Health Services Research articles from February 1999

Health Services Research archives from February 1999

Practice patterns, case mix, Medicare payment policy, and dialysis facility costs.(Changing Treatment Patterns)
February 1, 1999... BACKGROUND AND SIGNIFICANCE U.S. healthcare providers increasingly face an environment characterized by capitation and stringent cost controls. Little is known about the long-run effects of these incentives on cost, quality of care, and...

Can restrictions on reimbursement for anti-ulcer drugs decrease Medicaid pharmacy costs without increasing hospitalizations?(Changing Treatment Patterns)
February 1, 1999... Among the challenges facing the American healthcare system, perhaps none are more daunting than those related to Medicaid programs. Financing for Medicaid, provided by both the federal and state governments, has costs that account for...

Incidence and duration of hospitalizations among persons with AIDS: an event history approach.(Changing Treatment Patterns)
February 1, 1999... Although AIDS care increasingly emphasizes community-based service delivery and pharmaceutical treatment, hospitalization is still its most costly component. These costs have substantially affected the healthcare system (Andrulis et al. 1992;...

Making Medicaid managed care research relevant.(Policy Impact)
February 1, 1999... OVERVIEW OF OBJECTIVES Healthcare services for low-income populations are rapidly changing with the movement to managed care, particularly as many states integrate managed care strategies into their Medicaid programs. By 1997, 15.3 million...

Excess capacity: markets, regulation, and values.(Policy Impact)
February 1, 1999... Excess capacity is a term that evokes strong feelings among healthcare professionals. For some it conjures up images of inefficiency begging for government solution. For others, it is evidence of a market in transition: a trigger only for...

Commentary: excess capacity, a commentary on markets, regulation, and values.(Policy Impact)(response to article by Carolyn Madden in this issue, p. 1651)
February 1, 1999... Professor Carolyn Madden attempts something very difficult in her article, "Excess Capacity: Markets, Regulation, and Values." She points out that analysts of the healthcare sector disagree on the desirability of new policies or reforms to...

A taxonomy of health networks and systems: bringing order out of chaos.(Methods)
February 1, 1999... Much has been written about the massive health industry restructuring that is under way and the forces driving it (cf. Burns and Thorpe 1995; Dowling 1995; Shortell, Gillies, Anderson, et al. 1993; Robinson and Casalino 1996; Shortell 1988). To...

Commentary: on 'A Taxonomy of Healthcare Networks and Systems: Bringing Order Out of Chaos.'.(Methods)(response to article by Gloria J. Bazzoli, Stephen M. Shortell, Nicole Dubbs, Cheeling Chan and Peter Kralovec, in this issue, p. 1683)
February 1, 1999... Bazzoli, Shortell, and Dubbs et al. make a timely contribution in this issue to our understanding of emerging organizational forms in the healthcare industry, particularly within the hospital sector. They have constructed a much needed taxonomy...

Risk-adjusted capitation based on the diagnostic cost group model: an empirical evaluation with health survey information.(Methods)
February 1, 1999... As in many countries, market-oriented healthcare reforms are high on the political agenda in the Netherlands. Regulated competition among insurers as well as among providers is a crucial element in these reforms. Consumers may choose among...

Commentary: improving risk-adjustment models for capitation payment and global budgeting.(Methods)(response to article by Leida Lamers in this issue, p. 1727)
February 1, 1999... In this issue, Dr. Leida Lamers has contributed an excellent, well-written, understandable article that adds significantly to our understanding of risk adjustment in capitation payment systems (in this case the Netherlands sickness fund system)...

Organizational and environmental factors associated with nursing home participation in managed care.
February 1, 1999... Managed care is rapidly overtaking cost-based, fee-for-service payment as the dominant reimbursement paradigm for the American healthcare system (Group Health Association of America 1993). The dominance achieved by managed care organizations...