Christopher P Tompkins,Stuart H Altman,Efrat Eilat
Christopher P Tompkins
Over the past twenty-five years, the average ratio of hospital charges for services (gross revenues) to payments received (net revenues) has grown from 1.1 to 2.6. This reflects a transition from predominantly cost- and charge-based payment...
Bruce C Vladeck
Bruce C Vladeck
U.S. hospitals incur costs of $25-$50 billion annually in providing "community service," primarily in the form of health professions education and standby costs. They also provide approximately $30 billion in uncompensated care. Historicall...
The cost-shift payment 'hydraulic': foundation, history, and implications [0.03%]
成本转嫁支付的“液压”机制：基础、历史与影响分析
Allen Dobson,Joan Davanzo,Namrata Sen
Allen Dobson
The cost-shift payment "hydraulic" is an integral component of the fragmented U.S. health care financing system. If private payers' acceptance of the cost-shifting burden were to erode, our system of health care financing could become unsta...
Stuart H Altman,David Shactman,Efrat Eilat
Stuart H Altman
The market for hospital services, like global markets in general, is becoming more competitive. Increased price transparency and focused competition can squeeze out inefficiencies, restraining prices and making some consumers better off. Bu...
John K Iglehart
John K Iglehart
Consumer-directed health insurance: the next generation. Interview by James C Robinson [0.03%]
以消费者为导向的健康保险：下一代产品 专访詹姆斯·罗宾逊博士
Jack Rowe
Jack Rowe
Aetna has led the transition of the commercial health insurance industry from a focus on managed care to a focus on "consumer-driven" products that offer more information while demanding higher cost sharing from enrollees. But most health c...
Timothy G Ferris,David Blumenthal
Timothy G Ferris
Robert Hurley and colleagues find growing disparities in health care. Their methods are rigorous, but key-informant interviews have limitations. Part of their argument rests on observations regarding the diffusion of technological and admin...
Eric L Book
Eric L Book
A health plan chief medical officer comments on several trends underscoring the conclusion reached by Robert Hurley and colleagues that disparities in health care are widening. Growing use of new technology is driving up premiums, increasin...
Robert E Hurley,Hoangmai H Pham,Gary Claxton
Robert E Hurley
Data from the Community Tracking Study provide a valuable perspective from which to observe how economic disparities--largely a function of different sources of coverage--influence access to medical care in the United States. Many recent in...
The best of times and the worst of times: A conversation with Vicky Gregg. Interview by James C Robinson [0.03%]
Vicky Gregg
Vicky Gregg
Blue Cross and Blue Shield plans have enjoyed enviable financial success, while much of the health care delivery system has faced severe financial strains. The contrast is striking in Tennessee, where BlueCross BlueShield of Tennessee domin...