HEALTH INSURANCE EXCHANGE: This Issue Brief examines issues related to managed competition and the use of a health insurance exchange for the purpose of addressing cost, quality, and access to health care services. It discusses issues that must be addressed when designing an exchange in order to reform the health insurance market and also examines state efforts at health reform that use an exch...

Senator Barack Obama has proposed having a public plan available to those seeking coverage in a purchasing arrangement, such as the Federal Employees Health Benefits Plan. Senators Hillary Clinton and John Edwards had similar proposals. In the academic world, Jacob Hacker of Yale University has articulated the same proposal in his Health Care for Americans plan.2 Likewise, the reform approach w...

Background The Ministry of Health (MOH) of Mozambique became a People that Deliver (PtD) focus country in 2011. Soon after the PtD Conference in 2011, the MOH re-ignited the development of a Strategic Plan for Pharmaceutical Logistics and decided to make reform of Human Resources for the Supply Chain (HR for SC) a key pillar of the plan, as well as a component of the Health Sector Strategic Pla...

10.1056/nejmp0906394 nejm.org e48(1) and, if enacted, sent to the Pres­ ident for his approval and signa­ ture. Previous research suggests that public opinion will play an important role in the outcome of this process. Experience suggests that although the final legislation is likely to be complex, the pub­ lic will form an overall view lead­ ing it either to support or to op­ pose enactment, b...

Th e symposium with international participation entitled Experiences in the Implementation of Healthcare Reform in the Republic of Croatia took place on October 27-29, 2009 at Plitvice Lakes. Th e Symposium was organized by the Ministry of Health and Social Welfare of the Republic of Croatia and Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, under the persona...

In the United States, city and county governments are often responsible for implementing health policies and programs on behalf of state and federal governments. However, local jurisdictions have generally not capitalized on their own expertise or on local knowledge to advocate rights-based health care reform. Working with local public health officials to develop a rights-based health care refo...

We examine the effect of the evolution of President Clinton’s health care reform proposal over January 1992–October 1993 on pharmaceutical stock prices. We identify a 52.3 percent decline in market-adjusted prices, which we then associate with health care reform. Applying a new technique, isotonic regression, we find most of the decline occurred gradually. Much of the decline occurred as the Cl...

The signature domestic accomplishment of the Obama Administration thus far has been the enactment of health care reform in March 2010, the Patient Protection and Affordable Care Act (PPACA). Whatever its consequences, PPACA is one of the most significant pieces of social policy legislation in the history of the United States. Professor Gruber reviews the background and context of this historic ...