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Journal of Health Politics, Policy and Law

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https://www.readbyqxmd.com/read/28007804/policy-diffusion-in-polarized-times-the-case-of-the-affordable-care-act
#1
Craig Volden
With increasing ideological polarization both within states and across states, policy makers face new challenges in developing and refining policies. This essay explores these challenges in the context of the spread of health policies across the states under the Affordable Care Act, highlighting key arguments and findings from the authors in this Special Issue. I discuss how common mechanisms of policy diffusion, the attributes of policies themselves, and the conditional nature of policy diffusion all play somewhat different roles during polarized times...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007803/diffusion-of-aca-policies-across-the-american-states
#2
Julianna Pacheco
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007802/tribute-to-andy-hyman
#3
Heather Howard
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007801/rhetoric-and-reform-in-waiver-states
#4
Colleen M Grogan, Phillip M Singer, David K Jones
Seven states have used Section 1115 waivers to expand Medicaid as part of the Affordable Care Act (ACA). While each state pursued a unique plan, there are similarities in the types of changes each state desired to make. Equally important to how a state modified their Medicaid programs is how a state talked about Medicaid and reform. We investigate whether the rhetoric that emerged in waiver states is unique, analyze whether the rhetoric is associated with particular waiver reforms, and consider the implications of our findings for the future of Medicaid policy making...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007800/the-role-of-public-opinion-does-it-influence-the-diffusion-of-aca-decisions
#5
Julianna Pacheco, Elizabeth Maltby
We consider two ways that public opinion influenced the diffusion of ACA policy choices from 2010 through 2014. First, we consider the policy feedback mechanism, which suggests that policy decisions have spillover effects that influence opinions in other states; residents in the home state then influence the decisions of elected officials. We find that both gubernatorial ACA announcements and grant activity increased support for the ACA in nearby states. Consistent with our expectations, however, only gubernatorial announcements respond to shifts in ACA support, presumably because it is a more salient policy than grant activity...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007799/the-seeds-of-policy-change-leveraging-diffusion-to-disseminate-policy-innovations
#6
Frederick J Boehmke, Abigail A Rury, Bruce A Desmarais, Jeffrey J Harden
We conduct a series of simulations to compare how various strategies for seeding a policy in the American states affect the rate at which that policy spreads. Using empirically derived parameters of the policy diffusion process, we simulate the diffusion of a hypothetical policy after seeding the policy in just a handful of states. We compare these strategies to those in the ten states the RWJF monitored during the states' implementation of the Affordable Care Act of 2010. We attempt to mimic the choices that policy advocates make when deciding which states to target with their resources...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007798/blood-sugar-racial-pharmacology-and-food-justice-in-black-america
#7
Peter Kent-Stoll
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007797/framing-engagement-and-policy-change-lessons-for-the-aca
#8
Andrew Karch, Aaron Rosenthal
Supporters of the Patient Protection and Affordable Care Act (ACA) sometimes speculate that public attitudes toward the law will shift if proponents succeed in focusing attention on its more popular components, but the scholarly literature on framing effects provides ample reason to question their assertion. This article contends that engagement, an alternative rhetorical strategy where advocates address the same policy dimensions as their opponents, is a more promising approach. Extending the engagement literature to the elite context in which most ACA-related decisions are made, it argues that elite-level engagement necessitates the additional task of linking policy change to opponents' broader philosophical and policy goals...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007796/hoping-to-help-the-promises-and-pitfalls-of-global-health-volunteering
#9
Mary A Clark
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007795/the-future-of-health-care-reform-what-is-driving-enrollment
#10
Timothy H Callaghan, Lawrence R Jacobs
Against a backdrop of ongoing operational challenges, insurance market turbulence, and the ever present pull of partisanship, enrollment in the ACA's programs has soared and significant variations have developed across states in terms of their pace of coverage expansion. Our article explores why ACA enrollment has varied so dramatically across states. We explore the potential influence of party control, presidential cueing, administrative capacity, the reverberating effects of ACA policy decisions, affluence, and unemployment on enrollment...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007794/mere-mortals-overselling-the-young-invincibles
#11
Deborah Levine, Jessica Mulligan
This article traces the emergence of the term "young invincible" in health policy literature, the health insurance industry, and popular media. Young invincible is the label given to adults under thirty-five who opt not to purchase health insurance because they perceive that they will not need it and would rather spend their money elsewhere. As uninsurance rates climbed, policy makers tried to figure out who the uninsured were and why they lacked coverage. Young adults rightly assumed importance in these conversations because they were disproportionately represented among the uninsured and their numbers were growing...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007793/policy-diffusion-across-disparate-disciplines-private-and-public-sector-dynamics-affecting-state-level-adoption-of-the-aca
#12
Rena M Conti, David K Jones
The ACA entails a number of provisions that are profoundly changing the way the states ensure access to medical care, including the expansion of Medicaid and the maintenance of health insurance exchanges. Here, we argue that while federal policy is the originating force of whether these provisions are adopted, individual state decisions are made within a larger ecosystem. This ecosystem has two main components: (1) complementary and competing state and federal policies; and (2) medical provision by a variety of suppliers...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27864349/substantial-equivalence-standards-in-tobacco-governance-statutory-clarity-and-regulatory-precedent-for-the-fsptca
#13
Daniel Carpenter, Gregory N Connolly, Lauren Kass Lempert
The Family Smoking Prevention and Tobacco Control Act (FSPTCA) of 2009 creates the first national system of pre-market regulation of tobacco products in American history. The FDA must now review and give marketing authorization to all new tobacco products, based upon a public health standard, before they can be legally marketed. Yet the law also contains an alternative pathway for market entry-the substantial equivalence (SE) clause-by which novel and altered tobacco products can be marketed by demonstrating their substantial equivalence to existing products...
November 18, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28073856/reinventing-american-health-care-how-the-affordable-care-act-will-improve-our-terribly-complex-blatantly-unjust-outrageously-expensive-grossly-inefficient-error-prone-system
#14
William P Brandon
No abstract text is available yet for this article.
February 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28073855/the-politics-of-framing-policy-solutions-and-whether-policies-address-problems
#15
Colleen M Grogan
No abstract text is available yet for this article.
February 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27729446/directing-discipline-state-medical-board-responsiveness-to-state-legislatures
#16
Denise F Lillvis, Robert J McGrath
State medical boards are increasingly responsible for regulating medical and osteopathic licensure and professional conduct in the United States. Yet, there is great variation in the extent to which such boards take disciplinary action against physicians, indicating that some boards are more zealous regulators than others. We look to the political roots of such variation and seek to answer a simple, yet important, question: are nominally apolitical state medical boards responsive to political preferences? To address this question, we use panel data on disciplinary actions across sixty-four state medical boards from 1993 through 2006 and control for over-time changes in board characteristics (e...
October 11, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27729445/media-messages-and-perceptions-of-the-affordable-care-act-during-the-early-phase-of-implementation
#17
Erika Franklin Fowler, Laura Baum, Colleen Barry, Jeff Niederdeppe, Sarah E Gollust
Public opinion about the Affordable Care Act (ACA) has been polarized since the law's passage. Past research suggests these conditions would make any media influence on the public limited at best. However, during the early phase of implementation, locally broadcast ACA-related media messages-in the form of paid health insurance and political advertisements and news media stories-abounded as advocates, insurance marketers, and politicians sought to shape the public's perceptions of the law. To what extent did message exposure affect ACA perceptions during the first open enrollment period? We merge data on volumes of messaging at the media market level with nationally representative survey data to examine the relationship between estimated exposure to media messaging and the public's perceptions of how informed they were about and favorable toward the ACA in October 2013...
October 11, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27729444/can-payment-reform-be-social-reform-the-lure-and-liabilities-of-the-triple-aim
#18
Sandra J Tanenbaum
The formulation of the triple aim responds to three problems facing the US health care system: high cost, low quality, and poor health status. The purpose of this article is to analyze the potential of the health care system to achieve the triple aim and, specifically, the attempt to improve population health by rewarding providers who contain costs. The first section of the article will consider the task of improving population health through the health care system. The second section of the article will discuss CMS's efforts to pay providers to achieve the triple aim, that is, to improve health care and population health while containing cost...
October 11, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27729443/the-politics-of-prevention-lessons-from-the-neglected-history-of-us-hiv-aids-policy
#19
Tasleem J Padamsee
The history of government action on HIV/AIDS has much to teach us about the dynamics and possibilities of US public health policy, but it has been insufficiently studied by social scientists of the epidemic. This article draws on a large set of original interviews with policy makers, thousands of news articles, and extensive documentation to reconstruct the history of three areas of debate and decision making about HIV prevention since 1990: needle exchange, HIV testing, and sex education for at-risk groups...
October 11, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27729442/the-new-politics-of-us-health-care-prices-institutional-reconfiguration-and-the-emergence-of-all-payer-claims-databases
#20
Philip Rocco, Andrew S Kelly, Daniel BĂ©land, Michael Kinane
Prices are a significant driver of health care cost in the United States. Existing research on the politics of health system reform has emphasized the limited nature of policy entrepreneurs' efforts at solving the problem of rising prices through direct regulation at the state level. Yet this literature fails to account for how change agents in the states gradually reconfigured the politics of prices, forging new, transparency-based policy instruments called all-payer claims databases (APCDs), which are designed to empower consumers, purchasers, and states to make informed market and policy choices...
October 11, 2016: Journal of Health Politics, Policy and Law
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