Inquiry

A quarterly forum for professionals and educators focused on public policy issues, innovative concepts, and original research in the areas of health care organization, provision and financing.

Articles from Vol. 46, No. 4, Winter

Demise of the Public Option: Down for the Count, but Not Out?
I always thought that market competition, for health care and for other goods and services, was a good thing, and I always thought that encouraging meaningful competition in markets dominated by a few large sellers was an especially good thing. In...
Evidence-Based Management in Healthcare
Evidence-Based Management in Healthcare. By Anthony R. Kovner, David J. Fine, and Richard D'Aquila. Chicago: Health Administration Press. 2009. 298 pp. $79 (paper). Evidence-based practice has received increased attention in the health care sector...
Health Care Reform through Community Benefit Leadership
Nonprofit hospitals are experiencing significant public scrutiny at the national, state, and local levels over their provision of community benefits and how it measures up to the value of their institutional tax exemptions. Some nonprofit nursing...
Health Care Spending and Service Use among High-Cost Medicaid Beneficiaries, 2002-2004
Using program administrative data, this paper examines spending and service use patterns for the national Medicaid population between 2002 and 2004, with a focus on high-cost beneficiaries. We observed a high degree of spending persistence: 57.9% of...
Incentives in Obesity and Health Insurance
Health insurance is widely regarded as essential for financing the production of good health, hut is insurance always benficial for our health? Ex ante moral hazard may induce individuals with insurance to engage in behaviors that they otherwise would...
Medicare Fees and the Volume of Physicians' Services
This paper estimates the relationship between Medicare fees and quantities provided by physicians for eight specific services. It uses data for 13,707 physicians who responded to surveys in 2000/2001 and/or 2004/2005 and were linked to all Medicare...
Medicare Savings Programs: Analyzing Options for Expanding Eligibility
The Medicare Savings Programs (MSPs) are designed to provide financial assistance to Medicare beneficiaries who do not qualify for full Medicaid coverage. This paper considers changes in eligibility that would better align MSP program rules with those...
Spillover Effects of State Mandated Benefit Laws: The Case of Outpatient Breast Cancer Surgery
This paper examines the "spillover effects" of state laws that mandate inpatient coverage for breast cancer surgery. It looks at outpatient utilization of two types of breast cancer surgery among Medicare fee-for-service patients', who are exempt from...
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