Lawton Robert Burns
Affiliation: University of Pennsylvania
- Is the system really the solution? Operating costs in hospital systemsLawton Robert Burns
University of Pennsylvania, Philadelphia, PA, USA
Med Care Res Rev 72:247-72. 2015..Finally, these results hold over time. We conclude that while systems in general may not be the solution to lower costs, some types of systems are. ..
- Accountable care organizations may have difficulty avoiding the failures of integrated delivery networks of the 1990sLawton R Burns
Health Care Management Department, Wharton School of the University of Pennsylvania, Philadelphia, PA, USA
Health Aff (Millwood) 31:2407-16. 2012..As in the 1990s, success depends on targeting specific populations, such as people with multiple chronic conditions who need and may benefit from coordinated care...
- Strategic response by providers to specialty hospitals, ambulatory surgery centers, and retail clinicsLawton R Burns
Department of Health Care Management, The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Popul Health Manag 14:69-77. 2011..The findings cast doubt on the prospects for these disruptive innovations to transform health care...
- Implant vendors and hospitals: competing influences over product choice by orthopedic surgeonsLawton R Burns
Department of Health Care Management, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA
Health Care Manage Rev 34:2-18. 2009..Vendors of hip and knee implants court orthopedic surgeons to adopt their products. Hospitals, which have to pay for these products, now court the same surgeons to help reduce the number of vendors and contain implant costs...
- Market entry and exit by biotech and device companies funded by venture capitalLawton R Burns
Wharton School, University of Pennsylvania, Philadelphia, USA
Health Aff (Millwood) 28:w76-86. 2009..Entries and exits in one sector also appear to influence entry in the other. These findings have important implications for developing innovative technologies and ensuring competitive markets in the life sciences...
- Hospital-physician collaboration: landscape of economic integration and impact on clinical integrationLawton Robert Burns
Wharton Center for Health Management and Economics, Wharton School, University of Pennsylvania, Philadelphia, PA 19104 6218, USA
Milbank Q 86:375-434. 2008..HPRs also are at the center of several federal policy proposals such as gain sharing, bundled payments, and pay-for-performance (P4P)...
- Hospital purchasing alliances: utilization, services, and performanceLawton R Burns
Department of Health Care Systems, The Wharton School, University of Pennsylvania, Philadelphia, USA
Health Care Manage Rev 33:203-15. 2008..Pooling alliances have been discussed in the health care management literature for years but have never received much empirical investigation. They represent a potentially important source of economies of scale for hospitals...
- The evolving role of third parties in the hospital physician relationshipLawton R Burns
Health Care Systems and of Management, The Wharton School, Philadelphia, PA 19104 6218, USA
Am J Med Qual 22:402-9. 2007..The analysis illustrates that the role of third parties has shifted from a unifying one to one that divides hospitals and physicians. This shift presents both opportunities and problems...
- Assessment of medical devices: how to conduct comparative technology evaluations of product performanceLawton R Burns
Wharton School University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Int J Technol Assess Health Care 23:455-63. 2007..This study illustrates how hospitals and physicians can conduct comparative technology assessments of product performance...
- Surgeon evaluation of suture and endo-mechanical productsLawton R Burns
Department of Health Care Systems, The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
J Surg Res 141:220-33. 2007..This analysis seeks to determine if suture and endo-mechanical products made by different vendors have equivalent performance profiles or are clearly distinguished by physicians on different dimensions...
- The financial performance of integrated health organizationsLawton R Burns
Department of Helath Care Systems, University of Pennsylvania, Philadelphia, USA
J Healthc Manag 50:191-211; discussion 211-2. 2005..Finally, the results show that centralized integrative structures appear more financially successful than are less centralized structures...
- Physician commitment to organized delivery systemsL R Burns
Health Care Systems Department, Wharton School of the University of Pennsylvania, Philadelphia 19104, USA
Med Care 39:I9-29. 2001..One new method is to segment physicians into tightly linked and loosely linked strategic alliances and devote different levels of resources and attention to each...
- Why provider-sponsored health plans don't workL R Burns
Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Healthc Financ Manage . 2001..For these and other reasons, IDDSs should consider partnering with existing health plans rather than starting their own plans...
- Polarity management: the key challenge for integrated health systemsL R Burns
Department of Health Care Systems, Wharton School, University of Pennsylvania, Philadelphia, USA
J Healthc Manag 44:14-31; discussion 31-3. 1999..In general, executives and physicians in integrated health systems must attend to the processes of integration as much as or more than the structures of integration...
- The changing configuration of hospital systems: centralization, federalization, or fragmentation?Lawton Robert Burns
The Wharton School, University of Pennsylvania, Philadelphia, PA, USA
Adv Health Care Manag 13:189-232. 2012..Research on hospital system organization is dated and cross-sectional. We analyze trends in system structure during 2000-2010 to ascertain whether they have become more centralized or decentralized...
- Price transparency for medical devicesMark V Pauly
Wharton School, University of Pennsylvania, in Philadelphia, USA
Health Aff (Millwood) 27:1544-53. 2008..Price disclosure can catalyze a restructuring of those relationships, which, in turn, can improve hospital bargaining...
- Integrated delivery networks: a detour on the road to integrated health care?Lawton R Burns
Wharton School, University of Pennsylvania, Philadelphia, USA
Health Aff (Millwood) 21:128-43. 2002..We offer seven lessons from hospitals' efforts to integrate and then suggest four alternative models for achieving integrated delivery of health care services...