Despite extensive variations on the theme, managed competition continues to be the favored model of federal and state governments in crafting health reform. A critical element in managed competition is the establishment of health insurance purchasing cooperatives (HIPCs), which band together the collective buying power of individuals or employers to give them market "clout". Policymakers must decide whether they want a HIPC to be an aggressive regulator--using its power to force changes among health plans--or a passive price-taker that contracts with plans meeting key criteria.
{"title":"Aggressive regulator or passive price-taker: what role should HIPCs (health insurance purchasing cooperatives) play?","authors":"E K Wicks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite extensive variations on the theme, managed competition continues to be the favored model of federal and state governments in crafting health reform. A critical element in managed competition is the establishment of health insurance purchasing cooperatives (HIPCs), which band together the collective buying power of individuals or employers to give them market \"clout\". Policymakers must decide whether they want a HIPC to be an aggressive regulator--using its power to force changes among health plans--or a passive price-taker that contracts with plans meeting key criteria.</p>","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"21-5"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20997567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abortion services and President Clinton's health plan: two views ... no, abortion isn't a health care service.","authors":"R P Casey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"27, 29, 31"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
President Clinton has indicated he will include abortion services as a covered benefit in his upcoming health reform proposal. Two national leaders with opposing views debate the political and strategic wisdom of that approach.
{"title":"Abortion services and President Clinton's health plan: two views. Yes, keep abortion services in Clinton health plan.","authors":"P J Maraldo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>President Clinton has indicated he will include abortion services as a covered benefit in his upcoming health reform proposal. Two national leaders with opposing views debate the political and strategic wisdom of that approach.</p>","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"26, 28, 30 passim"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20997565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Texas links charity care, hospital tax-exempt status.","authors":"M Jee","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"57-8"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legal group looks for uniformity in life-and-death treatment choices.","authors":"D B Moskowitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Other Washington\" passes major health reform.","authors":"C Kent","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"55-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Donna Shalala: a liberal in moderate's clothing?","authors":"C Kent","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Feds, states divvy up duties in health care reform.","authors":"C Kent, M Jee","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"53-4"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The term "special interest group" has never conjured up warm and fuzzy feelings, and certainly not among the pseudo-populist Clinton Administration as it tries to pull off health reform. But when these groups aren't using their lobbying muscles to kill or reshape legislation, they can genuinely help lawmakers understand the real-world effect of policy changes big and small. That's why the editorial staff of the Journal of American Health Policy decided to pass judgment on a dozen key health lobbying groups in its 1993 Report Card. Grades reflect the groups' impact on the legislative process, willingness to compromise, perceived level of integrity, and grass-roots organizing. As with previous report cards, we have graded on a curve.
{"title":"Grading health care's Gucci-Gulch gang.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The term \"special interest group\" has never conjured up warm and fuzzy feelings, and certainly not among the pseudo-populist Clinton Administration as it tries to pull off health reform. But when these groups aren't using their lobbying muscles to kill or reshape legislation, they can genuinely help lawmakers understand the real-world effect of policy changes big and small. That's why the editorial staff of the Journal of American Health Policy decided to pass judgment on a dozen key health lobbying groups in its 1993 Report Card. Grades reflect the groups' impact on the legislative process, willingness to compromise, perceived level of integrity, and grass-roots organizing. As with previous report cards, we have graded on a curve.</p>","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 4","pages":"40-3"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reforming the health care system is too often thought of in the context of finding new financing methods to preserve the existing system. The nursing profession's agenda for health reform argues for a return to more basic values of consumer empowerment, access, primary care, prevention and self-care balanced with acute care. Family-care clinics based in schools, workplaces, and other community sites are an important element to this approach. The ever-worsening shortage of primary care providers can be solved by support of advanced practice nurses.
{"title":"How to bring primary care back to patients.","authors":"B K Redman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reforming the health care system is too often thought of in the context of finding new financing methods to preserve the existing system. The nursing profession's agenda for health reform argues for a return to more basic values of consumer empowerment, access, primary care, prevention and self-care balanced with acute care. Family-care clinics based in schools, workplaces, and other community sites are an important element to this approach. The ever-worsening shortage of primary care providers can be solved by support of advanced practice nurses.</p>","PeriodicalId":79741,"journal":{"name":"The Journal of American health policy","volume":"3 3","pages":"42-5"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20997021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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