MarketWatch: The transition from managed care to consumerism: A community-level status report

Health Affairs

Volumn 27, Issue 5, 2008, Pages 1362-1370

  Christianson, Jon B ^a,b   Ginsburg, Paul B ^c   Draper, Debra A ^c  

^a UNIVERSITY OF MINNESOTA   (United States)

^b CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

^c HSC ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONSUMER; HEALTH CARE MANAGEMENT; HEALTH CARE ORGANIZATION; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH HAZARD; HEALTH PROGRAM; HUMAN; RISK ASSESSMENT; HEALTH CARE DELIVERY; HEALTH INSURANCE; INSURANCE; INTERVIEW; LONGITUDINAL STUDY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; STATISTICS; UNITED STATES;

CONSUMER PARTICIPATION; DELIVERY OF HEALTH CARE; HUMANS; INSURANCE BENEFITS; INSURANCE, HEALTH; INTERVIEWS AS TOPIC; LONGITUDINAL STUDIES; MANAGED CARE PROGRAMS; ORGANIZATIONAL INNOVATION; UNITED STATES;

EID: 54349094007     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.5.1362     Document Type: Article

References (40)

1. See, for example, J.C. Robinson, "The End of Managed Care," Journal of the American Medical Association 285, no. 20 (2001): 2622-2628;
2. and R. Galvin and A. Milstein, "Large Employers' New Strategies in Health Care," New England Journal of Medicine 347, no. 12 (2002): 939-942.
3. D.A. Draper et al., "The Changing Face of Managed Care," Health Affairs 21, no. 1 (2002): 11-23.
4. Robinson, "The End of Managed Care."
5. Galvin and Milstein, "Large Employers' New Strategies."
6. See, for example, D. Blumenthal, "Employer-Sponsored Insurance - Riding the Health Care Tiger," New England Journal of Medicine 355, no. 2 (2006): 195-202.
7. Robinson, "The End of Managed Care";
8. P.B. Ginsburg, "Competition in Health Care: Its Evolution over the Past Decade," Health Affairs 24, no. 6 (2005): 1512-1522;
9. J.B. Christianson and S. Trude, "Managing Costs, Managing Benefits: Employer Decisions in Local Health Care Markets," Health Services Research 38, no. 1, Part 2 (2003): 357-373;
10. G.P. Mays, G. Claxton, and J. White, "Manage Care Rebound? Recent Changes in Health Plans' Cost Containment Strategies," Health Affairs 23 (2004): w427-w436 (published online 11 August 2004; 10.1377/hlthaff.w4.427);
11. and S. Felt-Lisk and G.P. Mays, "Back to the Drawing Board: New Directions in Health Plans' Care Management Strategies," Health Affairs 21, no. 5 (2002): 210-217.
12. U.S. Department of Health and Human Services, "President Directs Federal Agencies to Provide Health Care Quality and Price Information for Consumers," Press Release, 22 August 2006, http://www.hhs.gov/news/press/ 2006pres/20060822.html (accessed 17 December 2007);
13. and HHS, "Four Cornerstones," http://www.hhs.gov/valuedriven/ fourcornerstones (accessed 17 December 2007).
14. HHS, "Value-Driven Health Care Home," http://www.hhs.gov/ valuedriven/index.html (accessed 18 June 2008).
15. L.E. Regopoulos and S. Trude, "Employers Shift Rising Health Care Costs to Workers: No Long-Term Solution in Sight," Issue Brief no. 83, May 2004, http://www.hschange.com/CONTENT/677 (accessed 13 January 2008);
16. and L. Regopoulos et al., "Consumer-Directed Health Insurance Products: Local-Market Perspectives," Health Affairs 25, no. 3 (2006): 766-773.
17. S. Trude et al., "Employer-Sponsored Health Insurance: Pressing Problems, Incremental Changes," Health Affairs 21, no. 1 (2002): 66-75;
18. and Henry J. Kaiser Family Foundation/Health Research and Educational Trust, Employer Health Benefits: 2006 Annual Survey, Summary of Findings, Report no. 7527 (Washington: Kaiser Family Foundation, 2006), 1-8.
19. See, for example, Regopoulos et al., "Consumer-Directed Health Insurance Products";
20. and H.T. Tu and P.B. Ginsburg, "Benefit Design Innovations: Implications for Consumer-Directed Health Care," Issue Brief no. 109, February 2007, http://hschange.org/CONTENT/913 (accessed 16 December 2007).
21. J.C. Robinson, "Managed Consumerism in Health Care," Health Affairs 24, no. 6 (2005): 1478-1489.
22. Regopoulos et al., "Consumer-Directed Health Insurance Products."
23. F. de Brantes and J.A. Camillus, Evidence-Informed Case Rates: A New Health Care Payment Model, Pub. no. 1022 (New York: Commonwealth Fund, 2007).
24. P.B. Ginsburg, "Shopping for Price in Medical Care," Health Affairs 26, no. 2 (2007): w208-w216 (published online 6 February 2007; 10.1377/hlthaff.26.2.w208).
25. Ibid. If competitors can easily match lower prices, then market participants will be less likely to grant them.
26. G.P. Mays, M. Au, and G. Claxton, "Convergence and Dissonance: Evolution in Private-Sector Approaches to Disease Management and Care Coordination," Health Affairs 26, no. 6 (2007): 1683-1691;
27. and Tu and Ginsburg, "Benefit Design Innovations."
28. A.C. Short, G.P. Mays, and J. Mittler, "Disease Management: A Leap of Faith to Lower-Cost, Higher-Quality Health Care," Issue Brief no. 69, October 2003, http://www.hschange.org/CONTENT/607 (accessed 9 July 2008);
29. Felt-Lisk and Mays, "Back to the Drawing Board";
30. and Mays et al., "Convergence and Dissonance."
31. Ibid.
32. E.H. Wagner, B.T. Austin, and M. Van Korff, "Organizing Care for Patients with Chronic Illness," Milbank Quarterly 74, no. 4 (1996): 511-544.
33. Mays et al., "Convergence and Dissonance."
34. A. Tynan, R.A. Berenson, and J.B. Christianson, "Health Plans Target Advanced Imaging Services: Cost, Quality, and Safety Concerns Prompt Renewed Oversight," Issue Brief no. 118, February 2008, http://www.hschange.org/ CONTENT/968 (accessed 9 July 2008).
35. Ginsburg, "Competition in Health Care";
36. and L.M. Nichols et al., "Are Market Forces Strong Enough to Deliver Efficient Health Care Systems? Confidence Is Waning," Health Affairs 23, no. 2 (2004): 8-21.
37. A. Tynan and J.B. Christianson, "Consumer-Directed Health Plans: Mixed Employer Signals, Complex Market Dynamics," Issue Brief no. 119, March 2008, http://www.hschange.org/CONTENT/976 (accessed 9 July 2008).
38. J.B. Christianson, "The Role of Employers in Community Health Care Systems," Health Affairs 17, no. 4 (1998): 158-164;
39. R.S. Galvin and S. Delbanco, "Why Employers Need to Rethink How They Buy Health Care," Health Affairs 24, no. 6 (2005): 1549-1553;
40. and Christianson and Trude, "Managing Costs, Managing Benefits."