Health Care Markets

Ultimately, all health care is organized and delivered at ground level-in local communities-where HSC collects information about the changing health system. HSC research provides perspectives on the role of employers/consumers, health plans, hospitals and physicians in local health care markets.

Title	Date	Document Info
State Reform Dominates Boston Health Care Market Dynamics Ha T. Tu, Marisa K. Dowling, Laurie E. Felland, Paul B. Ginsburg, Ralph C. Mayrell	Setpember 2010	Community Report No. 1
Unchecked Provider Clout in California Foreshadows Challenges to Health Reform Robert A. Berenson, Paul B. Ginsburg, Nicole M. Kemper	Feb. 25, 2010	Journal ArticleHealth Affairs
The Economic Recession: Early Impacts on Health Care Safety Net Providers Laurie E. Felland, Peter J. Cunningham, Genna R. Cohen, Elizabeth A. November, Brian C. Quinn	January 2010	Research Brief No. 15
Individual Insurance: Health Insurers Try to Tap Potential Market Growth Elizabeth A. November, Genna R. Cohen, Paul B. Ginsburg, Brian C. Quinn	November 2009	Research Brief No. 14
General Hospitals, Specialty Hospitals and Financially Vulnerable Patients Ann Tynan, Elizabeth A. November, Johanna Lauer, Hoangmai H. Pham, Peter Cram	April 2009	Research Brief No. 11
Information Gap: Can Health Insurer Personal Health Records Meet Patients' and Physicians' Needs? Joy M. Grossman, Teresa Zayas-Cabán, Nicole M. Kemper	March/April 2009	Journal ArticleHealth Affairs
Consumer-Directed Health Care: Promise and Performance James C. Robinson, Paul B. Ginsburg	Jan. 27, 2009	Journal ArticleHealth Affairs
Massachusetts Health Reform: High Costs and Expanding Expectations May Weaken Employer Support Debra A. Draper, Laurie E. Felland, Allison Liebhaber, Johanna Lauer	October 2008	Issue Brief No. 124
Despite Regulatory Changes, Hospitals Cautious in Helping Physicians Purchase Electronic Medical Records Joy M. Grossman, Genna R. Cohen	September 2008	Issue Brief No. 123
The Transition from Managed Care to Consumerism: A Community-Level Status Report Jon B. Christianson, Paul B. Ginsburg, Debra A. Draper	September/October 2008	Journal ArticleHealth Affairs
Hospital-Physician Relations: Two Tracks and the Decline of the Voluntary Medical Staff Model Lawrence P. Casalino, Elizabeth A. November, Robert A. Berenson, Hoangmai H. Pham	September/October 2008	Journal ArticleHealth Affairs
Hospitalists and Care Transitions: The Divorce of Inpatient and Outpatient Care Hoangmai H. Pham, Joy M. Grossman, Genna R. Cohen, Thomas Bodenheimer	September/October 2008	Journal ArticleHealth Affairs
A Health Plan Work in Progress: Hospital-Physician Price and Quality Transparency Ann Tynan, Allison Liebhaber, Paul B. Ginsburg	August 2008	Research Brief No. 7
Striking Jump in Consumers Seeking Health Care Information Ha T. Tu, Genna R. Cohen	August 2008	Tracking Report No. 20
Caught in the Competitive Crossfire: Safety-Net Providers Balance Margin and Mission in a Profit-Driven Health Care Market Peter J. Cunningham, Gloria J. Bazzoli, Aaron Katz	Aug. 12, 2008	Journal ArticleHealth Affairs
Community Efforts to Expand Dental Services for Low-Income People Laurie E. Felland, Johanna Lauer, Peter J. Cunningham	July 2008	Issue Brief No. 122
Getting What We Pay For: Innovations Lacking in Provider Payment Reform for Chronic Disease Care Ann Tynan, Debra A. Draper	June 2008	Research Brief No. 6
Developing Health System Surge Capacity: Community Efforts in Jeopardy Laurie E. Felland, Aaron Katz, Allison Liebhaber, Genna R. Cohen	June 2008	Research Brief No. 5
Health and Wellness: The Shift from Managing Illness to Promoting Health Debra A. Draper, Ann Tynan, Jon B. Christianson	June 2008	Issue Brief No. 121
Safety Net Hospital Emergency Departments: Creating Safety Valves for Non-Urgent Care Laurie E. Felland, Robert E. Hurley, Nicole M. Kemper	May 2008	Issue Brief No. 120
Do Primary Care Physicians Treating Minority Patients Report Problems Delivering High-Quality Care? James D. Reschovsky, Ann S. O'Malley	April 22, 2008	Journal ArticleHealth Affairs
Consumer-Directed Health Plans: Mixed Employer Signals, Complex Market Dynamics Ann Tynan, Jon B. Christianson	March 2008	Issue Brief No. 119
The Role of Nurses in Hospital Quality Improvement Debra A. Draper, Laurie E. Felland, Allison Liebhaber, Lori Melichar	March 2008	Research Brief No. 3
Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation be Overcome? Joy M. Grossman, Kathryn L. Kushner, Elizabeth A. November	February 2008	Research Brief No. 2
Health Plans Target Advanced Imaging Services Ann Tynan, Robert A. Berenson, Jon B. Christianson	February 2008	Issue Brief No. 118
State Prescription Drug Price Web Sites: How Useful to Consumers? Ha T. Tu, Catherine Corey	February 2008	Research Brief No. 1
Community Health Centers Tackle Rising Demands and Expectations Robert E. Hurley, Laurie E. Felland, Johanna Lauer	December 2007	Issue Brief No. 116
Hospital Emergency On-Call Coverage: Is There a Doctor in the House? Ann S. O'Malley, Debra A. Draper, Laurie E. Felland	November 2007	Issue Brief No. 115
Convergence and Dissonance: Evolution in Private-Sector Approaches to Disease Management and Care Coordination Glen P. Mays, Melanie Au, Gary Claxton	November/December 2007	Journal ArticleHealth Affairs
Unhealthy Trends: The Future of Physician Services Hoangmai H. Pham, Paul B. Ginsburg	November/December 2007	Journal ArticleHealth Affairs
Health Care Cost and Access Challenges Persist Debra A. Draper, Paul B. Ginsburg	October 2007	Issue Brief No. 114
Massachusetts Health Reform: Employers, Lower-Wage Workers and Universal Coverage Laurie E. Felland, Debra A. Draper, Allison Liebhaber	July 2007	Issue Brief No. 113
Exodus of Male Physicians from Primary Care Drives Shift to Specialty Practice Ha T. Tu, Ann S. O'Malley	June 2007	Tracking Report No. 17
HSC's 12th Annual Wall Street Comes to Washington Conference	June 14, 2007	Conference Transcript
High-Performance Health Plan Networks: Early Experiences Debra A. Draper, Allison Liebhaber, Paul B. Ginsburg	May 2007	Issue Brief No. 111
Commercial Health Plans' Care Management Activities and the Impact on Costs, Quality and Outcomes Debra A. Draper	April 11, 2007	Congressional Testimony
Physician Consideration of Patients' Out-of-Pocket Costs in Making Common Clinical Decisions Hoangmai H. Pham, G. Caleb Alexander, Ann S. O'Malley	April 9, 2007	Journal ArticleArchives of Internal Medicine
Insurance Premiums and Insurance Coverage of Near-Poor Children Jack Hadley, James D. Reschovsky, Peter J. Cunningham, Genevieve Kenney, Melanie Au	Winter 2006/2007	Journal ArticleInquiry
Benefit Design Innovations: Implications for Consumer-Directed Health Care Ha T. Tu, Paul B. Ginsburg	February 2007	Issue Brief No. 109
Hospital-Physician Relations: Cooperation, Competition or Separation? Robert A. Berenson, Paul B. Ginsburg, Jessica H. May	Dec. 5, 2006	Journal ArticleHealth Affairs
Analysis of Niche Hospitals in Texas and the Financial Impact on General Hospitals Deborah Chollet, Su Liu, Gilbert Gimm, Cheryl Fahlman, Laurie E. Felland, Anneliese M. Gerland, Michelle I. Banker, Allison Liebhaber	December 2006	Research Report
A Report on Medical Specialty Centers in Wyoming Cheryl Fahlman, Laurie E. Felland, Michelle I. Banker, Allison Liebhaber, Deborah Chollet, Gilbert Gimm	November 2006	Research Report
Health Plan Pay-for-Performance Strategies Sally Trude, Melanie Au, Jon B. Christianson	September 2006	Journal ArticleThe American Journal of Managed Care
Specialty-Service Lines: Salvos in the New Medical Arms Race Robert A. Berenson, Thomas Bodenheimer, Hoangmai H. Pham	July 25, 2006	Journal ArticleHealth Affairs
Strategies to Enhance Price and Quality Competition in Health Care: Lessons Learned from Tracking Local Markets Cara S. Lesser, Paul B. Ginsburg	June 2006	Journal ArticleJournal of Health Politics, Policy and Law
Hospitals' Responses to Nurse Staffing Shortages Jessica H. May, Gloria J. Bazzoli, Anneliese M. Gerland	June 26, 2006	Journal ArticleHealth Affairs
Losing Ground: Physician Income, 1995-2003 Ha T. Tu, Paul B. Ginsburg	June 2006	Tracking Report No. 15
11th Annual Wall Street Comes to Washington Conference	June 21, 2006	Conference Transcript
The Transition from Excess Capacity to Strained Capacity in U.S. Hospitals Gloria J. Bazzoli, Linda R. Brewster, Jessica H. May, Sylvia Kuo	June 2006	Journal ArticleMilbank Quarterly
The Next Generation of Health Information Tools for Consumers	May 10, 2006	Congressional Testimony
Construction Activity in U.S. Hospitals Gloria J. Bazzoli, Anneliese M. Gerland, Jessica H. May	May/June 2006	Journal ArticleHealth Affairs
Consumer-Directed Health Insurance Products: Local-Market Perspectives Lydia E. Regopoulos, Jon B. Christianson, Gary Claxton, Sally Trude	May/June 2006	Journal ArticleHealth Affairs
No Exodus: Physicians and Managed Care Networks Ann S. O'Malley, James D. Reschovsky	May 2006	Tracking Report No. 14
Effects of Compensation Methods and Physician Group Structure on Physicians' Perceived Incentives to Alter Services to Patients James D. Reschovsky, Jack Hadley, Bruce Landon	April 2006	Journal ArticleHealth Services Research
Community Approaches to Providing Care for the Uninsured Erin Fries Taylor, Peter J. Cunningham, Kelly L. McKenzie	April 11, 2006	Journal ArticleHealth Affairs
The Effect of Population Aging on Future Hospital Demand Bradley C. Strunk, Paul B. Ginsburg, Michelle I. Banker	March 28, 2006	Journal ArticleHealth Affairs
A Decade of Tracking Health System Change Paul B. Ginsburg, Cara S. Lesser	March 2006	Commentary No. 2
Leaving Medicine: The Consequences of Physician Dissatisfaction Bruce Landon, James D. Reschovsky, Hoangmai H. Pham, David Blumenthal	March 2006	Journal ArticleMedical Care
Do Specialty Hospitals Promote Price Competition? Robert A. Berenson, Gloria J. Bazzoli, Melanie Au	January 2006	Issue Brief No. 103
Hospital Payment Systems: Will Payers Like the Future Better than the Past? Len M. Nichols, Ann S. O'Malley	January/February 2006	Journal ArticleHealth Affairs
Uninsured Patients, Malpractice Insurance Woes Stress Miami Health Care Market Glen P. Mays, Robert A. Berenson, Thomas Bodenheimer, Laurie E. Felland, Kelly L. McKenzie, Lydia E. Regopoulos	December 2005	Community Report No. 12
A Widening Rift in Access and Quality: Growing Evidence of Economic Disparities Robert E. Hurley, Hoangmai H. Pham, Gary Claxton	Dec. 6, 2005	Journal ArticleHealth Affairs
Blue Cross Influence Grows in Boston as State Revisits Reform Debates Aaron Katz, Melanie Au, Paul B. Ginsburg, Robert E. Hurley, Jessica H. May, Glen P. Mays, Bradley C. Strunk	December 2005	Community Report No. 11
Rising Pressure: Hospital Emergency Departments as Barometers of the Health Care System Ann S. O'Malley, Anneliese M. Gerland, Hoangmai H. Pham, Robert A. Berenson	Nov. 18, 2005	Issue Brief No. 101
Growth Fuels Hospital Competition and Challenges Greenville Safety Net Glen P. Mays, Thomas Bodenheimer, Laurie E. Felland, Anneliese M. Gerland, Hoangmai H. Pham, Lydia E. Regopoulos	November 2005	Community Report No. 10
Competition in Health Care: Its Evolution Over the Past Decade Paul B. Ginsburg	November/December 2005	Journal ArticleHealth Affairs
Syracuse Faces Rising Health Costs; Hospital Competition Grows Sally Trude, Gloria J. Bazzoli, Jon B. Christianson, Jennifer Coughlan, Peter J. Cunningham, Andrea Staiti	October 2005	Community Report No. 9
Balancing Margin and Mission: Hospitals Alter Billing and Collection Practices for Uninsured Patients Andrea Staiti, Robert E. Hurley, Peter J. Cunningham	October 2005	Issue Brief No. 99
Lansing's Calm Health Care Market Belies Increased Competition, Economic Doldrums Aaron Katz, Melanie Au, Gary Claxton, Joy M. Grossman, Robert E. Hurley, Jessica H. May	October 2005	Community Report No. 8
Community Quality Efforts Expand as Seattle Health Plan Products Evolve Sally Trude, Jon B. Christianson, Jennifer Coughlan, Peter J. Cunningham, Paul B. Ginsburg, Andrea Staiti	September 2005	Community Report No. 7
Rapid Population Growth Outpaces Phoenix Health System Capacity Sally Trude, Jon B. Christianson, Kelly L. McKenzie, Ann S. O'Malley, Andrea Staiti, Erin Fries Taylor	September 2005	Community Report No. 6
Initial Findings from HSC's 2005 Site Visits: Stage Set for Growing Health Care Cost and Access Problems Cara S. Lesser, Paul B. Ginsburg, Laurie E. Felland	August 2005	Issue Brief No. 97
Dynamic Orange County Health Care Market Responds to Opportunities Aaron Katz, Gary Claxton, Robert E. Hurley, Cara S. Lesser, Jessica H. May, Bradley C. Strunk	August 2005	Community Report No. 5
Urban-Suburban Hospital Disparities Grow in Northern New Jersey Glen P. Mays, Robert A. Berenson, Thomas Bodenheimer, Laurie E. Felland, Anneliese M. Gerland, Lydia E. Regopoulos	August 2005	Community Report No. 4
Little Rock Providers Vie for Revenues, as High Health Care Costs Continue Aaron Katz, Joy M. Grossman, Robert E. Hurley, Jessica H. May, Len M. Nichols, Bradley C. Strunk	July 2005	Community Report No. 3
Geography and Destiny: Local-Market Perspectives on Developing Medicare Advantage Regional Plans Robert E. Hurley, Bradley C. Strunk, Joy M. Grossman	July/August 2005	Journal ArticleHealth Affairs
10th Annual Wall Street Comes to Washington Conference	July 13, 2005	Conference Transcript
Continued Hospital Expansions Raise Cost Concerns in Indianapolis Glen P. Mays, Thomas Bodenheimer, Laurie E. Felland, Kelly L. McKenzie, Hoangmai H. Pham, Lydia E. Regopoulos	June 2005	Community Report No. 2
Leadership Changes Reinvigorate Cleveland's Health Care Market Sally Trude, Gloria J. Bazzoli, Jon B. Christianson, Anneliese M. Gerland, Andrea Staiti, Erin Fries Taylor	June 2005	Community Report No. 1
Ten Years of Tracking Health System Change: The Evolution of Competition Paul B. Ginsburg	Feb. 2, 2005	Presentation
Health Care Market Trends and the Evolution of Hospitalist Use and Roles Hoangmai H. Pham, Kelly Devers, Sylvia Kuo, Robert A. Berenson	February 2005	Journal ArticleJournal of General Internal Medicine
Physician Incomes in Rural and Urban America James D. Reschovsky, Andrea Staiti	January 2005	Issue Brief No. 92
The Paradoxical Politics of Provider Reempowerment Lawrence D. Brown, Elizabeth Eagan	December 2004	Journal ArticleJournal of Health Politics, Policy and Law
Community Responses to National Healthcare Firms Douglas R. Wholey, Jon B. Christianson, Debra A. Draper, Cara S. Lesser, Lawton R. Burns	December 2004	Journal ArticleJournal of Health and Social Behavior
As the Health Insurance Underwriting Cycle Turns: What Next? Joy M. Grossman, Paul B. Ginsburg	November/December 2004	Journal ArticleHealth Affairs
Wall Street Comes to Washington	August 2004	Issue Brief No. 87
Managed Care Rebound? Recent Changes in Health Plans' Cost Containment Strategies Glen P. Mays, Gary Claxton, Justin White	Aug. 11, 2004	Journal ArticleHealth Affairs
Rhetoric vs. Reality: Employer Views on Consumer-Driven Health Care Sally Trude, Leslie Jackson Conwell	July 2004	Issue Brief No. 86
Wall Street Comes to Washington	June 24, 2004	Conference Transcript
Hearing on Pricing Practices of Hospitals	June 22, 2004	Congressional Testimony
Employers Shift Rising Health Care Costs to Workers: No Long-term Solution in Sight Lydia E. Regopoulos, Sally Trude	May 2004	Issue Brief No. 83
Can Market Competition Cure an Ailing Health System?	March 12, 2004	Conference Transcript
Managed Care Redux: Health Plans Shift Responsibilities to Consumers Debra A. Draper, Gary Claxton	March 2004	Issue Brief No. 79
Are Market Forces Strong Enough to Deliver Efficient Health Care Systems? Confidence is Waning Len M. Nichols, Paul B. Ginsburg, Robert A. Berenson, Jon B. Christianson, Robert E. Hurley	March/April 2004	Journal ArticleHealth Affairs
The Puzzling Popularity of the PPO Robert E. Hurley, Bradley C. Strunk, Justin White	March/April 2004	Journal ArticleHealth Affairs
Financial Pressures Spur Physician Entrepreneurialism Hoangmai H. Pham, Kelly Devers, Jessica H. May, Robert A. Berenson	March/April 2004	Journal ArticleHealth Affairs
Growth of Single-Specialty Medical Groups Lawrence P. Casalino, Hoangmai H. Pham, Gloria J. Bazzoli	March/April 2004	Journal ArticleHealth Affairs
What is Driving Hospitals' Patient-Safety Efforts? Kelly Devers, Hoangmai H. Pham, Gigi Y. Liu	March/April 2004	Journal ArticleHealth Affairs
Emergency Department Diversions: Hospital and Community Strategies Alleviate the Crisis Linda R. Brewster, Laurie E. Felland	March 2004	Issue Brief No. 78
Leapfrog Patient-Safety Standards are a Stretch for Most Hospitals Kelly Devers, Gigi Y. Liu	February 2004	Issue Brief No. 77
Patient Cost-Sharing Innovations: Promises and Pitfalls Sally Trude, Joy M. Grossman	January 2004	Issue Brief No. 75
For-Profit Conversions and Merger Trends Among Blue Cross Blue Shield Health Plans Joy M. Grossman, Bradley C. Strunk	January 2004	Issue Brief No. 76
Getting Along or Going Along? Health Plan-Provider Contract Showdowns Subside Justin White, Robert E. Hurley, Bradley C. Strunk	January 2004	Issue Brief No. 74
Physicians' Views Of Formularies: Implications For Medicare Drug Benefit Design Bruce Landon, James D. Reschovsky, David Blumenthal	January/February 2004	Journal ArticleHealth Affairs
Tiered-Provider Networks: Patients Face Cost-Choice Trade-Offs Glen P. Mays, Gary Claxton, Bradley C. Strunk	November 2003	Issue Brief No. 71
Does U.S. Hospital Capacity Need to be Expanded? Gloria J. Bazzoli, Linda R. Brewster, Gigi Y. Liu, Sylvia Kuo	November/December 2003	Journal ArticleHealth Affairs
Focused Factories? Physician-owned Specialty Facilities Lawrence P. Casalino, Kelly Devers, Linda R. Brewster	November/December 2003	Journal ArticleHealth Affairs,
Health Care Market Stabilizes, but Rising Costs and State Budget Woes Loom in Boston John F. Hoadley, Debra A. Draper, Sylvia Kuo, Peter J. Cunningham, Jessica Mittler, Len M. Nichols, Gloria J. Bazzoli, Justin White, Robert A. Berenson	Fall 2003	Community Report No. 12
Disease Management: A Leap of Faith to Lower-Cost,Higher-Quality Health Care Ashley C. Short, Glen P. Mays, Jessica Mittler	October 2003	Issue Brief No. 69
Medical Malpractice Liability Crisis Meets Markets: Stress in Unexpected Places Robert A. Berenson, Sylvia Kuo, Jessica H. May	September 2003	Issue Brief No. 68
Benefits of and Barriers to Large Medical Group Practice in the United States Lawrence P. Casalino, Kelly Devers, Timothy K. Lake, Marie C. Reed, Jeffrey Stoddard	Sept. 8 2003	Journal ArticleArchives of Internal Medicine
Premium Hikes and Malpractice Insurance Disrupt Miami Health Care Market Glen P. Mays, Sally Trude, Lawrence P. Casalino, Laurie E. Felland, Gary Claxton, Megan McHugh, Hoangmai H. Pham, Jessica H. May	Summer 2003	Community Report No. 11
Wall Street Comes to Washington	August 2003	Issue Brief No. 67
Population Growth, Economic Downturn Stress Phoenix's Health Care Capacity Ashley C. Short, Jon B. Christianson, Debra A. Draper, Linda R. Brewster, Robert E. Hurley, Richard Sorian, Lawrence D. Brown, Gigi Y. Liu	Summer 2003	Community Report No. 10
The Health Care Safety Net: Money Matters but Savvy Leadership Counts Laurie E. Felland, Kyle Kinner, John F. Hoadley	August 2003	Issue Brief No. 66
HMOs Alive and Well in Orange County Aaron Katz, Robert E. Hurley, Leslie Jackson Conwell, Bradley C. Strunk, Andrea Staiti, J. Lee Hargraves, Robert A. Berenson, Linda R. Brewster	Summer 2003	Community Report No. 9
Health Care Cost Concerns Intensify in Little Rock Debra A. Draper, John F. Hoadley, Jessica Mittler, Sylvia Kuo, Gloria J. Bazzoli, Peter J. Cunningham, Len M. Nichols, Leslie Jackson Conwell	Summer 2003	Community Report No. 8
Cost Concerns Grow Despite New Health Plan Competition in Syracuse Glen P. Mays, Sally Trude, Lawrence P. Casalino, Laurie E. Felland, Gary Claxton, Jessica H. May, Megan McHugh, Lydia E. Regopoulos	Summer 2003	Community Report No. 7
Eighth Annual Wall Street Comes to Washington	June 18, 2003	Conference Transcript
Market Developments Signal Cost Hikes in Greenville Suzanne Felt-Lisk, Jon B. Christianson, Linda R. Brewster, Ashley C. Short, Richard Sorian, Robert E. Hurley, Lawrence D. Brown, Jessica H. May	Spring 2003	Community Report No. 6
HSC Researchers Testify at FTC Hearings	Winter/Spring 2003	Testimony
Bitter Contract Dispute Reaffirms Blues' Dominant Position in Lansing Aaron Katz, Robert E. Hurley, Kelly Devers, Leslie Jackson Conwell, Bradley C. Strunk, Andrea Staiti, J. Lee Hargraves, Robert A. Berenson	Spring 2003	Community Report No. 5
Health Care Cost and Access Problems Intensify Cara S. Lesser, Paul B. Ginsburg	May 2003	Issue Brief No. 63
Specialty Hospitals: Focused Factories or Cream Skimmers? Kelly Devers, Linda R. Brewster, Paul B. Ginsburg	April 2003	Issue Brief No. 62
Specialty Hospitals: Focused Factories or Cream Skimmers?	April 15, 2003	Conference Transcript
Ginsburg Responds to Questions on Managed Care Providers Paul B. Ginsburg	April 10, 2003	Testimony
Rising Costs Pressure Employers, Consumers in Northern New Jersey Health Care Market Debra A. Draper, John F. Hoadley, Jessica Mittler, Sylvia Kuo, Gloria J. Bazzoli, Peter J. Cunningham, Len M. Nichols	Winter 2003	Community Report No. 4
Economic Downturn and State Budget Woes Overshadow Seattle Health Care Market Glen P. Mays, Sally Trude, Lawrence P. Casalino, Laurie E. Felland, Gary Claxton, Hoangmai H. Pham, Lydia E. Regopoulos, Aaron Katz, Kyle Kinner	Winter 2003	Community Report No. 3
Increasing Stress on the U.S. Health Care System: Structural Crisis or Temporary? Len M. Nichols	March 10, 2003	Congressional Testimony
Intense Competition and Rising Costs Dominate Cleveland's Health Care Market Suzanne Felt-Lisk, Jon B. Christianson, Linda R. Brewster, Ashley C. Short, Richard Sorian, Robert E. Hurley, Lawrence D. Brown, Gigi Y. Liu	Winter 2003	Community Report No. 2
The End of an Era: What Became of the "Managed Care Revolution" in 2001? Cara S. Lesser, Paul B. Ginsburg, Kelly Devers	Feb. 21, 2003	Journal ArticleHealth Services Research
An Empty Toolbox? Changes in Health Plans' Approaches for Managing Costs and Care Glen P. Mays, Robert E. Hurley, Joy M. Grossman	Feb. 21, 2003	Journal ArticleHealth Services Research
Medicare Contracting Risk/Medicare Risk Contracting: A Life-Cycle View from Twelve Markets Robert E. Hurley, Joy M. Grossman, Bradley C. Strunk	Feb. 21, 2003	Journal ArticleHealth Services Research
The Resilience of the Health Care Safety Net, 1996-2001 Laurie E. Felland, Cara S. Lesser, Andrea Staiti, Aaron Katz, Patricia Lichiello	Feb. 21, 2003	Journal ArticleHealth Services Research
Managing Costs, Managing Benefits: Employer Decisions in Local Health Care Markets Jon B. Christianson, Sally Trude	Feb. 21, 2003	Journal ArticleHealth Services Research
Hospitals' Negotiating Leverage with Health Plans: How and Why it Changed? Kelly Devers, Lawrence P. Casalino, Liza Rudell, Jeffrey Stoddard, Linda R. Brewster, Timothy K. Lake	Feb. 21, 2003	Journal ArticleHealth Services Research
Changes in Hospital Competitive Strategy: A New Medical Arms Race? Kelly Devers, Linda R. Brewster, Lawrence P. Casalino	Feb. 21, 2003	Journal ArticleHealth Services Research
Something Old, Something New: Recent Developments in Hospital-Physician Relationships Timothy K. Lake, Kelly Devers, Linda R. Brewster, Lawrence P. Casalino	Feb. 21, 2003	Journal ArticleHealth Services Research
Competition Revs Up the Indianapolis Health Care Market Aaron Katz, Robert E. Hurley, Kelly Devers, Leslie Jackson Conwell, Bradley C. Strunk, Andrea Staiti, J. Lee Hargraves, Robert A. Berenson	Winter 2003	Community Report No. 1
Health Plan Responses to Managed Care Regulation John F. Hoadley, Jack Hadley	Feb. 12, 2003	Journal ArticleManaged Care Quarterly
Changes in Career Satisfaction Among Primary Care and Specialist Physicians, 1997-2001 Bruce Landon, James D. Reschovsky, David Blumenthal	Janurary 22, 2003	Journal ArticleJournal of the American Medical Association
The Role of Public Employers in a Changing Health Care Market Carolyn A. Watts, Jon B. Christianson, Lance Heineccius, Sally Trude	January/February 2003	Journal ArticleHealth Affairs
Back in the Driver's Seat: Specialists Regaining Autonomy J. Lee Hargraves, Hoangmai H. Pham	January 2003	Tracking Report No. 7
Kinder and Gentler: Physicians and Managed Care, 1997-2001 Bradley C. Strunk, James D. Reschovsky	November 2002	Tracking Report No. 5
Cutting Back But Not Cutting Out Ashley C. Short, Cara S. Lesser	October 2002	Issue Brief No. 56
The Role of Health Insurance Brokers Leslie Jackson Conwell	October 2002	Issue Brief No. 57
Growing Physician Access Problems Complicate Medicare Payment Debate Sally Trude, Paul B. Ginsburg	September 2002	Issue Brief No. 55
Obstacles to Employers' Pursuit of Health Care Quality J. Lee Hargraves, Sally Trude	September/October 2002	Journal ArticleHealth Affairs
Quality Improvements By Providers: Market Developments Hinder Progress Kelly Devers	September/October 2002	Journal ArticleHealth Affairs
Back to the Drawing Board: New Directions in Health Plans' Care Management Strategies Suzanne Felt-Lisk, Glen P. Mays	September/October 2002	Journal ArticleHealth Affairs
Wall Street Comes to Washington	July 2002	Issue Brief No. 54
Navigating a Changing Health System	July 2002	2001 Annual Report
A Longitudinal Perspective on Health Plan-Provider Risk Contracting Robert E. Hurley, Joy M. Grossman, Timothy K. Lake, Lawrence P. Casalino	July/August 2002	Journal ArticleHealth Affairs
Consumer Beliefs and Health Plan Performance James D. Reschovsky, J. Lee Hargraves, Albert Smith	June 2002	Journal ArticleJournal of Health Politics, Policy and Law
Seventh Annual Wall Street Comes to Washington	June 11, 2002	Conference Transcript
Reversal of Fortune: Medicare+Choice Collides with Market Forces Joy M. Grossman, Bradley C. Strunk, Robert E. Hurley	May 2002	Issue Brief No. 52
Are HMO Enrollees Healthier Than Others? Results from the Community Tracking Study Elizabeth Schaefer, James D. Reschovsky	May/June 2002	Journal ArticleHealth Affairs
HSC's Seventh Annual Wall Street Comes to Washington Conference	June 11, 2002
The Growth of Managed Care and Changes in Physicians' Income, Autonomy and Satisfaction, 1991-1997 Jack Hadley, Jean M. Mitchell	March 2002	Journal ArticleInternational Journal of Health Care Finance and Economics
Opening Statement Before the Subcommittee on Health of the House Committee on Ways and Means	Feb. 28, 2002	Testimony
Blue Plans: Playing the Blues No More Joy M. Grossman, Bradley C. Strunk	January 23, 2002
The Changing Face of Managed Care Debra A. Draper, Robert E. Hurley, Cara S. Lesser, Bradley C. Strunk	January/February 2002	Health Affairs
Emerging Health Care Market Trends	December 10, 2001	Conference Transcript
Managed Care in the Doctor's Office: Jeffrey Stoddard, James D. Reschovsky, J. Lee Hargraves	November 2001	American Journal of Managed Care
Communities Play Key Role in Extending Public Health Insurance to Children Laurie E. Felland, Andrea Staiti	October 2001	Issue Brief No. 44
Managed Care, Professional Autonomy, and Income: Marie C. Reed, Alison K. Vratil, Jeffrey Stoddard, J. Lee Hargraves	October 2001	Journal of General Internal Medicine
Wall Street Comes to Washington:	September 2001	Issue Brief No. 43
Financial Pressures Continue to Plague Hospitals Debra A. Draper, Linda R. Brewster, Lawrence D. Brown, Lance Heineccius, Carolyn A. Watts, Elizabeth Eagan, Leslie A. Jackson, Marie C. Reed	Summer 2001	Community Report No. 12
Personal, Organizational and Market Level Influences on Physicians' Practice Patterns Bruce Landon, James D. Reschovsky, Marie C. Reed, David Blumenthal	August 2001	Medical Care
Minority Physicians' Experiences Obtaining Referrals to Specialists and Hospital Admissions J. Lee Hargraves, Jeffrey Stoddard, Sally Trude	August 9, 2001	Medscape
Financial Woes and Contract Disputes Disrupt Market Kelly Devers, Jon B. Christianson, Laurie E. Felland, Suzanne Felt-Lisk, Liza Rudell, Linda R. Brewster, Ha T. Tu	Summer 2001	Community Report No. 11
Analyzing the Changing Health System: The Path Taken and the Road Beyond	July 2001	2000 Annual Report
Targeting Communities With High Rates Of Uninsured Children Peter J. Cunningham	July 25, 2001	Health Affairs
Hospitals Profit from Aggressive Negotiations Glen P. Mays, Sally Trude, Lawrence P. Casalino, Patricia Lichiello, Ashley C. Short, Andrea Staiti	Summer 2001	Community Report No. 10
Sixth Annual Wall Street Comes to Washington	July 12, 2001	Conference Transcript
HMO Model Shaken but Remains Intact Aaron Katz, Robert E. Hurley, Leslie A. Jackson, Timothy K. Lake, Ashley C. Short, Paul B. Ginsburg, Joy M. Grossman	Summer 2001	Community Report No. 09
Health Plan-Provider Showdowns on the Rise Bradley C. Strunk, Kelly Devers, Robert E. Hurley	June 2001	Issue Brief No. 40
Provider Network Instability: Implications for Choice, Costs and Continuity of Care Ashley C. Short, Glen P. Mays, Timothy K. Lake	June 2001	Issue Brief No. 39
What Accounts for Differences in Uninsurance Rates Across Communities? Peter J. Cunningham, Paul B. Ginsburg	Spring 2001	Inquiry
Hopes Dim for More Competition Debra A. Draper, Linda R. Brewster, Lawrence D. Brown, Lance Heineccius, Carolyn A. Watts, Laurie E. Felland, Elizabeth Eagan	Spring 2001	Community Report No. 08
Emergency Room Diversions: A Symptom of Hospitals Under Stress Linda R. Brewster, Liza Rudell, Cara S. Lesser	May 2001	Issue Brief No. 38
Hospitals Compete for Specialty Care Glen P. Mays, Sally Trude, Lawrence P. Casalino, Patricia Lichiello, Bradley C. Strunk, Jeffrey Stoddard	Spring 2001	Community Report No. 07
Tax Credits and Purchasing Pools: Will This Marriage Work? Sally Trude, Paul B. Ginsburg	April 2001	Issue Brief No. 36
How to Make Tax Credits for Health Insurance Work: The Role of Purchasing Pools	April 10, 2001	Conference Transcript
Highly Consolidated Market Poses Cost Control Challenges Kelly Devers, Jon B. Christianson, Laurie E. Felland, Suzanne Felt-Lisk, Liza Rudell, J. Lee Hargraves	Winter 2001	Community Report No. 06
Do Consumers Know How Their Health Plan Works? Peter J. Cunningham, Charles Denk, Michael Sinclair	March/April 2001	Health Affairs
Back To The Future? New Cost and Access Challenges Emerge Cara S. Lesser, Paul B. Ginsburg	February 2001	Issue Brief No. 35
Race, Ethnicity and Preventive Services: J. Lee Hargraves	January 2001	Issue Brief No. 34
At the Brink: Linda R. Brewster, Paul B. Ginsburg	December 2000	Issue Brief No. 33
Tracking Health Care Costs: Christopher Hogan, Paul B. Ginsburg, Jon R. Gabel	November/December 2000	Health Affairs
Update on the Nation’s Health Care System: Cara S. Lesser, Paul B. Ginsburg	November/December 2000	Health Affairs
Are Defined Contributions a New Direction for Employer-Sponsored Coverage? Sally Trude, Paul B. Ginsburg	October 2000	Issue Brief No. 32
Defining "Defined Contributions":	October 10, 2000	Conference Transcript
Wall Street Comes to Washington:	September 2000	Issue Brief No. 31
Health Care Perceptions and Experiences James D. Reschovsky, J. Lee Hargraves	September 2000	Issue Brief No. 30
Withering on the Vine: Jon R. Gabel, Paul B. Ginsburg, Heidi H. Whitmore, Jeremy D. Pickreign	September/October 2000	Health Affairs
Who Is Likely to Switch Health Plans? Peter J. Cunningham, Linda T. Kohn	July 2000	Data Bulletin No. 18
Patients Concerned About Insurer Influences J. Lee Hargraves	June 2000	Data Bulletin No. 17
Wall Street Analysts Bullish on Managed Care, Bearish on Revolution Health Care Information Technology	June 22, 2000	Conference Executive Summary
Fifth Annual Wall Street Comes to Washington:	June 21, 2000	Conference Transcript
What’s the Difference Between HMOs and Non-HMOs?: National Survey of Consumers Finds Limited Disparities with Non-HMO Plans	March 16, 2000	Conference Executive Summary
Why People Change Their Health Care Providers Marie C. Reed	May 2000	Data Bulletin No. 16
Are Focused Factories the Wave of the Future? Paul B. Ginsburg	Spring 2000	Frontiers of Health Services Management
Health Plan Switching: Peter J. Cunningham, Linda T. Kohn	May/June 2000	Health Affairs
Monitoring Market Change: Findings from the Community Tracking Study: Paul B. Ginsburg, Peter Kemper, Raymond J. Baxter, Linda T. Kohn	April 2000	Health Services Research
Monitoring Market Change: Findings from the Community Tracking Study: Joy M. Grossman	April 2000	Health Services Research
Monitoring Market Change: Findings from the Community Tracking Study: Linda T. Kohn	April 2000	Health Services Research
Does Type of Health Insurance Affect Health Care Use and Assessments of Care Among the Privately Insured? James D. Reschovsky, Peter Kemper, Ha T. Tu	April 2000	Health Services Research
Do HMOs Make a Difference? James D. Reschovsky, Peter Kemper	Winter 1999/2000	Inquiry
Do HMOs Make a Difference? James D. Reschovsky	Winter 1999/2000	Inquiry
Do HMOs Make a Difference? James D. Reschovsky	Winter 1999/2000	Inquiry
Do HMOs Make a Difference? Ha T. Tu, Peter Kemper, Holly L. Wong	Winter 1999/2000	Inquiry
Do HMOs Make a Difference? Timothy K. Lake	Winter 1999/2000	Inquiry
Do HMOs Make a Difference? Peter Kemper, James D. Reschovsky, Ha T. Tu	Winter 1999/2000	Inquiry
Do HMOs Make a Difference? James D. Reschovsky, Peter Kemper, Ha T. Tu, Timothy K. Lake, Holly L. Wong	March 2000	Issue Brief No. 28
Do HMOs Make a Difference?	March 9, 2000	Conference Transcript
Who Has a Choice of Health Plans? Sally Trude	February 2000	Issue Brief No. 27
Insolvency and Challenges of Regulating Providers that Bear Risk Linda R. Brewster, Leslie A. Jackson, Cara S. Lesser	February 2000	Issue Brief No. 26
Local Innovations Provide Managed Care for the Uninsured Laurie E. Felland, Cara S. Lesser	January 2000	Issue Brief No. 25
Changes in Scope of Care Provided by Primary Care Physicians Robert F. St. Peter, Marie C. Reed, Peter Kemper, David Blumenthal	December 23, 1999	The New England Journal of Medicine
The Scope of Care Expected of Primary Care Physicians: Robert F. St. Peter, Marie C. Reed, Peter Kemper, David Blumenthal	December 1999	Issue Brief No. 24
Tracking Health Care Costs: Paul B. Ginsburg	November 1999	Issue Brief No. 23
Update on the Nation's Health Care System:	November 16, 1999	Conference Transcript
HSC Conference Focusing on the Nation's Health Care System Finds It Is in Tremendous Turmoil	November 19, 1999	Conference Executive Summary
Managed Care Backlash: Paul B. Ginsburg	October 1999	Journal of Health Policy, Politics and Law
Health Spending: Paul B. Ginsburg	January/February 1999	Health Affairs
Wall Street Comes to Washington:	September 1999	Issue Brief No. 21
Introduction to the Community Reports	Summer 1999	Compilation of Round Two Site Visits
Wall Street Analysts Predict Several Years of Higher Health Plan Premiums	June 10, 1999	Conference Executive Summary
Fourth Annual Wall Street Comes to Washington:	June 9, 1999	Conference Transcript
How Physician Organizations Are Responding to Managed Care	May 1999	Issue Brief No. 20
Managed Care and Physicians' Provision of Charity Care Peter J. Cunningham, Joy M. Grossman, Robert F. St. Peter, Cara S. Lesser	March 24-31, 1999	Journal of the American Medical Association
Pressures on the Health Care Safety Net: Peter J. Cunningham	April 1999	Health Services Research
Staying in the Game: Raymond J. Baxter, Rachel L. Feldman	March 1999	Research Report No. 03
Physicians Must Lead Local Organizations if Practices Are to Work, Panel Says	February 2, 1999	Conference Executive Summary
Independent No More:	January 27, 1999	Conference Transcript
Wall Street Comes to Washington:	December 1998	Issue Brief No. 17
Public Health Departments Adapt to Medicaid Managed Care Rose Marie Martinez, Elizabeth Closter	November 1998	Issue Brief No. 16
Competition, Quality of Care and the Role of the Consumer Catherine G. McLaughlin, Paul B. Ginsburg	1998	The Milbank Quarterly
Despite Fears, Costs Rise Only Modestly in 1998	Fall 1998	Data Bulletin No. 13
Tracking Health Care Costs: Paul B. Ginsburg, Jon R. Gabel	September/October 1998	Health Affairs
Health Plans 2010: Paul B. Ginsburg	September/October 1998	Today's Internist
Health System Change in 1997 Paul B. Ginsburg	July/August 1998	Health Affairs
Rules of the Game: Loel S. Solomon	July/August 1998	Health Affairs
Accountable Communities: Caroline Rossi Steinberg, Raymond J. Baxter	July/August 1998	Health Affairs
Growth of Medicaid-Dominated HMOs	Spring 1998	Data Bulletin No. 11
Managed Care Woes:	May 1998	Issue Brief No. 13
More Small Firms Offer Health Insurance but Fewer Employees Enroll	Winter 1998	Data Bulletin No. 10
Trends in Managed Care Coverage in Small Firms	Winter 1998	Data Bulletin No. 09
Tracking Small-Firm Coverage, 1989-1996 Paul B. Ginsburg, Jon R. Gabel, Kelly A. Hunt	January/February 1998	Health Affairs
Payment Arrangements and Financial Incentives for Physicians Timothy K. Lake, Robert F. St. Peter	Fall 1997	Data Bulletin No. 08
Choosing a Health Plan: Judith Hibbard, Jacquelyn Jewett, Mark W. Legnini, Martin Tusler	November/December 1997	Health Affairs
Gatekeeping Arrangements in Widespread Use Robert F. St. Peter	Fall 1997	Data Bulletin No. 07
Primary Care Physicians Concerned about Patients' Access to Mental Health Services Miriam Shuchman, Robert F. St. Peter	Fall 1997	Data Bulletin No. 06
Strong Opinions Held about the Tradeoff Between Choice of Providers and Cost of Care Ha T. Tu, Peter J. Cunningham	Fall 1997	Data Bulletin No. 04
Satisfaction and Quality: Marie C. Reed, Robert F. St. Peter	Fall 1997	Data Bulletin No. 03
Access to Specialists: Robert F. St. Peter	Fall 1997	Data Bulletin No. 02
Small Employers and Their Health Benefits, 1988-1996: Jon R. Gabel, Paul B. Ginsburg, Kelly A. Hunt	September/October 1997	Health Affairs
Changes in Health Plans Serving Medicaid, 1993-1996 Suzanne Felt-Lisk, Sara Yang	September/October 1997	Health Affairs
Tracking Health Care Costs: Paul B. Ginsburg, Jeremy D. Pickreign	July/August 1997	Health Affairs
A Changing Picture of Uncompensated Care Peter J. Cunningham, Ha T. Tu	July/August 1997	Health Affairs
Will Hospital Report Cards Make the Grade?	July 1997	Issue Brief No. 11
Health Care Costs:	June 1997	Issue Brief No. 10
Patients, Profits and Health System Change:	May 1997	Issue Brief No. 09
The Dynamics of Market Level Change Paul B. Ginsburg	April 1997	Journal of Health Politics, Policy and Law
Trends Toward a National Health Care Marketplace Janet M. Corrigan, Jeremy D. Pickreign	Spring 1997	Inquiry
An Inadequate Supply of Qualified People Will Slow the Pace of Health System Change Linda T. Kohn	March 1997	Issue Brief No. 07
Association Leaders Speak Out on Health System Change Janet M. Corrigan, Paul B. Ginsburg	January/February 1997	Health Affairs
Tracking Health Care Costs:	January 1997	Issue Brief No. 06
Tracking Health Care Costs Paul B. Ginsburg, Jeremy D. Pickreign	Fall 1996	Health Affairs
A Primer on Understanding Health Care Cost Trends:	December 1996	Issue Brief No. 05
Policy Implications of Risk Selection in Medicare HMOs: Heidi H. Whitmore	November 1996	Issue Brief No. 04
Rate Setting and Health Maintenance Organizations Paul B. Ginsburg	Fall 1996	Journal of Health Politics, Policy and Law
Tracking Changes in the Public Health System:	September 1996	Issue Brief No. 02
Snapshots of Change in Fifteen Communities: Paul B. Ginsburg	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Debra J. Lipson, Naomi Naierman	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Kathryn Saenz Duke	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Debra J. Lipson, Jeanne M. De Sa	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Aaron Katz, Jack Thompson	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Robert Miller	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Robert Miller	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Patricia Lichiello, Carolyn Madden	Summer 1996	Health Affairs
The Community Snapshots Project	1995	Albuquerque, N.M.
The Community Snapshots Project	1995	Boston, Mass.
The Community Snapshots Project	1995	Columbia, S.C.
The Community Snapshots Project	1995	Des Moines, Iowa
The Community Snapshots Project	1995	Fargo, N.D.
The Community Snapshots Project	1995	Houston, TX
The Community Snapshots Project	1995	Indianapolis, Ind.
The Community Snapshots Project	1995	Minneaoplis, Minn.
The Community Snapshots Project	1995	North Centeral Florida
The Community Snapshots Project	1995	Orange County, Calif.
The Community Snapshots Project	1995	Portland, Ore.
The Community Snapshots Project	1995	St. Louis, Mo.
The Community Snapshots Project	1995	San Diego, Calif.
The Community Snapshots Project	1995	South Florida
The Community Snapshots Project	1995	Wilmington, Del.
Health System Change: Paul B. Ginsburg, Joy M. Grossman	Winter 1995	Health Affairs