Research Topics
| James C RobinsonSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
Variation in hospital costs, payments, and profitabilty for cardiac valve replacement surgeryJames C Robinson
School of Public Health, University of California, Berkeley, CA 94720 7360, USA
Health Serv Res 46:1928-45. 2011..Examine the variation for Medicare and privately insured patients in hospital costs, payments, and contribution margins and their association with characteristics of the patients, hospitals, and hospital markets...
Providers' payment and delivery system reforms hold both threats and opportunities for the drug and device industriesJames C Robinson
Berkeley Center for Health Technology, University of California, Berkeley, USA
Health Aff (Millwood) 31:2059-67. 2012..This article explores payment reforms that will have an impact on the medical technology industry and describes opportunities for the industry to flourish in this new, more financially constrained landscape...
Payers test reference pricing and centers of excellence to steer patients to low-price and high-quality providersJames C Robinson
Berkeley Center for Health Technology, University of California, Berkeley, USA
Health Aff (Millwood) 31:2028-36. 2012..The article then examines their potential role in the policy debate over appropriate coverage and cost-sharing requirements...
The commercial health insurance industry in an era of eroding employer coverageJames C Robinson
School of Public Health, University of California, Berkeley, USA
Health Aff (Millwood) 25:1475-86. 2006..The profitability of the commercial health insurance industry, exceptionally strong over the past five years, will henceforth be linked to the budgetary cycles and political fluctuations of state and federal governments...
Cost-reducing innovation in health careJames C Robinson
University of California, Berkeley, USA
Health Aff (Millwood) 27:1353-6. 2008..We give examples and sketch the principal regulatory, payment, insurance, and policy design obstacles to the further development and diffusion of cost-reducing innovations...
Value-based purchasing for medical devicesJames C Robinson
School of Public Health, at the University of California, Berkeley, USA
Health Aff (Millwood) 27:1523-31. 2008..Emphasis is placed on the challenges posed by information inadequacies, incentive misalignments, and organizational fragmentation between hospitals and surgeons...
Consumer-driven health care: promise and performanceJames C Robinson
Kaiser Permanente Professor of Health Economics in the School of Public Health at the University of California, Berkeley, USA
Health Aff (Millwood) 28:w272-81. 2009....
Financial incentives, quality improvement programs, and the adoption of clinical information technologyJames C Robinson
University of California, School of Public Health, Berkeley, California 94720 7360, USA
Med Care 47:411-7. 2009..We studied the role of health insurers' financial incentives (including pay-for-performance) and quality improvement initiatives in accelerating adoption of CIT in large physician practices...
Quality-based payment for medical groups and individual physiciansJames C Robinson
Berkeley Center for Health Technology, School of Public Health, 247 University Hall, University of California, Berkeley, CA 94720 7360, USA
Inquiry 46:172-81. 2009..001 for primary care; p<.05 for specialists) than groups paid by insurers on a fee-for-service basis...
Measurement of and reward for efficiency In California's pay-for-performance programJames C Robinson
Berkeley Center forHealth Technology, University of California, Berkeley, CA, USA
Health Aff (Millwood) 28:1438-47. 2009..The California P4P program is shifting its efficiency focus to metrics not reliant on episode measurement while shifting episode measurement to supporting bundled payment for acute surgical and medical interventions...
Comparative effectiveness research: from clinical information to economic incentivesJames C Robinson
Kaiser Permanente of Health Economics, School of Public Health, University of California, Berkeley, USA
Health Aff (Millwood) 29:1788-95. 2010..This paper examines how each of these approaches may be adapted to incorporate new evidence from comparative effectiveness research...
Applying value-based insurance design to high-cost health servicesJames C Robinson
School of Public Health, University of California, Berkeley, CA, USA
Health Aff (Millwood) 29:2009-16. 2010..This paper proposes applying value-based insurance design principles to self-administered and office-administered specialty drugs, implantable medical devices, advanced imaging modalities, and major surgical procedures...
Hospitals respond to Medicare payment shortfalls by both shifting costs and cutting them, based on market concentrationJames Robinson
Berkeley Center for Health Technology, University of California, Berkeley, CA, USA
Health Aff (Millwood) 30:1265-71. 2011..Policy makers need to examine whether efforts to promote clinical coordination through provider integration may interfere with efforts to restrain overall health care cost growth by restraining Medicare payment rates...
Hospital market concentration, pricing, and profitability in orthopedic surgery and interventional cardiologyJames C Robinson
Berkeley Center for Health Technology, University of California School of Public Health, 247 University Hall, Berkeley, CA 94720, USA
Am J Manag Care 17:e241-8. 2011..To examine the association between hospital market concentration and pricing...
Insurers' strategies for managing the use and cost of biopharmaceuticalsJames C Robinson
University of California, Berkeley, School of Public Health, USA
Health Aff (Millwood) 25:1205-17. 2006..Contemporary initiatives are modest in ambition but potentially lay the foundation for a framework that balances access to innovation with affordability in this dynamic industry...
Reevaluation of capitation contracting in New York and CaliforniaJames C Robinson
University of California, Berkeley, USA
Health Aff (Millwood) . 2001..This represents a departure from the 1990s, when many industry participants and analysts expected capitated and delegated relationships to spread across the nation...
Improving chronic illness care: findings from a national study of care management processes in large physician practicesDiane R Rittenhouse
University of California, San Francisco, CA 94143, USA
Med Care Res Rev 67:301-20. 2010..Organizations externally evaluated on quality measures used more CMPs than other organizations. These findings can inform efforts to stimulate the adoption of best practices for chronic illness care...
How different is California? A comparison of U.S. physician organizationsRobin R Gillies
Department of Health Policy and Management, School of Public Health, University of California, Berkeley, USA
Health Aff (Millwood) . 2003..The implications of these differences for policy and practice are discussed...
The alignment and blending of payment incentives within physician organizationsJames C Robinson
University of California, Berkeley, School of Public Health, 140 Warren, Berkeley, CA 94720-7360, USA
Health Serv Res 39:1589-606. 2004....
Improving quality in Medicaid: the use of care management processes for chronic illness and preventive careDiane R Rittenhouse
Department of Family and Community Medicine, University of California, San Francisco 94143 0900, USA
Med Care 44:47-54. 2006..Care management processes (CMPs), tools to improve the efficiency and quality of primary care delivery, are particularly important for low-income patients facing substantial barriers to care...
Reinvention of health insurance in the consumer eraJames C Robinson
University of California, School of Public Health, Berkeley, CA 94720 7360, USA
JAMA 291:1880-6. 2004....
Health savings accounts--the ownership society in health careJames C Robinson
Division of Health Policy and Management at the University of California, Berkeley, School of Public Health, USA
N Engl J Med 353:1199-202. 2005
For-profit non-conversion and regulatory firestorm at CareFirst BlueCross BlueShieldJames C Robinson
University of California, Berkeley, USA
Health Aff (Millwood) 23:68-83. 2004..Coupled with the ensuing conflict with insurance commissioners and nearby Blues plans, this incident signals the end of the "trust-me" era of nonprofit accountability in health insurance...
Improving chronic illness care: a longitudinal cohort analysis of large physician organizationsStephen M Shortell
Division of Health Policy and Management, School of Public Health, University of California, Berkeley, CA 94720, USA
Med Care 47:932-9. 2009..An increasing number of people suffer from chronic illness. Processes exist to provide better chronic illness care and yet for the most part, they are not used...
Hospital tiers in health insurance: balancing consumer choice with financial incentivesJames C Robinson
School of Public Health, University of California, Berkeley, USA
Health Aff (Millwood) . 2003..This paper describes the new network designs and evaluates the challenges they face in influencing consumers' behavior, incorporating information on clinical quality, and supporting medical education and uncompensated care...
As good as it gets? Chronic care management in nine leading US physician organisationsThomas G Rundall
University of California at Berkeley, School of Public Health, Division of Health Policy and Management, 140 Warren Hall, Berkeley, California, USA
BMJ 325:958-61. 2002
Medical management after managed careJames C Robinson
University of California, Berkeley, School of Public Health, USA
Health Aff (Millwood) . 2004....
The curious conversion of Empire Blue CrossJames C Robinson
University of California, Berkeley, USA
Health Aff (Millwood) 22:100-18. 2003....
Renewed emphasis on consumer cost sharing in health insurance benefit designJames C Robinson
University of California, Berkeley, USA
Health Aff (Millwood) . 2002..Diverse benefit designs and increased consumer cost sharing challenge conventional policy wisdom but may counteract some of the pernicious features of the health care status quo...
Managed consumerism in health careJames C Robinson
University of California, Berkeley, School of Public Health, USA
Health Aff (Millwood) 24:1478-89. 2005..A competitive market will manifest a variety of comprehensive and limited benefit designs, broad and narrow contractual networks, and single-and multispecialty provider organizations...
The politics of managed competition: public abuse of the private interestJames C Robinson
Division of Health Policy and Management, University of California, Berkeley, USA
J Health Polit Policy Law 28:341-53. 2003..America's health care system suffers from the public abuse of private interests and the private abuse of the public interest...
Consolidation and the transformation of competition in health insuranceJames C Robinson
Health Economics, School of Public Health, University of California, Berkeley, CA, USA
Health Aff (Millwood) 23:11-24. 2004..Private insurers face renewed price and profit pressures in the short term, but long-term prospects depend on the emergence of new products and new competitors in an increasingly consolidated industry...
From managed care to consumer health insurance: the fall and rise of AetnaJames C Robinson
University of California, Berkeley, School of Public Health, USA
Health Aff (Millwood) 23:43-55. 2004..Disciplined underwriting and pricing have restored the firm to profitability and set the foundation for new growth. The implications for the health care system as a whole are less unambiguously positive...
Price transparency begins at homeJames C Robinson
University of California, Berkeley, USA
Front Health Serv Manage 23:25-8; discussion 37-8. 2007
Variability in costs associated with total hip and knee replacement implantsJames C Robinson
University of California, Berkeley, Berkeley, CA, USA
J Bone Joint Surg Am 94:1693-8. 2012..The present study quantifies the patient, hospital, and market characteristics associated with variation in implant and total procedure costs for hip and knee arthroplasty...
What are the facilitators and barriers in physician organizations' use of care management processes?Thomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, USA
Jt Comm J Qual Saf 30:505-14. 2004....
External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseasesLawrence Casalino
Department of Health Studies, The University of Chicago, 5841 S Maryland Ave, MC 2007, Chicago, Ill 60637, USA
JAMA 289:434-41. 2003..Research is lacking about the extent to which POs use CMPs or about the degree to which incentives, IT, or other factors are associated with their use...
Slouching toward value-based health careJames C Robinson
Health Aff (Millwood) 27:11-2. 2008
Alternative models of hospital-physician affiliation as the United States moves away from tight managed careLawrence Casalino
Department of Health Studies, University of Chicago, Chicago, IL 60637, USA
Milbank Q 81:331-51, 173-4. 2003..Hospitals probably will continue to seek tighter affiliations with physicians to increase coordination, enhance negotiating leverage with health plans, and gain admissions...
