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Journal of Health Politics, Policy and Law

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https://www.readbyqxmd.com/read/28801471/editor-s-note
#1
Eric M Patashnik
No abstract text is available yet for this article.
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801470/litigation-provides-clues-to-ongoing-challenges-in-implementing-insurance-parity
#2
Kelsey N Berry, Haiden A Huskamp, Howard H Goldman, Lainie Rutkow, Colleen L Barry
Over the past twenty-five years, thirty-seven states and the US Congress have passed mental health and substance use disorder (MH/SUD) parity laws to secure nondiscriminatory insurance coverage for MH/SUD services in the private health insurance market and through certain public insurance programs. However, in the intervening years, litigation has been brought by numerous parties alleging violations of insurance parity. We examine the critical issues underlying these legal challenges as a framework for understanding the areas in which parity enforcement is lacking, as well as ongoing areas of ambiguity in the interpretation of these laws...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801469/the-politics-of-autism-navigating-the-contested-spectrum
#3
Theodore R Marmor
No abstract text is available yet for this article.
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801468/minnesota-integrated-health-partnership-demonstration-implementation-of-a-medicaid-aco-model
#4
Lynn A Blewett, Donna Spencer, Peter Huckfeldt
In recent years, accountable care organizations (ACOs) have become more prevalent in the United States, as a means to provide coordinated care by local providers. This study describes the origins, implementation, and early results of Minnesota's Medicaid ACO payment model, the Integrated Health Partnership (IHP) demonstration project. We describe the structure of the program and present preliminary evaluation results to document the state's important work and to provide lessons for other states interested in implementing Medicaid ACOs...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801467/minors-moral-psychology-and-the-harm-reduction-debate-the-case-of-tobacco-and-nicotine
#5
Lynn T Kozlowski
Harm reduction debates are important in health policy. Although it has been established that morality affects policy, this article proposes that perspectives from moral psychology help to explain the challenges of developing evidence-based policy on prohibition-only versus tobacco/nicotine harm reduction for minors. Protecting youth from tobacco is critical, especially since tobacco/nicotine products are legal for adults, who usually begin using when young. Although cigarettes and other combustibles are the deadliest tobacco products, other products such as smokeless tobacco and electronic cigarettes, though unsafe, are upward of 90 percent less harmful than cigarettes...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801466/statewide-payment-and-delivery-reform-do-states-have-what-it-takes
#6
Judy Feder, Alan R Weil, Robert Berenson, Rachel Dolan, Nicole Lallemand, Emily Hayes
States' role in payment as well as coverage will be subject to debate as the administration and the Congress decide how to address the Affordable Care Act (ACA) and otherwise reshape the nation's health policies. Acting as stewards of health care for the entire state population and stimulated by concern about rising costs and federal support under the ACA, the elected and administrative leaders of some states have been using their political influence and authority to improve their state's overall systems of care regardless of who pays the bill...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801465/an-american-sickness-how-healthcare-became-big-business-and-how-you-can-take-it-back
#7
James Brasfield
No abstract text is available yet for this article.
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801464/partisan-responses-to-public-health-messages-motivated-reasoning-and-sugary-drink-taxes
#8
Sarah E Gollust, Colleen L Barry, Jeff Niederdeppe
This study examines the public's motivated reasoning of competitive messages about sugary drink taxes, a public health policy approach attempted with some recent success in the United States. In an experiment embedded in a nationally representative survey fielded in the fall of 2012, we randomized participants (N = 5,147) to receive one of four messages: control, a strong protax message, a two-sided message, or a message refuting arguments made in soda company antitax messages. The protax message showed no effects on tax support, while the two-sided message depressed Republicans' support...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28801463/shaping-health-policy-for-low-income-populations-an-assessment-of-public-comments-in-a-new-medicaid-waiver-process
#9
Marian Jarlenski, Philip Rocco, Renuka Tipirneni, Amy Jo Kennedy, Nivedita Gunturi, Julie Donohue
Since the Supreme Court decided that the Affordable Care Act's (ACA) Medicaid expansion is optional for the states, several have obtained federal approval to use Section 1115 waivers to expand Medicaid while changing its coverage and benefits design. There has long been concern that policy making for Medicaid populations may lack meaningful engagement with low-income constituents, and therefore the ACA established a new process under which the public can submit comments on pending Medicaid waiver applications...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663186/the-role-of-courts-in-shaping-health-equity
#10
Mark A Hall
United States' courts have played a limited, yet key, role in shaping health equity in three areas of law: racial discrimination, disability discrimination, and constitutional rights. Executive and administrative action has been much more instrumental than judicial decisions in advancing racial equality in health care. Courts have been reluctant to intervene on racial justice because overt discrimination has largely disappeared, and the Supreme Court has interpreted civil rights laws in a fashion that restricts judicial authority to address more subtle or diffused forms of disparate impact...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663185/words-and-deeds-presidential-discussion-of-minority-health-public-policies-and-minority-perceptions
#11
Daniel Q Gillion
What are the different rhetorical approaches presidents used to address minority health inequality? More importantly, how have the efforts of presidents impacted minorities' perceptions of health? I offer a historical perspective that describes the three major periods of presidential engagement in discussions of minority health since the 1960s. I couple this historical overview with an empirical assessment that introduces a novel and extensive dataset of every presidential discussion of minority health spanning five decades (1960-2016)...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663184/how-the-aca-addressed-health-equity-and-what-repeal-would-mean
#12
Colleen M Grogan
This commentary reviews the many different ways the Affordable Care Act (ACA) explicitly and implicitly attempted to improve health equity, and then assesses how the Republican proposal to repeal and replace the ACA (the proposed American Health Care Act) would impact efforts to improve health equity. Although the American health care system still had a long way to go to achieve health equity, it may be argued that the ACA was a major step forward in creating new programs and regulations that had the potential to improve health equity...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663183/health-equity-in-a-trump-administration
#13
Deborah Stone
Donald Trump's rhetoric and leadership are destroying the "culture of community" necessary for progress on health equity. His one-line promises to provide "quality health care at a fraction of the cost" smack of neoliberal nostrums that shifted ever more costs onto patients, thereby preventing many people from getting care. The dangers of Trump go far beyond health policy, however; Trump's presidency threatens the political and cultural institutions that make any good policy possible.
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663182/missed-opportunity-leveraging-mobile-technology-to-reduce-racial-health-disparities
#14
Rashawn Ray, Abigail A Sewell, Keon L Gilbert, Jennifer D Roberts
Blacks and Latinos are less likely than whites to have health insurance access and utilize health care. One way to overcome some of these racial barriers to health equity may be through advances in technology that allow people to access and utilize health care in innovative ways. Yet, little research has focused on whether the racial gap that exists for health care utilization also exists for accessing health information online and through mobile technologies. Using data from the Health Information National Trends Survey (HINTS), we examine racial differences in obtaining health information online via mobile devices...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663181/viewing-health-equity-through-a-legal-lens-title-vi-of-the-1964-civil-rights-act
#15
Sara Rosenbaum, Sara Schmucker
Enacted as part of the watershed Civil Rights Act of 1964, Title VI prohibits discrimination by federally assisted entities on the basis of race, color, or national origin. Indeed, the law is as broad as federal funding across the full range of programs and services that affect health. Over the years, governmental enforcement efforts have waxed and waned, and private litigants have confronted barriers to directly invoking its protections. But Title VI endures as the formal mechanism by which the nation rejects discrimination within federally funded programs and services...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663180/framing-health-equity-us-health-disparities-in-comparative-perspective
#16
Julia F Lynch, Isabel M Perera
In this article we explore systematically the different conceptions of health equity in key national health policy documents in the United States, the United Kingdom, and France. We find substantial differences across the three countries in the characterization of group differences (by SES, race/ethnicity, or territory), and the theorized causes of health inequalities (socioeconomic structures versus health care system features). In all three countries, reports throughout the period alluded at least minimally to inequalities in social determinants as the underlying cause of health inequalities...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663179/cautious-citizenship-the-deterring-effect-of-immigration-issue-salience-on-health-care-use-and-bureaucratic-interactions-among-latino-us-citizens
#17
Franciso I Pedraza, Vanessa Cruz Nichols, Alana M W LeBrón
Research shows that health care use among Latino immigrants is adversely affected by restrictive immigration policy. A core concern is that immigrants shy away from sharing personal information in response to policies that expand bureaucratic monitoring of citizenship status across service-providing organizations. This investigation addresses the concern that immigration politics also negatively influences health care utilization among Latino US citizens. One implication is that health insurance expansions may not reduce health care inequities among Latinos due to concern about exposure to immigration law enforcement authorities...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663178/falling-through-the-coverage-cracks-how-documentation-status-minimizes-immigrants-access-to-health-care
#18
Tiffany D Joseph
Recent policy debates have centered on health reform and who should benefit from such policy. Most immigrants are excluded from the 2010 Affordable Care Act (ACA) due to federal restrictions on public benefits for certain immigrants. But, some subnational jurisdictions have extended coverage options to federally ineligible immigrants. Yet, less is known about the effectiveness of such inclusive reforms for providing coverage and care to immigrants in those jurisdictions. This article examines the relationship between coverage and health care access for immigrants under comprehensive health reform in the Boston metropolitan area...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663177/introduction-the-many-roads-toward-achieving-health-equity
#19
Alan B Cohen, Colleen M Grogan, Jedediah N Horwitt
This special issue of the Journal is devoted to understanding the many roads that lead toward achieving health equity. The eleven articles in the issue portray an America that is struggling with the clash between its historical ideal of pursuing equality for all and its ambivalence toward achieving equity in all social domains, especially health. Organized in five sections, the issue contains articles that examine and analyze: the role of civil rights law and the courts in shaping health equity; the political discourse that has framed our understanding of health equity; health policies that affect health equity, such as the Medicaid program, as well as related strategies that might help to improve equity, such as the use of mobile technologies to empower individuals; immigration policies and practices that impact health equity in marginalized populations; and commentaries in the final section that explore how the Affordable Care Act has addressed health equity, how repeal of the law would jeopardize equity gains, and how the political discourse and culture of the Trump administration could adversely affect health equity...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663176/people-places-power-medicaid-concentration-and-local-political-participation
#20
Jamila D Michener
The geographic concentration of disadvantage is a key mechanism of inequity. In the United States, the spatial patterning of disadvantage renders it more than the sum of its individual parts and disproportionately harms economically and racially marginalized Americans. This article focuses specifically on the political effects of Medicaid beneficiaries being concentrated in particular locales. After offering a framework for conceptualizing the community-wide consequences of such policy concentration, I analyze aggregate multiyear data to examine the effect of Medicaid density on county-level voter turnout and local organizational strength...
June 29, 2017: Journal of Health Politics, Policy and Law
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