Is the emergency department used as a substitute or a complement to primary care in Medicaid?
Health Econ Policy Law. 2023 Oct 23:1-19. doi: 10.1017/S1744133123000270. Online ahead of print.ABSTRACTPolicies to decrease low-acuity emergency department (ED) use have traditionally assumed that EDs are a substitute for unavailable primary care (PC). However, such policies can exacerbate ED overcrowding, rather than ameliorate it, if patients use EDs to complement, rather than substitute, their PC use. We tested whether Medicaid managed care enrolees visit the ED for nonemergent and PC treatable conditions to substitute for or to complement PC. Based on consumer choice theory, we modelled county-level monthly ED visit r...
Source: Health Economics, Policy, and Law - October 23, 2023 Category: Health Management Authors: Alina Denham Elaine L Hill Maria Raven Michael Mendoza Mical Raz Peter J Veazie Source Type: research
Strengthening primary health care in China: governance and policy challenges
The objective of the paper is to highlight theoretical gaps and practical limitations to strengthening primary care. The challenges and difficulties are illustrated through a case study of China where primary care continues to struggle despite the government's strong political, financial and policy support in recent years. In this paper, we review the development of primary health care in China and how it is governed, provided, and financed, highlighting the gaps and misalignments that undermine its performance. We argue that governance deficiencies coupled with flawed financing and payments arrangements are major impedime...
Source: Health Economics, Policy, and Law - October 17, 2023 Category: Health Management Authors: Jiwei Qian M Ramesh Source Type: research
Strengthening primary health care in China: governance and policy challenges
The objective of the paper is to highlight theoretical gaps and practical limitations to strengthening primary care. The challenges and difficulties are illustrated through a case study of China where primary care continues to struggle despite the government's strong political, financial and policy support in recent years. In this paper, we review the development of primary health care in China and how it is governed, provided, and financed, highlighting the gaps and misalignments that undermine its performance. We argue that governance deficiencies coupled with flawed financing and payments arrangements are major impedime...
Source: Health Economics, Policy, and Law - October 17, 2023 Category: Health Management Authors: Jiwei Qian M Ramesh Source Type: research
Strengthening primary health care in China: governance and policy challenges
The objective of the paper is to highlight theoretical gaps and practical limitations to strengthening primary care. The challenges and difficulties are illustrated through a case study of China where primary care continues to struggle despite the government's strong political, financial and policy support in recent years. In this paper, we review the development of primary health care in China and how it is governed, provided, and financed, highlighting the gaps and misalignments that undermine its performance. We argue that governance deficiencies coupled with flawed financing and payments arrangements are major impedime...
Source: Health Economics, Policy, and Law - October 17, 2023 Category: Health Management Authors: Jiwei Qian M Ramesh Source Type: research
Strengthening primary health care in China: governance and policy challenges
The objective of the paper is to highlight theoretical gaps and practical limitations to strengthening primary care. The challenges and difficulties are illustrated through a case study of China where primary care continues to struggle despite the government's strong political, financial and policy support in recent years. In this paper, we review the development of primary health care in China and how it is governed, provided, and financed, highlighting the gaps and misalignments that undermine its performance. We argue that governance deficiencies coupled with flawed financing and payments arrangements are major impedime...
Source: Health Economics, Policy, and Law - October 17, 2023 Category: Health Management Authors: Jiwei Qian M Ramesh Source Type: research
Strengthening primary health care in China: governance and policy challenges
The objective of the paper is to highlight theoretical gaps and practical limitations to strengthening primary care. The challenges and difficulties are illustrated through a case study of China where primary care continues to struggle despite the government's strong political, financial and policy support in recent years. In this paper, we review the development of primary health care in China and how it is governed, provided, and financed, highlighting the gaps and misalignments that undermine its performance. We argue that governance deficiencies coupled with flawed financing and payments arrangements are major impedime...
Source: Health Economics, Policy, and Law - October 17, 2023 Category: Health Management Authors: Jiwei Qian M Ramesh Source Type: research
The state of American health coverage: the 2022 elections and the Affordable Care Act
Health Econ Policy Law. 2023 Oct 16:1-15. doi: 10.1017/S1744133123000245. Online ahead of print.ABSTRACTThe Affordable Care Act of 2010 (ACA) was the most significant policy breakthrough to expand health insurance coverage in the USA in 45 years. Culminating a decade-long effort by Republicans to repeal and undermine the ACA, the Trump administration launched a panoply of executive initiatives to sabotage the law. Benefitting from Democratic control of both the House and Senate during its first 2 years, the Biden administration through legislative and executive initiatives made substantial headway in reversing Trump's sabo...
Source: Health Economics, Policy, and Law - October 16, 2023 Category: Health Management Authors: Mickael K Gusmano Frank J Thompson Source Type: research
The state of American health coverage: the 2022 elections and the Affordable Care Act
Health Econ Policy Law. 2023 Oct 16:1-15. doi: 10.1017/S1744133123000245. Online ahead of print.ABSTRACTThe Affordable Care Act of 2010 (ACA) was the most significant policy breakthrough to expand health insurance coverage in the USA in 45 years. Culminating a decade-long effort by Republicans to repeal and undermine the ACA, the Trump administration launched a panoply of executive initiatives to sabotage the law. Benefitting from Democratic control of both the House and Senate during its first 2 years, the Biden administration through legislative and executive initiatives made substantial headway in reversing Trump's sabo...
Source: Health Economics, Policy, and Law - October 16, 2023 Category: Health Management Authors: Mickael K Gusmano Frank J Thompson Source Type: research
Out with the old …
Health Econ Policy Law. 2023 Oct;18(4):341. doi: 10.1017/S1744133123000233. Epub 2023 Oct 13.NO ABSTRACTPMID:37827833 | DOI:10.1017/S1744133123000233 (Source: Health Economics, Policy, and Law)
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Adam Oliver Source Type: research
Institutional boundaries and the challenges of aligning science advice and policy dynamics: the UK and Canada in the time of COVID-19
Health Econ Policy Law. 2023 Oct;18(4):377-394. doi: 10.1017/S1744133123000221. Epub 2023 Oct 13.ABSTRACTThis comparison of institutions of science advice during COVID-19 between the Westminster systems of England/UK and Ontario/Canada focuses on the role of science in informing public policy in two central components of the response to the pandemic: the adoption of non-pharmaceutical interventions (NPIs) and the procuring of vaccines. It compares and contrasts established and purpose-built bodies with varying degrees of independence from the political executive, and shows how each attempted to manage the tensions between ...
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Carolyn Hughes Tuohy Gwyn Bevan Adalsteinn D Brown Source Type: research
Integrated care in a Beveridge system: experiences from England and Denmark
Health Econ Policy Law. 2023 Oct;18(4):345-361. doi: 10.1017/S1744133123000166. Epub 2023 Oct 13.ABSTRACTHealth systems internationally face demands to deliver care that is better coordinated and integrated. The health system financing and delivery model may go some, but not all the way in explaining health system fragmentation. In this paper, we consider the road to care integration in two countries with Beveridge style health systems, England and Denmark, that are both ranked as highly Integrated systems in Toth's health integration index. We use the SELFIE framework to compare the policies and reforms that have affected...
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Apostolos Tsiachristas Karsten Vrangb æk Pamela Gongora-Salazar S øren Rud Kristensen Source Type: research
Out with the old …
Health Econ Policy Law. 2023 Oct;18(4):341. doi: 10.1017/S1744133123000233. Epub 2023 Oct 13.NO ABSTRACTPMID:37827833 | DOI:10.1017/S1744133123000233 (Source: Health Economics, Policy, and Law)
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Adam Oliver Source Type: research
Institutional boundaries and the challenges of aligning science advice and policy dynamics: the UK and Canada in the time of COVID-19
Health Econ Policy Law. 2023 Oct;18(4):377-394. doi: 10.1017/S1744133123000221. Epub 2023 Oct 13.ABSTRACTThis comparison of institutions of science advice during COVID-19 between the Westminster systems of England/UK and Ontario/Canada focuses on the role of science in informing public policy in two central components of the response to the pandemic: the adoption of non-pharmaceutical interventions (NPIs) and the procuring of vaccines. It compares and contrasts established and purpose-built bodies with varying degrees of independence from the political executive, and shows how each attempted to manage the tensions between ...
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Carolyn Hughes Tuohy Gwyn Bevan Adalsteinn D Brown Source Type: research
Integrated care in a Beveridge system: experiences from England and Denmark
Health Econ Policy Law. 2023 Oct;18(4):345-361. doi: 10.1017/S1744133123000166. Epub 2023 Oct 13.ABSTRACTHealth systems internationally face demands to deliver care that is better coordinated and integrated. The health system financing and delivery model may go some, but not all the way in explaining health system fragmentation. In this paper, we consider the road to care integration in two countries with Beveridge style health systems, England and Denmark, that are both ranked as highly Integrated systems in Toth's health integration index. We use the SELFIE framework to compare the policies and reforms that have affected...
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Apostolos Tsiachristas Karsten Vrangb æk Pamela Gongora-Salazar S øren Rud Kristensen Source Type: research
Out with the old …
Health Econ Policy Law. 2023 Oct;18(4):341. doi: 10.1017/S1744133123000233. Epub 2023 Oct 13.NO ABSTRACTPMID:37827833 | DOI:10.1017/S1744133123000233 (Source: Health Economics, Policy, and Law)
Source: Health Economics, Policy, and Law - October 12, 2023 Category: Health Management Authors: Adam Oliver Source Type: research
