23 found
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  1.  13
    Managed Care and Public Health: Conflict and Collaboration.Sara Rosenbaum & Brian Kamoie - 2002 - Journal of Law, Medicine and Ethics 30 (2):191-200.
    This article reviews the relationship between managed care and public health. Managed care, with its seemingly infinite structural and organizational variation, dominates the modern American health-care system for the non-elderly U.S. population. Through its emphasis on standarhzed practice norms and performance measurement, coupled with industrial purchasing techniques, prepayment, risk downstreaming, and incentives-based compensation, managed care has the potential to exert considerable influence over the manner in which the health-care system is organized and functions. Given the degree to which the attainment (...)
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  2.  11
    The Irreplaceable Program in an Era of Uncertainty.Sara Rosenbaum & Elizabeth Taylor - 2018 - Journal of Law, Medicine and Ethics 46 (4):883-886.
    In 2017, Medicaid faced a near-death experience, the third of its 53-year history. Its survival and resilience is a testament not just to its size but to the multiple, vital roles Medicaid plays in the health care system, and its ability to adapt to emerging population health needs. It can take an existential threat to make these indispensable qualities clear.
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  3.  19
    Managed Care and Public Health: Conflict and Collaboration.Sara Rosenbaum & Brian Kamoie - 2002 - Journal of Law, Medicine and Ethics 30 (2):191-200.
    This article reviews the relationship between managed care and public health. Managed care, with its seemingly infinite structural and organizational variation, dominates the modern American health-care system for the non-elderly U.S. population. Through its emphasis on standarhzed practice norms and performance measurement, coupled with industrial purchasing techniques, prepayment, risk downstreaming, and incentives-based compensation, managed care has the potential to exert considerable influence over the manner in which the health-care system is organized and functions. Given the degree to which the attainment (...)
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  4.  14
    What is Fair? Choice, Fairness, and Transparency in Access to Prescription Medicines in the United States and Australia.Ruth Lopert & Sara Rosenbaum - 2007 - Journal of Law, Medicine and Ethics 35 (4):643-656.
    The role of government in assuring population access to affordable and appropriate health care represents a central question for any nation. Of particular concern is access to prescription drug coverage, not only because of the vital role played by drugs in modern medicine, but also because of their high costs. This article examines the sharply contrasting prescription drug coverage and payment policies found in Australia and the U.S. – strong political allies and international trading partners – and describes how key (...)
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  5.  21
    What Is Fair? Choice, Fairness, and Transparency in Access to Prescription Medicines in the United States and Australia.Ruth Lopert & Sara Rosenbaum - 2007 - Journal of Law, Medicine and Ethics 35 (4):643-656.
    The importance of prescription drugs to modern medical practice, coupled with their increasing costs, has strengthened imperatives for national health policies that ensure safety and quality, facilitate affordable access, and promote rational use. Australia has made universal and affordable prescription drug coverage a priority for decades, within a policy framework that emphasizes equity and increasing transparency in coverage design and payment decisions. By contrast, the U.S. lacks such a national policy. Furthermore, federal Medicare reforms aimed at making appropriate drug coverage (...)
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  6.  18
    New Directions in Health Insurance Design: Implications for Public Policy and Practice.Karen Pollitz, Donna Imhoff, Charles Scott & Sara Rosenbaum - 2003 - Journal of Law, Medicine and Ethics 31 (s4):60-62.
    National attention on issues of public health preparedness necessarily brings into sharp focus the question of how to assure adequate, community-wide health care financing for preventive, acute care, and long-term medical care responses to public health threats. In the U.S., public and private health insurance represents the principal means by which medical care is financed. Beyond the threshold challenge of the many persons without any, or a stable form of, coverage lie challenges related to the structure and characteristics of health (...)
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  7.  17
    Allowing Small Businesses and the Self-Employed to Buy Health Care Coverage Through Public Programs.Sara Rosenbaum, Phyllis C. Borzi & Vernon Smith - 2001 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 38 (2):193-201.
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  8.  14
    Improving Coordination of Legal-Based Efforts Across Jurisdictions and Sectors for Obesity Prevention and Control.Aviva Must, Gary Bennett, Christina Economos, Elizabeth Goodman, Joe Schilling, Lisa Quintiliani, Sara Rosenbaum, Jeff Vincent & Marice Ashe - 2009 - Journal of Law, Medicine and Ethics 37 (s1):90-98.
    This paper is the companion to the “Assessment of Coordination of Legal-Based Efforts across Jurisdictions and Sectors for Obesity Prevention and Control” paper, and the third of four papers outlining action options that policymakers can consider as discussed as part of the National Summit on Legal Preparedness for Obesity Prevention and Control. The goal of this paper is to identify potential action and policy strategies related to coordination across jurisdictions and sectors that can be adopted by policymakers and implemented by (...)
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  9.  23
    Improving Coordination of Legal-Based Efforts Across Jurisdictions and Sectors for Obesity Prevention and Control.Aviva Must, Gary Bennett, Christina Economos, Elizabeth Goodman, Joe Schilling, Lisa Quintiliani, Sara Rosenbaum, Jeff Vincent & Marice Ashe - 2009 - Journal of Law, Medicine and Ethics 37 (s1):90-98.
    This paper is the companion to the “Assessment of Coordination of Legal-Based Efforts across Jurisdictions and Sectors for Obesity Prevention and Control” paper, and the third of four papers outlining action options that policymakers can consider as discussed as part of the National Summit on Legal Preparedness for Obesity Prevention and Control. The goal of this paper is to identify potential action and policy strategies related to coordination across jurisdictions and sectors that can be adopted by policymakers and implemented by (...)
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  10.  12
    New Directions in Health Insurance Design: Implications for Public Policy and Practice.Karen Pollitz, Donna Imhoff, Charles Scott & Sara Rosenbaum - 2003 - Journal of Law, Medicine and Ethics 31 (S4):60-62.
    This is a volatile time for health insurance policy. Medicare and Medicaid are in turmoil, as is the private health insurance market. Public and private health insurance costs constitute eighty percent of healthcare spending in the United States. Public health professionals depend on the insurance system to behave in ways that are responsive to public health in prevention and crisis management.Seventy-five percent of the American population, excluding the elderly, has coverage through the private health insurance system. Ninety percent of this (...)
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  11.  16
    Assessing Coordination of Legal-Based Efforts Across Jurisdictions and Sectors for Obesity Prevention and Control.Marice Ashe, Gary Bennett, Christina Economos, Elizabeth Goodman, Joe Schilling, Lisa Quintiliani, Sara Rosenbaum, Jeff Vincent & Aviva Must - 2009 - Journal of Law, Medicine and Ethics 37 (s1):45-54.
    America’s increasing obesity problem requires federal, state, and local lawyers, policymakers, and public health practitioners to consider legal strategies to encourage healthy eating and physical activity. The complexity of the legal landscape as it affects obesity requires an analysis of coordination across multiple sectors and disciplines. Government jurisdictions can be viewed “vertically,” including the local, state, tribal, and federal levels, or “horizontally” as agencies or branches of government at the same vertical level. Inspired by the successful tobacco control movement, obesity (...)
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  12. Crossing the Rubicon: The Impact of the Affordable Care Act on the Content of Insurance Coverage for Persons with Disabilities.Sara Rosenbaum, Joel Teitelbaum & Katherine Hayes - 2011 - Notre Dame Journal of Law, Ethics and Public Policy 25 (2):527-562.
  13.  12
    Insurance Discrimination on the Basis of Health Status: An Overview of Discrimination Practices, Federal Law, and Federal Reform Options.Sara Rosenbaum - 2009 - Journal of Law, Medicine and Ethics 37 (s2):101-120.
    This is an important time to focus on the question of insurance discrimination based on health status. The nation once again is poised to embark on a major health care reform debate. Even as the number of uninsured stands at some 45 million persons, millions more may be poised to lose coverage during the worst economic downturn in generations. In addition, a large number of persons may be seriously under-insured, with coverage falling significantly below the cost of necessary health care. (...)
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  14.  15
    Insurance Discrimination on the Basis of Health Status: An Overview of Discrimination Practices, Federal Law, and Federal Reform Options.Sara Rosenbaum - 2009 - Journal of Law, Medicine and Ethics 37 (s2):101-120.
    Actuarial underwriting, or discrimination based on an individual's health status, is a business feature of the voluntary private insurance market. The term “discrimination” in this paper is not intended to convey the concept of unfair treatment, but rather how the insurance industry differentiates among individuals in designing and administering health insurance and employee health benefit products. Discrimination can occur at the point of enrollment, coverage design, or decisions regarding scope of coverage. Several major federal laws aimed at regulating insurance discrimination (...)
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  15.  9
    National Health Reform and America’s Uninsured.Sara Rosenbaum, Jeanne M. Lambrew & Joel Teitelbaum - 2004 - Journal of Law, Medicine and Ethics 32 (3):386-389.
  16.  23
    Assessing Coordination of Legal-Based Efforts Across Jurisdictions and Sectors for Obesity Prevention and Control.Marice Ashe, Gary Bennett, Christina Economos, Elizabeth Goodman, Joe Schilling, Lisa Quintiliani, Sara Rosenbaum, Jeff Vincent & Aviva Must - 2009 - Journal of Law, Medicine and Ethics 37 (s1):45-54.
    America’s increasing obesity problem requires federal, state, and local lawyers, policymakers, and public health practitioners to consider legal strategies to encourage healthy eating and physical activity. The complexity of the legal landscape as it affects obesity requires an analysis of coordination across multiple sectors and disciplines. Government jurisdictions can be viewed “vertically,” including the local, state, tribal, and federal levels, or “horizontally” as agencies or branches of government at the same vertical level. Inspired by the successful tobacco control movement, obesity (...)
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  17.  18
    New Directions for Health Insurance Design: Implications for Public Health Policy and Practice.Sara Rosenbaum - 2003 - Journal of Law, Medicine and Ethics 31 (s4):94-103.
    National attention on issues of public health preparedness necessarily brings into sharp focus the question of how to assure adequate, community-wide health care financing for preventive, acute care, and long-term medical care responses to public health threats. In the U.S., public and private health insurance represents the principal means by which medical care is financed. Beyond the threshold challenge of the many persons without any, or a stable form of, coverage lie challenges related to the structure and characteristics of health (...)
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  18.  4
    The Affordable Care Act at Six: Reaching for a New Normal.Sara Rosenbaum & Jane Hyatt Thorpe - 2016 - Journal of Law, Medicine and Ethics 44 (4):533-537.
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  19.  15
    Finding a Way Through the Hospital Door: The Role of EMTALA in Public Health Emergencies.Sara Rosenbaum & Brian Kamoie - 2003 - Journal of Law, Medicine and Ethics 31 (4):590-601.
    This article examines the Emergency Medical Treatment and Labor Act in a public health emergency context. Congress enacted EMTALA in 1986 to prohibit the practice of “patient clumping,” which involved hospitals’ refusal to undertake emergency screening and stabilization services for individual patients who sought emergency room care, typically because of insurance status, inability to pay, or other grounds unrelated to the patient’s need for the services or the hospital’s ability to provide them. But in fact EMTALA, whose conceptual roots can (...)
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  20.  4
    New Directions for Health Insurance Design: Implications for Public Health Policy and Practice.Sara Rosenbaum - 2003 - Journal of Law, Medicine and Ethics 31 (S4):94-103.
    National attention on issues of public health preparedness necessarily brings into sharp focus the question of how to assure adequate, community-wide health care financing for preventive, acute care, and long-term medical care responses to public health threats. In the U.S., public and private health insurance represents the principal means by which medical care is financed. Beyond the threshold challenge of the many persons without any, or a stable form of, coverage lie challenges related to the structure and characteristics of health (...)
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  21.  3
    Foreword: On the Cusp: Insight and Perspectives on Health Reform.Sara Rosenbaum & Jeanne M. Lambrew - 2008 - Journal of Law, Medicine and Ethics 36 (4):612-617.
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  22.  4
    Foreword: On the Cusp: Insight and Perspectives on Health Reform.Sara Rosenbaum & Jeanne M. Lambrew - 2008 - Journal of Law, Medicine and Ethics 36 (4):612-617.
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  23.  4
    Finding a Way Through the Hospital Door: The Role of EMTALA in Public Health Emergencies.Sara Rosenbaum & Brian Kamoie - 2003 - Journal of Law, Medicine and Ethics 31 (4):590-601.
    This article examines the Emergency Medical Treatment and Labor Act in a public health emergency context. Congress enacted EMTALA in 1986 to prohibit the practice of “patient clumping,” which involved hospitals’ refusal to undertake emergency screening and stabilization services for individual patients who sought emergency room care, typically because of insurance status, inability to pay, or other grounds unrelated to the patient’s need for the services or the hospital’s ability to provide them. But in fact EMTALA, whose conceptual roots can (...)
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