner
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504200/a-health-policy-sonnet
#11
Joshua M Sharfstein
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504199/transformation-of-the-health-care-industry-curb-your-enthusiasm
#12
Lawton R Burns, Mark V Pauly
Policy Points: Policymakers seek to transform the US health care system along two dimensions simultaneously: alternative payment models and new models of provider organization. This transformation is supposed to transfer risk to providers and make them more accountable for health care costs and quality. The transformation in payment and provider organization is neither happening quickly nor shifting risk to providers. The impact on health care cost and quality is also weak or nonexistent. In the longer run, decision makers should be prepared to accept the limits on transformation and carefully consider whether to advocate solutions not yet supported by evidence...
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504198/erratum
#13
(no author information available yet)
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29504197/legal-barriers-to-the-growth-of-health-information-exchange-boulders-or-pebbles
#14
Michelle M Mello, Julia Adler-Milstein, Karen L Ding, Lucia Savage
Policy Points: Historically, in addition to economic and technical hurdles, state and federal health information privacy laws have been cited as a significant obstacle to expanding electronic health information exchange (HIE) in the United States. Our review finds that over the past decade, several helpful developments have ameliorated the legal barriers to HIE, although variation in states' patient consent requirements remains a challenge. Today, health care providers' complaints about legal obstacles to HIE may be better understood as reflecting concerns about the economic and competitive risks of information sharing...
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29417622/mad-about-states
#15
John E McDONOUGH
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29363181/old-medicaid-is-gone-expanded-medicaid-is-here-to-stay
#16
Gail R Wilensky
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29318689/now-welfare-reform-of-course
#17
Sara Rosenbaum
No abstract text is available yet for this article.
March 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29226450/barriers-to-care-among-transgender-and-gender-nonconforming-adults
#18
COMPARATIVE STUDY
Gilbert Gonzales, Carrie Henning-Smith
Policy Points: Transgender and gender nonconforming (GNC) adults may experience barriers to care for a variety of reasons, including discrimination and lack of awareness by providers in health care settings. In our analysis of a large, population-based sample, we found transgender and GNC adults were more likely to be uninsured and have unmet health care needs, and were less likely to have routine care, compared to cisgender (nontransgender) women. Our findings varied by gender identity. More research is needed on transgender and GNC populations, including on how public policy and provider awareness affects health care access and health outcomes differentially by gender identity...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226449/cms-demonstration-projects-and-the-future-of-value-based-payments
#19
Gail R Wilensky
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226448/better-measurement-for-performance-improvement-in-low-and-middle-income-countries-the-primary-health-care-performance-initiative-phcpi-experience-of-conceptual-framework-development-and-indicator-selection
#20
Jeremy Veillard, Krycia Cowling, Asaf Bitton, Hannah Ratcliffe, Meredith Kimball, Shannon Barkley, Laure Mercereau, Ethan Wong, Chelsea Taylor, Lisa R Hirschhorn, Hong Wang
Policy Points: Strengthening accountability through better measurement and reporting is vital to ensure progress in improving quality primary health care (PHC) systems and achieving universal health coverage (UHC). The Primary Health Care Performance Initiative (PHCPI) provides national decision makers and global stakeholders with opportunities to benchmark and accelerate performance improvement through better performance measurement. Results from the initial PHC performance assessments in low- and middle-income countries (LMICs) are helping guide PHC reforms and investments and improve the PHCPI's instruments and indicators...
December 2017: Milbank Quarterly
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