Jack Needleman,Peter I Buerhaus,Maureen Stewart et al.
Jack Needleman et al.
We construct national estimates of the cost of increasing hospital nurse staffing and associated reductions in days, deaths, and adverse outcomes. Raising the proportion of nursing hours provided by registered nurses (RNs) without increasin...
Jack Zwanziger,Anil Bamezai
Jack Zwanziger
We used 1993-2001 data from private hospitals in California to investigate whether decreases in Medicare and Medicaid prices were associated with increases in prices paid for privately insured patients. We found that a 1 percent relative de...
National health spending in 2004: recent slowdown led by prescription drug spending [0.03%]
2004年卫生总费用分析:药品支出下降导致增长减速
Cynthia Smith,Cathy Cowan,Stephen Heffler et al.
Cynthia Smith et al.
U.S. health care spending rose 7.9 percent to $1.9 trillion in 2004, or $6,280 per person. Health spending accounted for 16 percent of gross domestic product (GDP), nearly the same as in 2003. The pace of health spending growth has slowed, ...
Intolerable risk, irreparable harm: the legacy of physician-owned specialty hospitals [0.03%]
不可容忍的风险及无法弥补的损害:医师拥有专科医院的遗留问题
Charles N Kahn rd
Charles N Kahn rd
Issues of physician ownership and referral could cause major shifts in the structure of medical care and make the financing of U.S. hospital services problematic. The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2...
Jeffrey Stensland,Ariel Winter
Jeffrey Stensland
This paper looks at whether physicians' investment in heart hospitals during 1997-2001 was followed by an increase in the number of relatively profitable cardiac surgeries paid for by Medicare or in a shift toward operating on healthier (mo...
Specialty versus community hospitals: referrals, quality, and community benefits [0.03%]
专科医院与社区医院:转诊、质量及社会效益的比较
Leslie Greenwald,Jerry Cromwell,Walter Adamache et al.
Leslie Greenwald et al.
In this paper we compare physician referral patterns, quality, patient satisfaction, and community benefits of physician-owned specialty versus peer competitor hospitals. Our results are based on evidence gathered from site visits to six ma...
Comparative Study
Health affairs (Project Hope). 2006 Jan-Feb;25(1):106-18. DOI:10.1377/hlthaff.25.1.106 2006
Stuart Guterman
Stuart Guterman
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 imposed a moratorium on new physician-owned specialty hospitals, which expired in June 2005. Recent administrative decisions have effectively extended the mora...
Hospital payment systems: will payers like the future better than the past? [0.03%]
医院支付体系:支付方会更喜欢未来还是过去?
Len M Nichols,Ann S OMalley
Len M Nichols
Unsustainable health care cost growth has forced payers to reexamine goals for hospital payment systems. Employers want simplicity and transparency, with comparative performance data available in the public domain. Insurers favor simplicity...
William J Scanlon
William J Scanlon
The combination of health care cost growth exceeding general inflation and the swelling of beneficiary rolls with baby boomers will create fiscal pressure for Medicare. Despite dramatic declines in the growth of hospital costs following the...
The pricing of U.S. hospital services: chaos behind a veil of secrecy [0.03%]
美国医院服务定价研究:拨开保密的面纱看混乱的局面
Uwe E Reinhardt
Uwe E Reinhardt
Although Americans and foreigners alike tend to think of the U.S. health care system as being a "market-driven" system, the prices actually paid for health care goods and services in that system have remained remarkably opaque. This paper d...