BOOK REVIEWS

Gary Paul Nabhan and Stephen Trimble: The Geography of Childhood: Why Children Need Wild Places. Boston, MA: Beacon Press, 1994.

Laura Westra and Peter S. Wenz, eds.: Faces of Environmental Racism: Confronting Issues of Global Justice. Lanham, Md.: Rowman &; Littlefield Publishers, Inc., 1995.

John Gray: Beyond the New Right: Markets, Government and the Common Environment. London: Routledge, 1993

Darrow Schecter: Radical Theories: Paths Beyond Marxism and Social Democracy. Manchester: Manchester University Press, 1994     

Iaals' Honoring Families Initiative: Courts and Communities Helping Families in Transition Arising from Separation or Divorce

• It is time for a national dialogue about the feasibility of creating out‐of‐court alternatives for separating and divorcing families.
• Research indicates that separating parents who provide their children with consistency, emotional support, and low conflict help children successfully adapt in the transition process.

     

When methods meet politics: how risk adjustment became part of Medicare managed care

Health-based risk adjustment has long been touted as key to the success of competitive models of health care. Because it decreases the incentive to enroll only healthy patients in insurance plans, risk adjustment was incorporated into Medicare policy via the Balanced Budget Act of 1997. However, full implementation of risk adjustment was delayed due to clashes with the managed care industry over payment policy, concerns over perverse incentives, and problems of data burden. We review the history of risk adjustment leading up to the Balanced Budget Act and examine the controversies surrounding attempts to stop or delay its implementation during the years that followed. The article provides lessons for the future of health-based risk adjustment and possible alternatives.