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Improving Quality as a Solution to the Health Care Cost Problem? Health Policy Experts and the Promotion of a Controvers...

Published in Journal of health politics, policy and law

In the late 2000s, the contention that quality improvements achieved by reforms in the delivery of care would slow the growth of costs throughout the US health care system became the predominant strategy for cost containment in the discourses and programs of all the 2008 presidential candidates. The question that this paper addresses is why, despit...

Ideological Sorting of Physicians in Both Geography and the Workplace.

Published in Journal of health politics, policy and law

The distribution of physicians across geography and employers has important implications for the delivery of medical services. This study examines how the political beliefs of physicians influence their decisions about where to live and work. Physician relocation and employment patterns are analyzed with a panel constructed from the National Provid...

The Effect of EU Integration on Health Care in Central and Eastern Europe.

Published in Journal of health politics, policy and law

The effect of EU policy and its legal framework on health care in CEE member states has been complex. In relation to health care access and financial sustainability, it has been detrimental in certain parts of CEE. This has primarily been to the result of economic/fiscal governance instruments of the EU and free-movement rules facilitating outflows...

Applicability of European Union Competition Law to Health Care Providers: The Dividing Line between Economic and Nonecon...

Published in Journal of health politics, policy and law

Ever-increasing health spending, which, according to future projections, continues to outpace economic growth, will further endanger the financial sustainability of health systems. In a quest to improve the efficacy and efficiency of the health system and thus strengthen its financial sustainability, member states are employing market-based mechani...

Networked Health Care Governance in the European Union.

Published in Journal of health politics, policy and law

The European Union (EU) increasingly resorts to new forms of governance to establish unified health and welfare policies without member states having to transfer their sovereignty to a supranational level. European Administrative Networks are important instruments in the toolbox of new forms of governance, dealing with rulemaking, rule monitoring, ...

Health "Brexternalities": The Brexit Effect on Health and Health Care outside the United Kingdom.

Published in Journal of health politics, policy and law

The principal effects of Brexit on health and health care will fall within the United Kingdom, and all forms of Brexit have overwhelmingly negative implications for health care and health within the UK. This article focuses on the external effects of Brexit ("Brexternalities") for health and health care. The EU is a particularly powerful institutio...

Termites of Solidarity in the House of Austerity: Undermining Fiscal Governance in the European Union.

Published in Journal of health politics, policy and law

European Union (EU) fiscal governance, especially the European Semester, is an ambitious new governance architecture involving surveillance and discipline, across both Eurozone and non-Eurozone member state policies, in pursuit of fiscal rigor. It is the most recent of several attempts to expand EU powers over member state policy with the goal of a...

Health Care and the Fate of Social Europe.

Published in Journal of health politics, policy and law

Health Technology Assessment and Health Care Reimbursement in the European Union: Permissive Dissensus and the Limits of...

Published in Journal of health politics, policy and law

Member states have consistently limited the European Union's competences in the area of health care reimbursement. Despite these efforts, there has been a slow but steady tendency toward harmonization of a key tool in reimbursement decision-making: health technology assessment (HTA), a multidisciplinary evaluation of "value for money" of medicines,...

What Is EU Public Health and Why? Explaining the Scope and Organization of Public Health in the European Union.

Published in Journal of health politics, policy and law

Public health is notoriously difficult to define, and that is the case for public health in the European Union as much as other political systems. In this article, the authors try to identify the actual scope and meaning of public health as it is institutionalized in the EU political system. Using a mixture of historical policy and legal analysis, ...