Lumpers and splitters: Different approaches to understanding variations research

Health Affairs

Volumn 23, Issue SUPPL., 2004, Pages

  Berenson, Robert A ^a  

^a URBAN INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANGIOTENSIN 1 RECEPTOR ANTAGONIST;

HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HUMAN; MEDICAL CARE; MEDICAL RESEARCH; MEDICARE; PURCHASING; REVIEW; ARTICLE; CLINICAL PRACTICE; HEALTH SERVICES RESEARCH; UNITED STATES;

HEALTH CARE REFORM; HEALTH SERVICES RESEARCH; MEDICARE; PHYSICIAN'S PRACTICE PATTERNS; UNITED STATES;

EID: 15544364076     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.var.98     Document Type: Review

References (18)

1. J.E. Wennberg, E.S. Fisher, and J.S Skinner, "Geography and the Debate over Medicare Reform," Health Affairs, 13 February 2002, content.healthaffairs.org/cgi/content/abstract/hlthaff.w2.96 (9 September 2004).
2. A special collection of papers on variations is available at content.healthaffairs.org/cgi/content/full/hlthaff.var.98/DC1.
3. J.E. Wennberg et al., "Use of Medicare Claims Data to Monitor Provider-Specific Performance among Patients with Severe Chronic Illness," Health Affairs, 7 October 2004, content.healthaffairs.org/cgi/content/abstract/ hlthaff.var.5.
4. Advocates of a private system often disagree about whether employer-based group insurance should be the main approach to market-oriented purchasing or whether individuals should take the purchasing responsibility.
5. R.A. Berenson, "Getting Serious about Excessive Medicare Spending: A Purchasing Model," Health Affairs, 10 December 2003, content. healthaffairs.org/cgi/content/abstract/hlthaff.w3.586 (9 September 2004).
6. Splitters and incrementalists share an affinity.
7. V.R. Fuchs, "Health Care and the United States Economic System: An Essay in Abnormal Psychology," Milbank Quarterly 50, no. 2 (1972): 211-237.
8. S.M. Lieberman et al., "Reducing the Growth of Medicare Spending: Geographic versus Patient-Based Strategies," Health Affairs, 10 December 2003, content.healthaffairs.org/cgi/content/abstract/hlthaff.w3.603 (9 September 2004).
9. R.M. Wachter and L. Goldman, "The Emerging Role of 'Hospitalists' in the American Health Care System," New England Journal of Medicine 335, no. 7 (1996): 514-517.
10. In August 1999 the Medicare Payment Advisory Commission (MedPAC) recommended a fundamental hospital payment change that would have combined Medicare's graduate medical education (GME) payments to teaching hospitals into a single teaching hospital payment adjustment that it argued would better account for the higher costs of inpatient care in those facilities. Although a major reform and not implemented, it would not have addressed directly the incentives issue discussed here. MedPAC, Report to Congress: Rethinking Medicare's Payment Policies for Graduate Medical Education and Teaching Hospitals (Washington: MedPAC, August 1999).
11. B.C. Strunk and R.E. Hurley, "Paying for Quality: Health Plans Try Carrots Instead of Sticks," Issue Brief no. 82 (Washington: Center for Studying Health System Change, May 2004).
12. Premier Hospital Quality Incentive Demonstration, "Making Quality Count," www.premierinc.com/all/informatics/qualitydemo (9 September 2004).
13. S. Leatherman et al., "The Business Case for Quality: Case Studies and an Analysis," Health Affairs 22, no. 2 (2003): 17-30.
14. Robert A. Berenson, Urban Institute, testimony before the Health Subcommittee on Health, Ways and Means Committee, 11 May 2004, ways andmeans.house.gov/hearings. asp?formmode= view&id=1591 (7 September 2004).
15. J. Billings, G.M. Anderson, and L.S. Newman, "Recent Findings on Preventable Hospitalizations," Health Affairs 15, no. 3 (1996): 239-249.
16. R.A. Berenson and J. Horvath, "Confronting the Barriers to Chronic Care Management in Medicare," Health Affairs, 22 January 2003, content.healthaffairs.org/cgi/content/abs tract/hlthaff.w3.37 (9 September 2004); and Berenson testimony.
17. E.A. McGlynn at al., "The Quality of Health Care Delivered to Adults in the United States," New England Journal of Medicine 348, no. 26 (2003): 2635-2645; and S.F. Jencks, E.D. Huff, and T. Cuerdon, "Change in the Quality of Care Delivered to Medicare Beneficiaries, 1998-1999 to 2000-2001," Journal of the American Medical Association 289, no. 3 (2003): 305-312.
18. E.A. McGlynn at al., "The Quality of Health Care Delivered to Adults in the United States," New England Journal of Medicine 348, no. 26 (2003): 2635-2645; and S.F. Jencks, E.D. Huff, and T. Cuerdon, "Change in the Quality of Care Delivered to Medicare Beneficiaries, 1998-1999 to 2000-2001," Journal of the American Medical Association 289, no. 3 (2003): 305-312.