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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

Autism Insurance Coverage : Which State Policies Work And Why?, Elizabeth Ivy Homan Apr 2012

Autism Insurance Coverage : Which State Policies Work And Why?, Elizabeth Ivy Homan

Honors Theses

In the spring of 2011, Virginia's legislature passed its first autism insurance mandate via Senate Bill 1062 and House Bill 2467. As a legislative intern for Senator Janet Howell - the primary sponsor of SB 1062 - I was able to track the mandate from beginning to end. I observed conferences between Senator Howell and representatives from autism advocacy groups, I sat in on various Senate and House committee meetings, I carefully reviewed changes in the mandate's text when Senator Howell compressed her two original autism bills into one new bill in order to match Delegate Greason's HB 2467, and …


Play Fair With Recidivists, Richard Dagger Jan 2012

Play Fair With Recidivists, Richard Dagger

Political Science Faculty Publications

Retributivists thus face a difficult challenge. Either we must go against the social grain, and perhaps our own intuitions, by insisting that a criminal offense carry the same penalty or punishment no matter how many previous convictions an offender has accrued; or we must find a way to justify the recidivist premium. I shall take the second route here by arguing that recidivism itself is a kind of criminal offense. In developing this argument, I shall rely on Youngjae Lee's insightful analysis of "recidivism as omission." I shall complement his analysis, however, by grounding it in a conception of criminal …


Beyond Capitation: How New Payment Experiments Seek To Find The 'Sweet Spot' In Amount Of Risk Providers And Payers Bear, Rick Mayes, Austin B. Frakt Jan 2012

Beyond Capitation: How New Payment Experiments Seek To Find The 'Sweet Spot' In Amount Of Risk Providers And Payers Bear, Rick Mayes, Austin B. Frakt

Political Science Faculty Publications

A key issue in the decades-long struggle over US health care spending is how to distribute liability for expenses across all market participants, from insurers to providers. The rise and abandonment in the 1990s of capitation payments—lump-sum, per person payments to health care providers to provide all care for a specified individual or group—offers a stark example of how difficult it is for providers to assume meaningful financial responsibility for patient care. This article chronicles the expansion and decline of the capitation model in the 1990s. We offer lessons learned and assess the extent to which these lessons have been …