An American Sickness: How Healthcare Became Big Business and How You Can Take It Back
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Brasfield, J. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research

The Politics of Autism: Navigating the Contested Spectrum
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Marmor, T. R. Tags: Health Policy & Education, Political Science, General, Public Policy Books Source Type: research

Minnesota Integrated Health Partnership Demonstration: Implementation of a Medicaid ACO Model
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. The IHP program has expanded in size over time, the state has reported significant savings, and evidence exists of capacity building among participating providers. We identify factors that may have contributed to the program's early success, but more ...
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Blewett, L. A., Spencer, D., Huckfeldt, P. Tags: Health Policy & Education, Political Science, General, Public Policy Politics and Policy of Health Reform Source Type: research

Statewide Payment and Delivery Reform: Do States Have What It Takes?
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. In early 2015 we conducted on-site interviews with key stakeholders in five sta...
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Feder, J., Weil, A. R., Berenson, R., Dolan, R., Lallemand, N., Hayes, E. Tags: Health Policy & Education, Political Science, General, Public Policy Politics and Policy of Health Reform Source Type: research

Minors, Moral Psychology, and the Harm Reduction Debate: The Case of Tobacco and Nicotine
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 up...
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Kozlowski, L. T. Tags: Health Policy & Education, Political Science, General, Public Policy Beneath the Surface Source Type: research

Litigation Provides Clues to Ongoing Challenges in Implementing Insurance Parity
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 interpretatio...
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Berry, K. N., Huskamp, H. A., Goldman, H. H., Rutkow, L., Barry, C. L. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Shaping Health Policy for Low-Income Populations: An Assessment of Public Comments in a New Medicaid Waiver Process
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. We analyzed 291 comment letters submitted to federal regulators pertaining to Medicaid Section 1115 waiver applica...
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Jarlenski, M., Rocco, P., Tipirneni, R., Kennedy, A. J., Gunturi, N., Donohue, J. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Partisan Responses to Public Health Messages: Motivated Reasoning and Sugary Drink Taxes
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. The refutation message boosted ind...
Source: Journal of Health Politics, Policy and Law - November 2, 2017 Category: Health Management Authors: Gollust, S. E., Barry, C. L., Niederdeppe, J. 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 - November 2, 2017 Category: Health Management Authors: Patashnik, E. M. Tags: Health Policy & Education, Political Science, General, Public Policy Editor ' s Note Source Type: research

Health Equity in a Trump Administration
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. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Stone, D. Tags: Health Policy & Education, Political Science, General, Public Policy Commentary Source Type: research

How the ACA Addressed Health Equity and What Repeal Would Mean
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. In stark contrast, Trumpcare makes no mention of health equity as a goal and—if pa...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Grogan, C. M. Tags: Health Policy & Education, Political Science, General, Public Policy Commentary Source Type: research

Falling through the Coverage Cracks: How Documentation Status Minimizes Immigrants' Access to Health Care
This article examines the relationship between coverage and health care access for immigrants under comprehensive health reform in the Boston metropolitan area. The article uses data from interviews conducted with a total of 153 immigrants, health care professionals, and immigrant and health advocacy organization employees under the Massachusetts and ACA health reforms. Findings indicate that respondents across the various stakeholder groups perceive that immigrants' documentation status minimizes their ability to access health care even when they have health coverage. Specifically, respondents expressed that intersecting ...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Joseph, T. D. Tags: Health Policy & Education, Political Science, General, Public Policy How Immigration Policy Impacts Health Equity Source Type: research

Cautious Citizenship: The Deterring Effect of Immigration Issue Salience on Health Care Use and Bureaucratic Interactions among Latino US Citizens
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 autho...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Pedraza, F. I., Nichols, V. C., LeBron, A. M. W. Tags: Health Policy & Education, Political Science, General, Public Policy How Immigration Policy Impacts Health Equity Source Type: research

Missed Opportunity? Leveraging Mobile Technology to Reduce Racial Health Disparities
Blacks and Latinos are less likely than whites to access health insurance 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. We find th...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Ray, R., Sewell, A. A., Gilbert, K. L., Roberts, J. D. Tags: Health Policy & Education, Political Science, General, Public Policy How Health Policies Affect Health Equity Source Type: research

People, Places, Power: Medicaid Concentration and Local Political Participation
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. I find that, as the proportion of county residents enrolled in Medicaid increases, the prevalence of civic and political membership associations declines and aggregate rates of voting decrease. These results suggest that, if grassroots political action...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Michener, J. D. Tags: Health Policy & Education, Political Science, General, Public Policy How Health Policies Affect Health Equity Source Type: research