Managed care and hospital cost containment

Inquiry

Volumn 45, Issue 1, 2008, Pages 98-111

  Konetzka, R Tamara ^a   Zhu, Jingsan ^b   Sochalski, Julie ^c   Volpp, Kevin G ^b  

^a UNIVERSITY OF CHICAGO   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COST CONTROL; HEALTH CARE COST; HEALTH CARE PLANNING; HOSPITAL CARE; HOSPITAL COST; MANAGED CARE; MARKET; UNITED STATES;

EID: 44349169585     PISSN: 00469580     EISSN: None     Source Type: Journal    
DOI: 10.5034/inquiryjrnl_45.01.98     Document Type: Article

References (40)

1. Anderson, G. F., N. Zhang, and C. Worzala. 1999. Hospital Expenditures and Utilization: The Impact of HMOs. American Journal of Managed Care 5(7):853-864.
2. Baker, L. C. 2001. Measuring Competition in Health Care Markets. Health Services Research 36(1 Pt 2):223-251.
3. _. 2005. HMO Penetration Rates in California, 1990-99. Personal communication.
4. Bamezai, A., J. Zwanziger, G. A. Melnick, and J. M. Mann. 1999. Price Competition and Hospital Cost Growth in the United States (1989-1994). Health Economics 8(3):233-243.
5. Bazzoli, G. J., R. C. Lindrooth, R. Hasnain-Wynia, and J. Needleman. 2004. The Balanced Budget Act of 1997 and U.S. Hospital Operations. Inquiry 41(4):401-417.
6. Blendon, R. J., M. Brodie, J. M. Benson, D. E. Altman, L. Levitt, T. Hoff, and L. Hugick. 1998. Understanding the Managed Care Backlash. Health Affairs 17(4):80-94.
7. Buchmueller, T. C., M. E. Allen, and W. Wright. 2003. Assessing the Validity of Insurance Coverage Data in Hospital Discharge Records: California OSHPD Data. Health Services Research 38(5):1359-1372.
8. Catlin, A., C. Cowan, S. Heffler, and B. Washington. 2007. National Health Spending in 2005: The Slowdown Continues. Health Affairs 26(1):142-153.
9. Devers, K. J., L. R. Brewster, and L. P. Casalino. 2003. Changes in Hospital Competitive Strategy: A New Medical Arms Race? Health Services Research 38(1 Pt 2):447-469.
10. Devers, K. J., L. P. Casalino, L. S. Rudell, J. J. Stoddard, L. R. Brewster, and T. K. Lake. 2003. Hospitals' Negotiating Leverage with Health Plans: How and Why Has It Changed? Health Services Research 38(1 Pt 2):419-446.
11. Ferris, T. G., Y. Chang, D. Blumenthal, and S. D. Pearson. 2001. Leaving Gatekeeping Behind-Effects of Opening Access to Specialists for Adults in a Health Maintenance Organization. New England Journal of Medicine 345(18):1312-1317.
12. Gabel, J., L. Levitt, J. Pickreign, H. Whitmore, E. Holve, S. Hawkins, and N. Miller. 2000. Job-Based Health Insurance in 2000: Premiums Rise Sharply While Coverage Grows. Health Affairs 19(5):144-151.
13. Gabel, J., L. Levitt, J. Pickreign, H. Whitmore, E. Holve, D. Rowland, K. Dhont, and S. Hawkins. 2001. Job-Based Health Insurance in 2001: Inflation Hits Double Digits, Managed Care Retreats. Health Affairs 20(5):180-186.
14. Garnick, D. W., H. S. Luft, J. C. Robinson, and J. Tetreault. 1987. Appropriate Measures of Hospital Market Areas. Health Services Research 22(1):69-89.
15. Gaskin, D. J., and J. Hadley. 1997. The Impact of HMO Penetration on the Rate of Hospital Cost Inflation, 1985-1993. Inquiry 34(3):205-216.
16. Ginsburg, P. B., and C. S. Lesser. 1999. The View from Communities. Journal of Health Politics, Policy, and Law 24(5):1005-1013.
17. Griliches, Z., and J. A. Hausman. 1986. Errors in Variables in Panel Data. Journal of Econometrics 31(1):93-118.
18. Held, P. J., and M. V. Pauly. 1983. Competition and Efficiency in the End-Stage Renal Disease Program. Journal of Health Economics 2(2):95-118.
19. Konetzka, R. T., E. C. Norton, P. D. Sloane, K. E. Kilpatrick, and S. C. Stearns. 2006. Medicare Prospective Payment and Quality of Care for Long-Stay Nursing Facility Residents. Medical Care 44(3):270-276.
20. Konetzka, R. T., E. C. Norton, and S. C. Stearns. 2006. Medicare Payment Changes and Nursing Home Quality: Effects on Long-Stay Residents. International Journal of Health Care Finance and Economics 6(3):173-189.
21. Konetzka, R. T., D. Yi, E. C. Norton, and K. E. Kilpatrick. 2004. Effects of Medicare Payment Changes on Nursing Home Staffing and Deficiencies. Health Services Research 39(3):463-488.
22. Lesser, C. S., and P. B. Ginsburg. 2000. Update on the Nation's Health Care System: 1997-1999. Health Affairs 19(6):206-216.
23. Lesser, C. S., P. B. Ginsburg, and K. J. Devers. 2003. The End of an Era: What Became of the "Managed Care Revolution" in 2001? Health Services Research 38(1 Pt 2):337-355.
24. Levit, K., C. Smith, C. Cowan, H. Lazenby, and A. Martin. 2002. Inflation Spurs Health Spending in 2000. Health Affairs 21(1):172-181.
25. Lindrooth, R. C., G. J. Bazzoli, J. Needleman, and R. Hasnain-Wynia. 2006. The Effect of Changes in Hospital Reimbursement on Nurse Staffing Decisions at Safety Net and Nonsafety Net Hospitals. Health Services Research 41(3 Pt 1):701-720.
26. Marsteller, J. A., R. R. Bovbjerg, L. M. Nichols, and D. K. Verrilli. 1997. The Resurgence of Selective Contracting Restrictions. Journal of Health Politics, Policy, and Law 22(5):1133-1189.
27. Mays, G. P., R. E. Hurley, and J. M. Grossman. 2003. An Empty Toolbox? Changes in Health Plans' Approaches for Managing Costs and Care. Health Services Research 38(1 Pt 2):375-393.
28. National Coalition on Health Care. 2004. Building a Better Health Care System: Specifications for Reform. http://www.nchc.org/materials/studies/reform. pdf. Accessed February 27, 2004.
29. Robinson, J. C., and H. S. Luft. 1985. The Impact of Hospital Market Structure on Patient Volume, Average Length of Stay, and the Cost of Care. Journal of Health Economics 4(4):333-356.
30. _. 1987. Competition and the Cost of Hospital Care, 1972 to 1982. Journal of the American Medical Association 257(23):3241-3245.
31. Shen, Y. C. 2003. The Effect of Financial Pressure on the Quality of Care in Hospitals. Journal of Health Economics 22(2):243-269.
32. Strunk, B. C., P. B. Ginsburg, and J. P. Cookson. 2005. Tracking Health Care Costs: Declining Growth Trend Pauses In 2004. Health Affairs Web Exclusive (Jan-June Suppl):W5-286-W5-295.
33. Vita, M. G. 2001. Regulatory Restrictions on Selective Contracting: An Empirical Analysis of "Any-Willing-Provider" Regulations. Journal of Health Economics 20(6):955-966.
34. Volpp, K. G., and M. K. Bundorf. 1999. Consumer Protection and the HMO Backlash: Are HMOs to Blame for Drive-Through Deliveries? Inquiry 36(1):101-109.
35. White, C. 2005. Medicare's Prospective Payment System for Skilled Nursing Facilities: Effects on Staffing and Quality of Care. Inquiry 42(4):351-366.
36. Zwanziger, J., and G. A. Melnick. 1988. The Effects of Hospital Competition and the Medicare PPS Program on Hospital Cost Behavior in California. Journal of Health Economics 7(4):301-320.
37. Zwanziger, J., G. A. Melnick, and A. Bamezai. 1994. Costs and Price Competition in California Hospitals, 1980-1990. Health Affairs 13(4):118-126.
38. _. 2000a. Can Cost Shifting Continue in a Price Competitive Environment? Health Economics 9(3):211-226.
39. _. 2000b. The Effect of Selective Contracting on Hospital Costs and Revenues. Health Services Research 35(4):849-867.
40. Zwanziger, J., and C. Mooney. 2005. Has Price Competition Changed Hospital Revenues and Expenses in New York? Inquiry 42(2):183-192.