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421. Bundled-Payment Models Around the World: How They Work and What Their Impact Has Been

Author:
Meredith B. Rosenthal, Paul F. van Gils, Caroline A. Baan, Eline F. de Vries, and Jeroen Struijs
Publication Date:
04-2020
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
We identified 23 initiatives in eight countries that have implemented bundled-payment models, focusing on procedures such as total joint replacements and cardiac surgery, as well as chronic conditions like diabetes and breast cancer. Of the 35 studies retrieved, 32 reported effects on quality of care and 32 reported effects on medical spending. Twenty of 32 studies reported modest savings or a modest reduction in spending growth, while two studies (both based on the same initiative) demonstrated increased spending in the early years of the bundled-payment model’s implementation. Eighteen of 32 studies reported quality improvements for most evaluated measures, while other studies showed no difference in measured quality. Our study provides evidence that bundled-payment models have the potential to reduce medical spending growth while having either a positive impact or no impact on quality of care.
Topic:
Economics, Health, Health Care Policy, Income Inequality, Macroeconomics, Coronavirus, and COVID-19
Political Geography:
United States and Global Focus

422. U.S. Health Care from a Global Perspective, 2019: Higher Spending, Worse Outcomes?

Author:
Roosa Tikkanen and Melinda K. Abrams
Publication Date:
01-2020
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
A 2015 Commonwealth Fund brief showed that — before the major provisions of the Affordable Care Act were introduced — the United States had worse outcomes and spent more on health care, largely because of greater use of medical technology and higher prices, compared to other high-income countries. By benchmarking the performance of the U.S. health care system against other countries — and updating with new data as they become available — we can gain important insights into our strengths and weaknesses and help policymakers and delivery system leaders identify areas for improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that uses health data from the Organisation for Economic Co-operation and Development (OECD) to assess U.S. health care system spending, outcomes, risk factors and prevention, utilization, and quality, relative to 10 other high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom. We also compare U.S. performance to that of the OECD average, comprising 36 high-income member countries.
Topic:
Health and Health Care Policy
Political Geography:
United States, Europe, and Global Focus

423. Political attitudes at a time of flux

Author:
Katy Hayward and Ben Rosher
Publication Date:
06-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
2019 was a year of tremendous political significance in Northern Ireland in terms of what failed to happen. On-off talks between the DUP and Sinn Féin went nowhere and the Assembly Chamber in Stormont remained empty for a third year. Theresa May’s Withdrawal Agreement failed to be passed by the House of Commons and so the UK remained an EU member-state into the new year. This Research Update by Katy Hayward and Ben Rosher highlights public attitudes relevant to the political challenges in Northern Ireland, based on data from the 2019 Northern Ireland Life and Times (NILT) survey.
Topic:
Politics, Elections, and Brexit
Political Geography:
United Kingdom, Europe, and Northern Ireland

424. Fisheries and Brexit

Author:
Anand Menon, Catherine Barnard, John Connolly, and Arno Van Der Zwet
Publication Date:
06-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
Brexit has been a steep learning curve for all of us. It has forced us to wrap our heads around a number of issues – Article 50, statutory instruments, rules of origin, business motions in the House of Commons and the rest – with which we were, at best, only vaguely familiar. Fish and fisheries is another such issue. Absurd though it may seem, as the formal Brexit process reaches its endgame, fisheries might yet be the issue that determines whether the negotiations succeed or fail. Consequently, we at the UK in a Changing Europe have put together this short report to try to explain the basics about a sector that is frequently referred to yet rarely properly understood. The aim of what follows is to explain, as clearly and accessibly as possible, what is at stake in the negotiations over fisheries, what is being negotiated and what the implications of these talks might be for the sector.
Topic:
European Union, Brexit, Trade, and Fishing
Political Geography:
United Kingdom and Europe

425. Brexit and the consequences for fisheries management in the North Sea

Author:
Gordon Munro
Publication Date:
06-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
The North Sea is a very productive fishing area of great importance to surrounding coastal states Norway, the UK, Sweden, the Netherlands, France, Germany, Denmark and Belgium, with an average total harvest in recent years of slightly more than 1.8 million tonnes. This report explains why the cooperative management of the six shared North Sea fish stocks has been so stable to date and considers what lessons this success holds for the world at large. The report also speculates on the post Brexit management of these resources. The lessons learned from cooperative management over 40 years may well have an impact also on future cooperation between Norway, the UK and the EU27.
Topic:
International Cooperation, European Union, Economy, Brexit, Oceans and Seas, and Fishing
Political Geography:
United Kingdom, Europe, France, Germany, Belgium, Denmark, Sweden, and Netherlands

426. Will getting Brexit done restore political trust?

Author:
Will Jennings
Publication Date:
09-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
There has been much written and said about the degree of trust that voters have in their government, and in politicians in general. At a time of considerable uncertainty around Covid-19, as well as around the various laws and guidelines governing public behaviour during the pandemic, these questions have taken on a newfound urgency. This report looks provides a starting point for those interested in tracking the relationship between government and governed in this Parliament.
Topic:
Government, Politics, European Union, Brexit, and COVID-19
Political Geography:
United Kingdom and Europe

427. What would no deal mean?

Author:
Anand Menon, David Bailey, Tim Bale, Catherine Barnard, Matthew Bevington, Meredith Crowley, Sarah Hall, Katy Hayward, Martin Heneghan, Carmen Hubbard, Lisa James, Hussein Kassim, Ben Kienzle, Nicola McEwen, Jonathan Portes, Ivan Rajic, Meg Russell, Jill Rutter, Thomas Sampson, Maddy Thimont-Jack, Alan Wager, and Dan Wincott
Publication Date:
09-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
We now have a Withdrawal Agreement, which means ‘no deal’ means ‘no trade deal’. Yet a no deal outcome would still have profound implications for the UK. As we analyse in this report, from trade to connectivity to foreign policy to cooperation in policing, a failure to strike an agreement with the EU will impact on us in numerous ways.
Topic:
International Relations, Politics, European Union, Constitution, Economy, Trade, and Society
Political Geography:
United Kingdom and Europe

428. Brexit and the Union

Author:
Mary C. Murphy, Michael Keating, David Bell, Nicola McEwen, Michael Kenny, Jac Larner, Dan Wincott, and Kirsty Hughes
Publication Date:
02-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
What challenges does leaving the European Union pose for the Unions of Great Britain and Northern Ireland? On 3 February the Centre on Constitutional Change launched their latest report, Brexit and the Union where their fellows discuss some of the issues Brexit presents for the UK’s territorial and constitutional future. This report looks at: Brexit and Ireland/Northern Ireland’s Constitutional Future The Internal Market Post-Brexit Regional Funds and Fisheries Arrangements Brexit: Exposing the Limits of Devolved Authority England’s Territorial Politics After Brexit Wales: Where Next? Brexit, Scotland and Europe
Topic:
Markets, European Union, Brexit, and Fishing
Political Geography:
United Kingdom, Europe, Ireland, Scotland, and Wales

429. Brexit and the British in Spain

Author:
Karen O'Reilly
Publication Date:
03-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
This report is based on findings from the BrExpats research project, funded by the Economic and Social Research Council through UK in a Changing Europe Initiative (Grant Number ES/R000875/1). This was a longitudinal study of Brexit and its implications for UK nationals living in other European Union member states. From May 2017 until January 2020, the project team tracked the Brexit negotiations and what they mean for the political rights, social and financial entitlements, identity, citizenship and belonging of Britons living in the EU-27. In particular, the project team documented how the protracted uncertainties about what Brexit means for citizens’ rights—the rights and entitlements derived from exercising Freedom of Movement—were experienced by UK nationals living across the EU-27, and with what consequences for their ongoing emotional and practical choices.
Topic:
European Union, Brexit, Negotiation, and Public Policy
Political Geography:
Britain, United Kingdom, Europe, and Spain

430. Brexit and the British in France

Author:
Michaela Benson
Publication Date:
03-2020
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
This report is based on findings from the BrExpats research project, funded by the Economic and Social Research Council through the UK in a Changing Europe Initiative. This was a longitudinal study of Brexit and its implications for UK nationals living in other European Union member states. From May 2017 until January 2020, the project team tracked the Brexit negotiations and what they mean for the political rights, social and financial entitlements, identity, citizenship and belonging of Britons living in the EU-27. In particular, the project team documented how the protracted uncertainties about what Brexit means for citizens’ rights—the rights and entitlements derived from exercising Freedom of Movement—were experienced by UK nationals living across the EU-27, and with what consequences for their ongoing emotional and practical choices.
Topic:
Treaties and Agreements, European Union, Brexit, and Freedom of Movement
Political Geography:
Britain, Europe, and France