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. 2, Summer

Aspects of Health Reform: Introduction
From 2001 to 2008, the Robert Wood Johnson Foundation funded the Economic Research Initiative on the Uninsured (ERIU), housed at the University of Michigan. The goals of ERIU were to increase, diversify, and improve the quality, and quantity of economics...
Beneficial Moral Hazard and the Theory of the Second Best
This article examines the welfare consequences of moral hazard, and brings together several arguments suggesting that, in many cases, the additional consumption associated with health insurance could be welfare enhancing. Since conditions for maximum...
Does High Caregiver Stress Predict Nursing Home Entry?
This study estimates how informal care, paid formal care, and caregiver stress or burden relate to nursing home placement. Data came from the 1999 National Long Term Care Survey and were merged with administrative data. Results show that stress is...
Employer-Sponsored Health Insurance and the Promise of Health Insurance Reform
The central role that employers play in financing health care is a distinctive feature of the U.S. health care system, and the provision of health insurance through the workplace has important implications well beyond its role as a source of health...
Mandates and the Affordability of Health Care
This paper examines the economic rationale of affordability exemptions in the context of a health insurance mandate. I provide an economic definition of affordability and discuss how it is implemented in the contexts of food, housing, and health care....
Quality-Based Payment for Medical Groups and Individual Physicians
This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar...
Reality Bites Health Reform
As of this early June writing, our welcomed spring season has turned into something far less celebratory in regard to prospects for a smooth and unfettered transition to health reform. Harsh economic and political realities concerning the financing...
Risk Selection and Risk Adjustment: Improving Insurance in the Individual and Small Group Markets
Insurance market reforms face the key challenge of addressing the threat that risk selection poses to the availability of stable, high-value insurance policies that provide long-term risk protection. Many of the strategies in use today fail to address...
Single Specialty Hospitals and Service Competition
Advocates for physician-owned hospitals specializing in cardiac, orthopedic, and surgical services claim that these facilities induce healthy competition, stimulating improved performance among acute care hospitals. This paper examines the effect of...
The Accountability of Nonprofit Hospitals: Lessons from Maryland's Community Benefit Reporting Requirements
Under Internal Revenue Service requirements, nonprofit hospitals will begin filing new community, benefit reports in 2010. Maryland has had similar requirements since 2004. This paper, based on interviews at 20 hospitals, describes how Maryland's requirements...

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