Research Topics
| Paul B GinsburgSummaryAffiliation: Center for Studying Health System Change Country: USA Publications
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Detail Information
Publications
Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician paymentPaul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 31:1977-83. 2012..This article reviews how the current payment system developed and is applied, and it highlights areas that require careful review and modification to ensure the success of broader payment reform...
Employment-based health benefits under universal coveragePaul B Ginsburg
Center for Studying Health System Change in Washington, DC, USA
Health Aff (Millwood) 27:675-85. 2008..But real-world experience with such a reform is needed before considering the substitution of individual coverage for employer-based coverage...
Don't break out the champagne: continued slowing of health care spending growth unlikely to lastPaul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 27:30-2. 2008..Increasing incidence of obesity is a major factor behind rising costs. The influence of the economic cycle on health spending, which has lowered the trend in recent years, is likely to reverse its impact shortly...
Shopping for price in medical carePaul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 26:w208-16. 2007..But clumsy requirements to disclose insurer-provider contracts could lead to higher prices. Greater price transparency might help curb rising costs, but many overstate the likely magnitude of its contribution...
Tracking health care costs: continued stability but at high rates in 2005Paul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 25:w486-95. 2006..In contrast to stable spending trends in 2005, premium trends continued to decline in 2006, likely reflecting the lagged effects of earlier years' slowing in cost trends and perhaps signaling a turn in the insurance underwriting cycle...
Competition in health care: its evolution over the past decadePaul B Ginsburg
Center for Studying Health System Change, in Washington, DC, USA
Health Aff (Millwood) 24:1512-22. 2005..But the greatest potential for a larger role for consumers lies in mechanisms that apply competitive pressure on providers to improve the quality of care that they provide and reduce their costs...
When the price isn't right: how inadvertent payment incentives drive medical carePaul B Ginsburg
Center for Studying Health System Change in Washington, DC, USA
Health Aff (Millwood) . 2005....
Can hospitals and physicians shift the effects of cuts in Medicare reimbursement to private payers?Paul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2003..quot; I show that more realistic models of the behavior of hospitals and physicians than exist in basic economics texts provide a conceptual basis for cost shifting...
Tracking health care costsBradley C Strunk
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2001..If these trends continue, likely responses by employers would lead to consumers' facing higher out-of-pocket costs and an increase in the number of uninsured persons...
Tracking health care costs: trends stabilize but remain high in 2002Bradley C Strunk
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2003..Premium increases accelerated again in 2003, despite 2002's slight deceleration of the overall spending trend...
Unchecked provider clout in California foreshadows challenges to health reformRobert A Berenson
Center for Studying Health System Change and Health Policy Center at Urban Institute, Washington, DC, USA
Health Aff (Millwood) 29:699-705. 2010....
Tracking health care costs: growth accelerates again in 2001Bradley C Strunk
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2002..Early evidence from 2002 suggests that health care cost trends are now beginning to slow, possibly setting the stage for more moderate premium growth in the future...
Unhealthy trends: the future of physician servicesHoangmai H Pham
Center for Studying Health System Change, USA
Health Aff (Millwood) 26:1586-98. 2007..Medicare can lead longer-term efforts to incorporate more per episode and capitated elements into the payment system, revamping incentives for physicians...
Controlling health care costsPaul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
N Engl J Med 351:1591-3. 2004
Financing change. Hospital relationships with physiciansPaul B Ginsburg
Center for Studying Health System Change, USA
Hosp Health Netw 81:suppl 10. 2007
Strategies to enhance price and quality competition in health care: lessons learned from tracking local marketsCara S Lesser
Center for Studying Health System Change, USA
J Health Polit Policy Law 31:557-67. 2006..Barriers can be reduced, though, by revising pricing policies that have resulted in marked disparities in the relative profitability of different services...
Tracking health care costs: trends turn downward in 2003Bradley C Strunk
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2004..The trend for health insurance premiums fell in 2004. Employers raised patient cost sharing for the third year in a row...
Revising Medicare's physician fee schedule--much activity, little changePaul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
N Engl J Med 356:1201-3. 2007
Improving health care access for low-income people: lessons from ascension health's community collaborativesLaurie E Felland
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 30:1290-8. 2011..Lessons gleaned from these community collaborations can be valuable as the nation implements health reform, and safety-net health care systems home in on remaining access issues...
Medicare governance and provider payment policyHoangmai H Pham
Center for Studying Health System Change HSC, Washington, DC, USA
Health Aff (Millwood) 28:1382-94. 2009....
Is health spending excessive? If so, what can we do about it?Henry J Aaron
Brookings Institution in Washington, DC, USA
Health Aff (Millwood) 28:1260-75. 2009....
Redesigning care delivery in response to a high-performance network: the Virginia Mason Medical CenterHoangmai H Pham
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 26:w532-44. 2007..Making the business case for sustaining desirable provider behavior may require that purchasers and plans make equally fundamental changes in payment policy...
The growing power of some providers to win steep payment increases from insurers suggests policy remedies may be neededRobert A Berenson
Center for Studying Health System Change, Washington, D C, USA
Health Aff (Millwood) 31:973-81. 2012....
Recalibrating Medicare payments for inpatient carePaul B Ginsburg
Center for Studying Health System Change, Washington, DC, USA
N Engl J Med 355:2061-4. 2006
The end of an era: what became of the "managed care revolution" in 2001?Cara S Lesser
Center for Studying Health System Change, Washington, DC 20024, USA
Health Serv Res 38:337-55. 2003....
Tracking health care costs: declining growth trend pauses in 2004Bradley C Strunk
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2005..Growth in health insurance premiums slowed again in 2005, likely reflecting earlier years' slowing in cost trends and signaling that a turn in the insurance underwriting cycle might be under way...
Coverage expansion needs cost containment - but States cannot do it aloneHoangmai H Pham
Center for Studying Health Systems Change, Washington, DC 20024, USA
J Ambul Care Manage 30:202. 2007
The effect of population aging on future hospital demandBradley C Strunk
Center for Studying Health System Change, USA
Health Aff (Millwood) 25:w141-9. 2006..Even for those services, however, aging is a much less important factor than local population trends and changing practice patterns attributable to advancing medical technology...
As the health insurance underwriting cycle turns: what next?Joy M Grossman
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 23:91-102. 2004..Plans will price closer to cost trends and forego the more heated price competition that drove major losses in the past, reducing premium volatility but possibly leading to higher average premiums...
Hospital-physicians relations: cooperation, competition, or separation?Robert A Berenson
Urban Institute, Washington, DC, USA
Health Aff (Millwood) 26:w31-43. 2007..Although there are increasing expectations that health system challenges will lead hospitals and physicians to collaborate, in many markets the willingness and ability for hospitals and physicians to work together is actually eroding...
Paying hospitals on the basis of nursing intensity: policy and political considerationsPaul B Ginsburg
Center for Studying Health System Change
Policy Polit Nurs Pract 9:118-20. 2008....
Are market forces strong enough to deliver efficient health care systems? Confidence is waningLen M Nichols
Health Aff (Millwood) 23:8-21. 2004..Major barriers to efficient market outcomes exist amid growing willingness to consider renewed government interventions...
Payment and the future of primary carePaul B Ginsburg
Ann Intern Med 138:233-4. 2003
Hospital spendingPaul B Ginsburg
Health Aff (Millwood) 23:273; author reply 274. 2004
