Jack Hadley

..Sustained increases in private insurance premiums will continue to create enrollment pressures on state insurance programs for children...

..Given the large and increasing number of uninsured US individuals, identifying the health consequences of being uninsured has assumed increased importance...

..In this particular analysis, the OLS estimates appear to be preferable because of the instability of the IV estimates...

..Having a perceived financial incentive to reduce services remained a negative and significant determinant of the change in career satisfaction...

..We use the selection-corrected premiums to simulate the effects on the price and affordability of nongroup insurance for the uninsured under two recent tax credit proposals...

..We conclude that most of the difference in expenditures is due to differences in provider payment rates...

..This suggests that the earlier study was not severely affected by ecological bias or other data limitations inherent in Medicare claims data...

..Access gaps either remained the same or worsened slightly for English-speaking Hispanics and African Americans relative to whites...

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..These results reflect the early stages of SCHIP implementation, however, and are subject to change as the SCHIP programs mature...

..This study examines how changes in physicians' practice income, ownership, and size affect their decisions to stop or start treating charity care and Medicaid patients...

..Community characteristics generally were much less important, with one exception. The positive effects of insurance coverage in reducing disparities outweigh benefits of increasing physician charity care or access to emergency rooms...

..Modest expansion of the safety net is unlikely to provide a full substitute for insurance coverage expansions...

..To examine differences in insurance and racial/ethnic disparities in access to care between a single-item measure of general unmet medical need and a multi-item measure of symptom-specific unmet medical need...

..In the latter case, this adversely affects perceived quality of care and satisfaction, although incentives to increase services may also have adverse implications for quality, cost, and insurance coverage...

..Results suggest that language and job training may be the most effective way to bolster Hispanics' insurance coverage...

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..To identify factors associated with the cost of treating high-cost Medicare beneficiaries...

..To evaluate associations between race and breast carcinoma treatment...

..Physicians with financial incentives tied to profiling also experience greater difficulty obtaining medically necessary secondary services for their patients...

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..The results indicate that public premiums have larger effects when applied to lower-income families...

..This analysis was done to assist the policy design process in Massachusetts and delineates an empirically based approach to setting affordability standards...

..Focusing only on the procedure whose fee has been cut will yield an incomplete picture of how fee reductions for specific procedures affect physician supply decisions...

..An increase in medical spending of this range would increase total health care spending by 3-6 percent and would raise health care's share of GDP by less than one percentage point...

..This suggests that premium subsidies to employers would be an inefficient means of increasing insurance coverage. Greater availability of public insurance and safety net care has a small negative effect on offer decisions...

..Policymakers should consider CHC expansions as complementary to insurance coverage expansions rather than as a substitute...

..Finally, several market factors appear to influence the quantity of Medicare services physicians provide. Results highlight limitations of the present system for compensating physicians in Medicare's fee-for-service program...

..If squeezing out excess profits threatens general hospitals' social missions, then new and explicit ways of identifying and funding social missions must be found...

..Expanded public coverage absorbed only about one quarter of the loss of private coverage. Controlling insurance (and medical) cost inflation is critical to expanding insurance coverage, even after the employment rate recovers...

..The analysis suggests that expanded and better-targeted federal assistance coupled with greater state flexibility would be needed to achieve this goal...

..To use 5 years of primary data to compare the incremental cost-effectiveness of breast conservation and radiation versus mastectomy with the restriction of choice to a single therapy versus providing a choice of either therapy...

..Other literature suggests that improving health status from fair or poor to very good or excellent would increase both work effort and annual earnings by approximately 15% to 20%...

..However, are HMOs compromising quality to lower costs? To address this and other questions we identify factors that influence HMOs' selective contracting for coronary artery bypass surgery (CABG)...