+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Risky business: effectiveness of state market-based health programs



Risky business: effectiveness of state market-based health programs



Journal of Health Politics Policy and Law 35(1): 29-48



Since the 1990s, state governments have been leaders of health care reform. Today, approximately 47 million people are without health insurance. As health care costs and uninsurance levels continue to rise, states are pursuing a variety of government- and market-based strategies to address this growing social problem. Health care research has indicated that state-based programs have proven to be successful in extending access to coverage. However, the question remains as to whether the market-based programs have had a positive impact on state health care. Advocates for market-based state health programs argue that the reforms benefit the greater good because they serve an economic development function by improving the economic productivity and overall health of state citizens. Whether market-based policies are accomplishing these goals is a matter of debate. This study examines the effects of the various market-based state policies. The evidence generated by this research sheds light on the societal effectiveness of market-based health care strategies used by state governments. The results of our analysis indicate that programs enacted by states to promote increased access to medical care have developmental effects beyond the client population directly served.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055589383

Download citation: RISBibTeXText

PMID: 20159845

DOI: 10.1215/03616878-2009-039


Related references

Risky business. Managed health care heart programs. Aappo Journal 1(5): 27-30, 1991

The decision to adopt evidence-based and other innovative mental health practices: risky business?. Psychiatric Services 57(8): 1153-1161, 2006

Risky Business: New York City's Experience With Fear-Based Public Health Campaigns. Health Affairs 34(5): 844-851, 2015

The Effectiveness of Population Based Risk Reduction Programs and Services in Reducing Risky Sexual Behavior among Young People in Developing Countries. Jbi Library of Systematic Reviews 9(64 Suppl): 1-17, 2011

Business of radiology 101: the state of radiology business practice and health care policy curricula at US radiology residency programs. Journal of the American College of Radiology 9(3): 174-180.E1, 2012

Clinical decision support programs can be risky business. Journal of Healthcare Information Management 21(2): 15-17, 2007

Risky business: economic uncertainty, market reforms and female livelihoods in Northeast Ghana. Development and Change 31(5): 987-1008, 2000

Health promotion in small business: a systematic review of factors influencing adoption and effectiveness of worksite wellness programs. Journal of Occupational and Environmental Medicine 56(6): 579-587, 2014

Relating health care market characteristics to the effectiveness of utilization review programs. Inquiry 27(4): 344-351, 1990

Health care alliances provide market-based solutions for small business. Health Care Innovations 5(4): 13-15, 1995

Business handling the market, business controlling the market and market commercialization - the significance of the Bugi Model in new levels of reform of the circulation system for agricultural products in China. Chinese Rural Economy ( 9): 18-26, 1999

Hypertension in health care providers: effectiveness of worksite treatment programs in a state mental health agency. American Journal of Public Health 71(11): 1261-1263, 1981

Risky business: health risk assessment and public health policy on environmental carcinogens. Medical Journal of Australia 170(8): 372-374, 1999

Risky business: setting public health policy for HIV-infected health care professionals. Milbank Quarterly 70(1): 43-79, 1992

Partnering with disease state management vendors: is it risky business?. Quality Letter for Healthcare Leaders 7(9): 11-16, 1995