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2
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32044433779
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The pricing of U.S. hospital services: chaos behind a veil of secrecy
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Reinhardt UE. The pricing of U.S. hospital services: chaos behind a veil of secrecy. Health Aff (Millwood). 2006;25(1):57-69
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Reinhardt, U.E.1
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From "soak the rich" to "soak the poor": recent trends in hospital pricing
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Anderson GF. From "soak the rich" to "soak the poor": recent trends in hospital pricing. Health Aff (Millwood). 2007;26(3):780-9
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Anderson, G.F.1
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Extreme markup: the fifty US hospitals with the highest charge-to-cost ratios
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Bai G, Anderson GF. Extreme markup: the fifty US hospitals with the highest charge-to-cost ratios. Health Aff (Millwood). 2015; 34(6):922-8
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Bai, G.1
Anderson, G.F.2
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7
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85017149158
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In some cases, hospitals provide free or discounted care to a subset of uninsured patients who qualify for their charity care policies, though that is typically at the discretion of the hospital. And some states have enacted regulations that limit charges to a broader range of uninsured and out-of-network patients
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In some cases, hospitals provide free or discounted care to a subset of uninsured patients who qualify for their charity care policies, though that is typically at the discretion of the hospital. And some states have enacted regulations that limit charges to a broader range of uninsured and out-of-network patients
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8
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85009964431
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In the shadow of a giant: Medicare's influence on private payment systems
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Clemens J, Gottlieb JD. In the shadow of a giant: Medicare's influence on private payment systems. J Polit Econ. 2017;125(1):1-39
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Clemens, J.1
Gottlieb, J.D.2
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9
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85017131840
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Specifically, DRG 470, major joint replacement or reattachment of the lower extremity without major complications
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Specifically, DRG 470, major joint replacement or reattachment of the lower extremity without major complications
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10
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85017153953
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CMS recognizes legitimate reasons for price variation, such as local labor costs, and reimburses hospitals accordingly. However, the degree of variation in the fraction of these charges that CMS pays for hip replacements is only slightly smaller: The twenty-fifth and seventy-fifth percentiles of 22 percent and 38 percent
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CMS recognizes legitimate reasons for price variation, such as local labor costs, and reimburses hospitals accordingly. However, the degree of variation in the fraction of these charges that CMS pays for hip replacements is only slightly smaller: The twenty-fifth and seventy-fifth percentiles of 22 percent and 38 percent
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11
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85017142218
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Since 2012 the NIS has suppressed hospital identifiers, making it impossible to link hospitals over time
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Since 2012 the NIS has suppressed hospital identifiers, making it impossible to link hospitals over time
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12
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84969141770
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A more detailed understanding of factors associated with hospital profitability
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Bai G, Anderson GF. A more detailed understanding of factors associated with hospital profitability. Health Aff (Millwood). 2016;35(5):889-97
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Bai, G.1
Anderson, G.F.2
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13
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85017157143
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To access the Appendix, click on the Appendix link in the box to the right of the article online
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To access the Appendix, click on the Appendix link in the box to the right of the article online
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14
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84860369134
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Lebanon (NH): Dartmouth Institute, [cited 2017 Mar 10]
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Dartmouth Institute for Health Policy and Clinical Practice. Dartmouth atlas of health care [home page on the Internet]. Lebanon (NH): Dartmouth Institute; [cited 2017 Mar 10]. Available from: http://www.dart mouthatlas.org
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Dartmouth atlas of health care [home page on the Internet]
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15
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84879259385
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Fair pricing law prompts most California hospitals to adopt policies to protect uninsured patients from high charges
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Melnick G, Fonkych K. Fair pricing law prompts most California hospitals to adopt policies to protect uninsured patients from high charges. Health Aff (Millwood). 2013;32(6): 1101-8
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Melnick, G.1
Fonkych, K.2
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16
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84920903417
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California's Hospital Fair Pricing Act reduced the prices actually paid by uninsured patients
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Bai G. California's Hospital Fair Pricing Act reduced the prices actually paid by uninsured patients. Health Aff (Millwood). 2015;34(1): 64-70
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Bai, G.1
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85017102423
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Financial incentives, hospital care, and health outcomes: evidence from fair pricing laws
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Batty MM, Ippolito BN. Financial incentives, hospital care, and health outcomes: evidence from fair pricing laws. Am Econ J Econ Policy. Forthcoming
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Am Econ J Econ Policy. Forthcoming
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Batty, M.M.1
Ippolito, B.N.2
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18
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85017188618
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The size classification is defined relative to a hospital's type. For instance, an urban teaching hospital in the Northeast must have at least 400 beds to be considered large, while a rural hospital from the South needs only 75 beds to be classified as such
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The size classification is defined relative to a hospital's type. For instance, an urban teaching hospital in the Northeast must have at least 400 beds to be considered large, while a rural hospital from the South needs only 75 beds to be classified as such
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19
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85017184310
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Exhibit 3 shows that the relationship between charges and payments for hospitals in markets with abovemedian HHI was significantly smaller than that for hospitals in markets with below-median HHI.We also found a significant negative coefficient in models where charges were interacted with HHI (data not shown)
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Exhibit 3 shows that the relationship between charges and payments for hospitals in markets with abovemedian HHI was significantly smaller than that for hospitals in markets with below-median HHI.We also found a significant negative coefficient in models where charges were interacted with HHI (data not shown)
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20
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85017129827
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The Dartmouth Atlas of Health Care provides two definitions of hospital market that can be used to study concentration: HRRs (described in the text) and Health Service Areas (HSAs). It was not obvious which definition to use in this one-state setting. HRRs are large, and by this metric the vast majority of California hospitals are in nonconcentrated areas. In contrast, HSAs are sufficiently small that the majority of them have only one hospital. Both measures of market concentration indicate the amount of competition faced by a hospital. Therefore, our preferred measures of HHI and market share were averages of the HRR and HSA measures. For robustness, we tested a variety of weighted averages: The results were generally similar. See Note 14
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The Dartmouth Atlas of Health Care provides two definitions of hospital market that can be used to study concentration: HRRs (described in the text) and Health Service Areas (HSAs). It was not obvious which definition to use in this one-state setting. HRRs are large, and by this metric the vast majority of California hospitals are in nonconcentrated areas. In contrast, HSAs are sufficiently small that the majority of them have only one hospital. Both measures of market concentration indicate the amount of competition faced by a hospital. Therefore, our preferred measures of HHI and market share were averages of the HRR and HSA measures. For robustness, we tested a variety of weighted averages: The results were generally similar. See Note 14
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21
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84950974095
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The growing difference between public and private payment rates for inpatient hospital care
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Selden TM, Karaca Z, Keenan P, White C, Kronick R. The growing difference between public and private payment rates for inpatient hospital care. Health Aff (Millwood). 2015;34(12):2147-50
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Selden, T.M.1
Karaca, Z.2
Keenan, P.3
White, C.4
Kronick, R.5
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22
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84969141770
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A more detailed understanding of factors associated with hospital profitability
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Bai G, Anderson GF. A more detailed understanding of factors associated with hospital profitability. Health Aff (Millwood). 2016;35(5):889-97
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(2016)
Health Aff (Millwood)
, vol.35
, Issue.5
, pp. 889-897
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Bai, G.1
Anderson, G.F.2
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23
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85017186426
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Authors' calculations using data from the Medical Expenditure Panel Survey for the period 2000-04, excluding separately billing physicians. These years represent the latest years before the start of a wave of state laws that limit payments from the uninsured
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Authors' calculations using data from the Medical Expenditure Panel Survey for the period 2000-04, excluding separately billing physicians. These years represent the latest years before the start of a wave of state laws that limit payments from the uninsured
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