Cost shifting in health care: separating evidence from rhetoric
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Washington, DC
AEI Press
1994
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XI, 89 S. graph. Darst. |
| ISBN: | 0844738603 0844738611 |
Staff View
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Record in the Search Index
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| adam_text | Contents
1 Cost Shifting Is Everywhere—Or So It Seems 1
Cost Shifting Defined 2
Policy Significance of Cost Shifting 4
What Is the Evidence? 9
Road Map to the Book 10
2 The Economics of Cost Shifting 11
The Simple, Greedy, Profit Maximizing Hospital 12
The More Complex Utility Maximizing Hospital 18
Getting to Dynamic Cost Shifting 19
Summary 21
3 Do Hospitals and Physicians Charge Different Prices? 23
Hospital Prices 23
Physician Prices 28
Trends in Hospital List Prices and Transaction Prices 31
Summary 33
A The Cost Side of Cost Shifting 35
The Cost Shifting Claims 36
Differential Costs of Care 38
Theory Again 41
Summary 44
S Evidence of Dynamic Cost Shifting 46
Direct Hospital Evidence 46
Indirect Evidence on Dynamic Cost Shifting 53
Evidence from the Physician Market 55
Summary 58
ix
CONTENTS
Cy Seeking Lower Prices: Competition in the Hospital Market 60
Hospital Competition as Historically Viewed 61
Hospital Competition in the New Environment 63
Summary 71
y Employer Cost Shifting 73
The Nature of Labor Markets 74
Evidence of Compensating Wage Adjustment 78
Implications for Employer Cost Shifting 81
Summary 83
Q Conclusions and Implications 84
^ What Is One to Make of All This? 85
Implications for Policy 86
What Is to Be Done? 89
List of Figures
2 1 Pricing at Potter Hospital 14
2 2 Response of Potter Hospital to Government Price Cut 17
3 1 Average Hospital Transaction Prices, 1990 24
3 2 Methods of Paying Hospitals by PPOs, 1990 and 1991 27
3 3 Principal Methods of Paying Hospitals: Commercial
Insurer Sponsored HMOs and PPOs, 1990 28
3 4 Methods of Paying Physicians by PPOs, 1991 30
3 5 Principal Methods of Paying Physicians: Commercial
Insurer Sponsored HMOs and PPOs, 1990 31
3 6 California Hospital List Prices and Transaction Prices,
1984 1988 33
3 7 HCFA Analysis of Hospital List and Transaction Prices,
1978 1989 34
4 1 Prototypical Model of Cost Shifting 36
4 2 Hospital Pricing Reconsidered 41
5 1 Hospital Price Increases Resulting from the Need to Cost
Shift 51
6 1 Adjusted Average Costs per Hospital Admission, 1982 62
6 2 Change in California Hospital Costs before and after
PPOs, 1980 1985 64
6 3 Effect of 1 Percent Increase in Hospital Prices on HMO
Admissions 70
x
CONTENTS
List of Tables
4 1 Estimates of Ratio of Hospital Transaction Prices to
Costs 37
4 2 Average Hospital Costs for Non Privately Insured
Patients, 1982 40
6 1 Hospital Use in an HMO Market Area 68
xi
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| spelling | Morrisey, Michael A. Verfasser aut Cost shifting in health care separating evidence from rhetoric Michael A. Morrisey Washington, DC AEI Press 1994 XI, 89 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Financiering gtt Gezondheidszorg gtt Gesundheitswesen Cost Allocation United States Fees, Medical United States Medical care Cost shifting United States Medical care, Cost of United States Kosten (DE-588)4032579-9 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Gesundheitswesen (DE-588)4020775-4 s Kosten (DE-588)4032579-9 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006648103&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Morrisey, Michael A. Cost shifting in health care separating evidence from rhetoric Financiering gtt Gezondheidszorg gtt Gesundheitswesen Cost Allocation United States Fees, Medical United States Medical care Cost shifting United States Medical care, Cost of United States Kosten (DE-588)4032579-9 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4032579-9 (DE-588)4020775-4 (DE-588)4078704-7 |
| title | Cost shifting in health care separating evidence from rhetoric |
| title_auth | Cost shifting in health care separating evidence from rhetoric |
| title_exact_search | Cost shifting in health care separating evidence from rhetoric |
| title_full | Cost shifting in health care separating evidence from rhetoric Michael A. Morrisey |
| title_fullStr | Cost shifting in health care separating evidence from rhetoric Michael A. Morrisey |
| title_full_unstemmed | Cost shifting in health care separating evidence from rhetoric Michael A. Morrisey |
| title_short | Cost shifting in health care |
| title_sort | cost shifting in health care separating evidence from rhetoric |
| title_sub | separating evidence from rhetoric |
| topic | Financiering gtt Gezondheidszorg gtt Gesundheitswesen Cost Allocation United States Fees, Medical United States Medical care Cost shifting United States Medical care, Cost of United States Kosten (DE-588)4032579-9 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Financiering Gezondheidszorg Gesundheitswesen Cost Allocation United States Fees, Medical United States Medical care Cost shifting United States Medical care, Cost of United States Kosten USA |
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