1332个豁免的演变告诉我们什么关于他们的创新潜力
Phillip M Singer1, Daniel Skinner2, Brad Wright3
1University of Utah.
Journal of health politics, policy and law
|October 6, 2023
概括
根据"负担得起的医疗法案" (ACA) 的州豁免显示了多种方法. 一些州,如格鲁吉亚,寻求显著的市场变化,而其他州则扩大了ACA条款,突出了不断变化的卫生政策格局.
科学领域:
- 卫生政策 卫生政策
- 比较政治比较政治比较政治
- 公共卫生管理公共卫生管理.
背景情况:
- "可负担医疗法案" (ACA) 第1332条赋予各州在卫生政策方面的灵活性.
- 在2019年至2023年期间,国家豁免活动发生了显著的变化.
- 豁免已被用于各种卫生政策目标,包括市场重组和计划扩展.
研究的目的:
- 分析2019-2023年ACA第1332条规定的国家豁免活动.
- 为了比较不同州的豁免方法,包括佐治亚州,科罗拉多州,华盛顿州,俄勒冈州和内华达州.
- 了解不同行政部门对国家卫生政策创新的影响.
主要方法:
- 对国家豁免申请和批准进行比较分析.
- 审查豁免趋势,重点关注再保险计划和市场重组.
- 审查特朗普和拜登政府下的政策转变.
主要成果:
- 豁免活动主要集中在再保险计划上.
- 格鲁吉亚提出了与ACA框架的重大偏离,后者被暂停.
- 民主党领导的州寻求豁免以扩大ACA条款,例如公共选择计划和更广泛的资格.
结论:
- 国家豁免活动反映了卫生政策修改的各种策略.
- 行政主席国在制定实施卫生政策豁免方面发挥着至关重要的作用.
- 当代的卫生政策表明,市场重组和ACA通过国家一级倡议的扩张之间的紧张关系.
相关概念视频
Conservative Site-specific Recombination and Phase Variation
6.0K
Because the DNA segments are cut and reorganized in a direction-specific manner, site-specific recombination has emerged as an efficient genetic engineering technique. Flippase and Cyclization recombinases or Flp and Cre, respectively, are two members of the tyrosine recombinase family derived from bacteriophages, that are used to mediate site-specific DNA insertions, deletions, and targeted expression of proteins in mammalian cell lines.
The recognition sites for Cre recombinase called LoxP...
The recognition sites for Cre recombinase called LoxP...
6.0K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Global Regulatory Systems
30
Global regulatory systems in bacteria enable rapid and coordinated responses to environmental changes by integrating sensory inputs with gene expression, ensuring efficient adaptation to fluctuating conditions. Key global regulatory mechanisms include regulons, two-component systems, sigma factors, and secondary messengers.Regulons and Global RegulatorsA regulon is a collection of genes and operons controlled by a common global regulator. These regulators enable bacteria to prioritize resource...
30
Convergent Evolution
27.8K
Evolution shapes the features of organisms over time, ensuring that they are suited for the environments in which they live. Sometimes, selection pressure leads to the rise of similar but unrelated adaptations in organisms with no recent common ancestors, a process known as convergent evolution.
27.8K
Viral Mutations
32.4K
A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
32.4K
Exon Recombination
3.6K
The evolution of new genes is critical for speciation. Exon recombination, also known as exon shuffling or domain shuffling, is an important means of new gene formation. It is observed across vertebrates, invertebrates, and in some plants such as potatoes and sunflowers. During exon recombination, exons from the same or different genes recombine and produce new exon-intron combinations, which might evolve into new genes.
Exon shuffling follows “splice frame rules.” Each exon...
Exon shuffling follows “splice frame rules.” Each exon...
3.6K


