High and rising health care costs. Part 3: The role of health care providers

Annals of Internal Medicine

Volumn 142, Issue 12 I, 2005, Pages 996-1002

  Bodenheimer, Thomas ^a,b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COST BENEFIT ANALYSIS; COST CONTROL; DIAGNOSIS RELATED GROUP; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH INSURANCE; HEALTH SERVICE; MALPRACTICE; MEDICAL FEE; MEDICAL SPECIALIST; MEDICARE; PRIORITY JOURNAL; QUALITY CONTROL; REIMBURSEMENT; REVIEW; DEVELOPED COUNTRY; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE DELIVERY; HEALTH CARE MANPOWER; HUMAN; UNITED STATES;

COST CONTROL; DELIVERY OF HEALTH CARE; DEVELOPED COUNTRIES; HEALTH EXPENDITURES; HEALTH MANPOWER; HEALTH PERSONNEL; HUMANS; MARKETING OF HEALTH SERVICES; MEDICARE; UNITED STATES;

EID: 20544476498     PISSN: 00034819     EISSN: None     Source Type: Journal    
DOI: 10.7326/0003-4819-142-12_part_1-200506210-00009     Document Type: Review

References (47)

1. Bodenheimer T. High and rising health care costs. Part 1: seeking an explanation. Ann Intern Med. 2005;142:847-54.
2. Bodenheimer T. High and rising health care costs. Part 2: technologic innovation. Ann Intern Med. 2005;142:932-7.
3. Scott WR. Organizations, Rational, Natural, and Open Systems. Englewood Cliffs, NJ; Prentice-Hall; 1987.
4. Ginsburg PB. Can hospitals and physicians shift the effects of cuts in Medicare reimbursement to private payers? Health Affairs. Web Exclusive. 8 October 2003. Accessed at http://content.healthaffairs.org/cgi/content/full/ hlthaff.w3.472vl /DC1 on 2 December 2004.
5. Davis K, Anderson GF, Rowland D, Steinberg EP. Health Care Cost Containment. Baltimore: Johns Hopkins Univ Pr; 1990.
6. Aaron HJ. Serious and Unstable Condition. Washington DC: The Brookings Institution; 1991.
7. Start P. The Social Transformation of Ametican Medicine. New York: Basic Books; 1982.
8. Angell M. The Truth About the Drug Companies: How They Deceive Us and What To Do About It. New York: Random House; 2004:196-205.
9. Bodenheimer T, Grumbach K. Painful versus painless cost control. In: Understanding Health Policy: A Clinical Approach. New York: McGraw-Hill; 2005:69-79.
10. Organisation for Economic Cooperation and Development. A Disease-based Comparison of Health Systems. Paris: OECD; 2003. Accessed at www .oecd.org on 7 December 2004.
11. Reinhardt UE, Hussey PS, Anderson GF. Cross-national comparisons of health systems using OECD data, 1999. Health AfF (Millwood). 2002;21:169-81. [PMID: 12025981]
12. Fuchs VR, Hahn JS. How does Canada do it? A comparison of expenditures for physicians' services in the United States and Canada. N Engl J Med. 1990; 323:884-90. [PMID: 2118594]
13. Levit K, Smith C, Cowan C, Sensenig A, Catlin A; Health Accounts Team. Health spending rebound continues in 2002. Health Aff (Millwood). 2004;23: 147-59. [PMID: 15002637]
14. Danzon PM, Furukawa MF. Prices and availability of pharmaceuticals: evidence from nine countries. Health Affairs. Web Exclusive. 29 October 2003. Accessed at http://content.healthaffairs.org/cgi/content/full/hlthaff.w3.521v1/ DC1 on 2 December 2004.
15. Rice TH. Containing health care costs. In: Andersen RM, Rice TH, Kominski GF, eds. Changing the U.S. Health Care System. San Francisco: Jossey-Bass; 1996:81-100.
16. Devers KJ, Casalino LP, Rudell LS, Stoddard JJ, Brewster LR, Lake TK. Hospitals' negotiating leverage with health plans: how and why has it changed? Health Serv Res. 2003;38:419-46. [PMID: 12650374]
17. Melnick G, Keeler E, Zwanziger J. Market power and hospital pricing: are nonprofits different? Health Aff (Millwood). 1999;18:167-73. [PMID: 10388213]
18. Yip WC. Physician response to Medicare fee reductions: changes in the volume of coronary artery bypass graft (CABG) surgeries in the Medicare and private sectors. J Health Econ. 1998;17:675-99. [PMID: 10339248]
19. Christensen S. Volume responses to exogenous changes in Medicare's payment policies. Health Serv Res. 1992;27:65-79. [PMID: 1563954]
20. Starfield B. Primary Care. New York: Oxford Univ Pr; 1998.
21. Gelijns A, Rosenberg N. The dynamics of technological change in medicine. Health Aff (Millwood). 1994;13:28-46. [PMID: 7927160]
22. Phelps CE. Health Economics. Boston: Addison Wesley; 2003.
23. Skinner J, Wennberg JE. Perspective: exceptionalism or extravagance? What's different about health care in South Florida? Health Affairs. Web Exclusive. 13 August 2003. Accessed at http://content.healthaffairs.org/cgi/ content/full/hlthaff .w3.372v1/DC1 on 2 December 2004.
24. Wennberg JE, Cooper MM. The Dartmouth Atlas of Health Care. Chicago: American Hosp Publishing; 1999.
25. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138:273-87. [PMID: 12585825]
26. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138:273-87. [PMID: 12585825]
27. Fisher ES, Wennberg JE, Stukel TA, Skinner JS, Sharp SM, Freeman JL, et al. Associations among hospital capacity, utilization, and mortality of US Medicare beneficiaries, controlling for sociodemographic factors. Health Serv Res. 2000;34:1351-62. [PMID: 10654835]
28. Fuchs VR. The supply of surgeons and the demand for operations. J Hum Resour. 1978;13 Suppl:35-56. [PMID: 722069]
29. Ashton CM, Souchek J, Petersen NJ, Menke TJ, Collins TC, Kizer KW, et al. Hospital use and survival among Veterans Affairs beneficiaries. N Engl J Med. 2003;349:1637-46. [PMID: 14573736]
30. Fisher ES. Medical care-is more always better? [Editorial]. N Engl J Med. 2003;349:1665-7. [PMID: 14573739]
31. Medicare Payment Advisory Commission. Variation and Innovation in Medicare. June 2003. Accessed at www.medpac.gov/publications on 25 January 2005.
32. Wickizer TM. The effect of utilization review on hospital use and expenditures: a review of the literature and an update on recent findings. Med Care Rev. 1990;47:327-63. [PMlD: 10113408]
33. Dippe SE, Bell MM, Wells MA, Lyons W, Clester S. A peer review of a peer review organization. West J Med. 1989;151:93-6. [PMID: 2669350]
34. Light DW. Life, death, and the insurance companies [Editorial]. N Engl J Med. 1994;330:498-500. [PMID: 8289857]
35. Anderson RE. Billions for defense: the pervasive nature of defensive medicine. Arch Intern Med. 1999;159:2399-402. [PMID: 10665887]
36. Kessler D, McClellan M. Do doctors practice defensive medicine? Q J Econ 1996;111:353-90.
37. Office of Technology Assessment, U.S. Congress. Defensive Medicine and Medical Malpractice. Washington, DC: U.S. Gov Pr Office; 1994.
38. Dubay L, Kaestner R, Waidmann T. The impact of malpractice fears on cesarean section rates. J Health Econ. 1999;18:491-522. [PMID: 10539619]
39. Grumbach K, Bodenheimer T. Reins or fences: a physician's view of cost containment. Health Aff (Millwood). 1990;9:120-6. [PMID: 2289748]
40. Chulis GS. Assessing Medicare's prospective payment system for hospitals. Med Care Rev. 1991;48:167-206. [PMID: 10113662]
41. Miller RH, Luft HS. Does managed care lead to better or worse quality of carer Health Aff (Millwood). 1997;16:7-25. [PMID: 9314673]
42. Miller RH, Luft HS. HMO plan performance update: an analysis of the literature, 1997-2001. Health Aff (Millwood). 2002;21:63-86. [PMID: 12117154]
43. Manning WG, Leibowitz A, Goldberg GA, Rogers WH, Newhouse JP. A controlled trial of the effect of a prepaid group practice on use of services. N Engl J Med. 1984;310:1505-10. [PMID: 6717541]
44. The Effects of Managed Care and Managed Competition. Washington DC: Congressional Budget Office; February 1995.
45. Wholey DR, Christianson JB, Engberg J, Bryce C. HMO market structure and performance: 1985-1995. Health Aff (Millwood). 1997;16:75-84. [PMID: 9444810]
46. Organisation for Economic Cooperation and Development. Health Data 2004. Accessed at www.oecd.org on 15 November 2004.
47. Reinhardt UE, Hussey PS, Anderson GF. U.S. health care spending in an international context. Health Aff (Millwood). 2004;23:10-25. [PMID: 15160799]