Paul B Ginsburg

Summary

Affiliation: Center for Studying Health System Change
Country: USA

Publications

  1. doi request reprint Achieving health care cost containment through provider payment reform that engages patients and providers
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 32:929-34. 2013
  2. doi request reprint Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 31:1977-83. 2012
  3. ncbi request reprint When the price isn't right: how inadvertent payment incentives drive medical care
    Paul B Ginsburg
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) . 2005
  4. ncbi request reprint Competition in health care: its evolution over the past decade
    Paul B Ginsburg
    Center for Studying Health System Change, in Washington, DC, USA
    Health Aff (Millwood) 24:1512-22. 2005
  5. ncbi request reprint Tracking health care costs: continued stability but at high rates in 2005
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 25:w486-95. 2006
  6. ncbi request reprint 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
  7. ncbi request reprint Shopping for price in medical care
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 26:w208-16. 2007
  8. doi request reprint Don't break out the champagne: continued slowing of health care spending growth unlikely to last
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 27:30-2. 2008
  9. doi request reprint Employment-based health benefits under universal coverage
    Paul B Ginsburg
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 27:675-85. 2008
  10. ncbi request reprint Tracking health care costs
    Bradley C Strunk
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) . 2001

Detail Information

Publications35

  1. doi request reprint Achieving health care cost containment through provider payment reform that engages patients and providers
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 32:929-34. 2013
    ..In addition, the models need to evolve to engage beneficiaries, perhaps through incentives for patients to enroll in an accountable care organization and to seek care within that organization's network of providers...
  2. doi request reprint Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment
    Paul 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...
  3. ncbi request reprint When the price isn't right: how inadvertent payment incentives drive medical care
    Paul B Ginsburg
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) . 2005
    ....
  4. ncbi request reprint Competition in health care: its evolution over the past decade
    Paul 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...
  5. ncbi request reprint Tracking health care costs: continued stability but at high rates in 2005
    Paul 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...
  6. ncbi request reprint 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
    ..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...
  7. ncbi request reprint Shopping for price in medical care
    Paul 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...
  8. doi request reprint Don't break out the champagne: continued slowing of health care spending growth unlikely to last
    Paul 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...
  9. doi request reprint Employment-based health benefits under universal coverage
    Paul 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...
  10. ncbi request reprint Tracking health care costs
    Bradley 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...
  11. ncbi request reprint Tracking health care costs: trends stabilize but remain high in 2002
    Bradley 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...
  12. doi request reprint Unchecked provider clout in California foreshadows challenges to health reform
    Robert 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
    ....
  13. ncbi request reprint Tracking health care costs: growth accelerates again in 2001
    Bradley 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...
  14. ncbi request reprint Unhealthy trends: the future of physician services
    Hoangmai 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...
  15. ncbi request reprint Tracking health care costs: trends turn downward in 2003
    Bradley 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...
  16. ncbi request reprint Controlling health care costs
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    N Engl J Med 351:1591-3. 2004
  17. ncbi request reprint Financing change. Hospital relationships with physicians
    Paul B Ginsburg
    Center for Studying Health System Change, USA
    Hosp Health Netw 81:suppl 10. 2007
  18. ncbi request reprint Strategies to enhance price and quality competition in health care: lessons learned from tracking local markets
    Cara 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...
  19. ncbi request reprint Revising Medicare's physician fee schedule--much activity, little change
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    N Engl J Med 356:1201-3. 2007
  20. ncbi request reprint Redesigning care delivery in response to a high-performance network: the Virginia Mason Medical Center
    Hoangmai 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...
  21. doi request reprint 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
    ....
  22. doi request reprint Medicare governance and provider payment policy
    Hoangmai H Pham
    Center for Studying Health System Change HSC, Washington, DC, USA
    Health Aff (Millwood) 28:1382-94. 2009
    ....
  23. doi request reprint Improving health care access for low-income people: lessons from ascension health's community collaboratives
    Laurie 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...
  24. doi request reprint The growing power of some providers to win steep payment increases from insurers suggests policy remedies may be needed
    Robert A Berenson
    Center for Studying Health System Change, Washington, D C, USA
    Health Aff (Millwood) 31:973-81. 2012
    ....
  25. pmc 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
    ....
  26. ncbi request reprint Recalibrating Medicare payments for inpatient care
    Paul B Ginsburg
    Center for Studying Health System Change, Washington, DC, USA
    N Engl J Med 355:2061-4. 2006
  27. ncbi request reprint Coverage expansion needs cost containment - but States cannot do it alone
    Ann S O'Malley
    Center for Studying Health Systems Change, Washington, DC 20024, USA
    J Ambul Care Manage 30:202. 2007
  28. ncbi request reprint The effect of population aging on future hospital demand
    Bradley 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...
  29. ncbi request reprint Tracking health care costs: declining growth trend pauses in 2004
    Bradley 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...
  30. ncbi request reprint 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...
  31. ncbi request reprint 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...
  32. doi request reprint Paying hospitals on the basis of nursing intensity: policy and political considerations
    Paul B Ginsburg
    Center for Studying Health System Change
    Policy Polit Nurs Pract 9:118-20. 2008
    ....
  33. ncbi request reprint Are market forces strong enough to deliver efficient health care systems? Confidence is waning
    Len M Nichols
    Health Aff (Millwood) 23:8-21. 2004
    ..Major barriers to efficient market outcomes exist amid growing willingness to consider renewed government interventions...
  34. ncbi request reprint Hospital spending
    Paul B Ginsburg
    Health Aff (Millwood) 23:273; author reply 274. 2004
  35. ncbi request reprint Payment and the future of primary care
    Paul B Ginsburg
    Ann Intern Med 138:233-4. 2003