Abstract
Hospital price regulation has been an important part of the health care landscape ever since Medicare and Medicaid were enacted nearly thirty years ago. Most health care reform proposals leave Medicare largely intact, ensuring that hospital price regulation will continue as an important element of the market for inpatient hospital care. Outside of Medicare, the debate seems to be between two camps: extending Medicare-style hospital price regulation to all payers versus fostering competition among hospitals and between hospitals and health insurance plans.
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Biles, Brian, Carl Schramm, and Graham Atkinson. 1980. “Hospital Cost Inflation Under State Rate Setting.” New England Journal of Medicine 303(12): 664–668.
Congressional Budget Office. 1993.“Trends in Health Spending: An Update.” (June): 1–77.
Dranove, David. 1988. “Pricing by Non-Profit Institutions.” Journal of Health Economics 7(1): 47–57.
Ellis, Randall, and Thomas McGuire. 1986. “Provider Behavior Under Prospective Reimbursement.” Journal of Health Economics 5(2): 129–151.
Feder, Judith, Jack Hadley, and Stephen Zuckerman. 1987. “How Did Medicare’s Prospective Payment System Affect Hospitals?” New England Journal of Medicine 317 (No. 14, October 1): 867–873.
Feldman, Roger et al. 1990. “Effects of HMOs on the Creation of Competitive Markets for Hospital Services.” Journal of Health Economics 9(2): 207–222.
Foster, Richard. 1985. “Cost-Shifting Under Cost Reimbursement and Prospective Payment.” Journal of Health Economics 4(3): 261–271.
Gruber, Jonathan. 1992. “The Effect of Price Shopping in Medical Markets: Hospital Responses to PPOs in California.” Harvard University, unpublished paper, (June).
Hadley, Jack, and Judith Feder. 1985. “Hospital Cost Shifting.” Health Affairs 4 (No. 3, Fall): 67–80.
Hadley, Jack, and Katherine Swartz. 1989. “The Impacts on Hospital Costs Between 1980 and 1984 of Hospital Rate Regulation, Competition, and Changes in Health Insurance Coverage.” Inquiry 26 (No. 3, Spring): 35–47.
Hadley, Jack, and Stephen Zuckerman. 1991. “Determinants of Hospital Costs: Outputs, Inputs, and Regulation in the 1980s.” Urban Institute Report No. 91-10.
Hadley, Jack, Stephen Zuckerman, and Judith Feder. 1989. “Profits and Fiscal Pressure in the Prospective Payment System.” Inquiry 26 (No. 3, Fall): 354–365.
Hadley, Jack, Stephen Zuckerman, and Lisa Iezzoni. 1993. “Hospitals’ Responses to Financial Pressure.” Georgetown University, Center for Health Policy Studies, unpublished paper (December).
Hoerger, Thomas. 1991. “‘Profit’ Variability in For-Profit and Not-for-Profit Hospitals.” Journal of Health Economics 10(3): 259–289.
Holahan, John, and Joel Cohen. 1987. “Nursing Home Reimbursement: Implications for Cost Containment, Access, and Quality.” Milbank Quarterly 65(1): 112–147.
Kahn, Katherine, et al. 1992. “The Effects of the DRG-Based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients.” The RAND Corporation, Final Report R-3931-HCFA.
Melnick, Glenn et al. 1992. “The Effects of Market Structure and Bargaining Position on Hospital Prices.” Journal of Health Economics 11(3): 217–233.
Melnick, Glenn, J. Zwanziger, and T. Bradley. 1989. “Competition and Cost Containment in California.” Health Affairs 8 (No. 2, Summer): 129–136.
Pauly, Mark. 1988. “Is Medical Care Different? Old Questions, New Answers.” Journal of Health Politics, Policy and Law 13 (No. 2, Summer): 227–237.
Pauly, Mark. 1987. “Monopsony Power in Health Insurance.” Journal of Health Economics 6(1): 73–82.
Pope, Gregory. 1989. “Hospital Nonprice Competition and Medicare Reimbursement Policy.” Journal of Health Economics 8 (No. 2, June): 147–172.
Prospective Payment Assessment Commission. 1992. “Medicare and the American Health Care System: Report to Congress.” (June).
Prospective Payment Assessment Commission. 1993. “Medicare and the American Health Care System: Report to Congress.” (June).
Robinson, James, and Hal Luft. 1988. “Competition, Regulation, and Hospital Costs, 1982-1986.” Journal of the American Medical Association 260 (No. 18, November 11): 2676–2681.
Robinson, James, and Ciaran Phibbs. 1989. “An Evaluation of Medicaid Selective Contracting in California.” Journal of Health Economics 8(4): 437–455.
Rosko, Michael. 1990. “All-Payer Rate Setting and the Provision of Hospital Care to the Uninsured: The New Jersey Experience.” Journal of Health Politics, Policy and Law 15(4): 815–832.
Schramm, C.J., S.C. Renn, and B. Biles. 1986. “New Perspective on State Rate Setting.” Health Affairs 5 (No. 3, Fall): 22–33.
Shleifer, Andrei. 1985. “A Theory of Yardstick Competition.” Rand Journal of Economics 16(3): 319–327.
Thorpe, Kenneth, Paul Gertler, and Paula Goodman. 1991. “The Resource Utilization Group System: Its Effect on Nursing Home Case Mix and Costs.” Inquiry 28 (No. 4, Winter): 357–365.
Thorpe, Kenneth, and Charles Phelps. 1990. “Regulatory Intensity and Hospital Cost Growth.” Journal of Health Economics 9(20): 143–166.
Thorpe, Kenneth. 1987. “Does All-Payer Rate Setting Work? The Case of the New York Prospective Hospital Reimbursement Methodology.” Journal of Health Politics, Policy and Law. 12(3): 391–408.
Williams, Deborah, Jack Hadley, and Julian Pettengill. 1992. “Profits, Community Role, and Hospital Closure: An Urban and Rural Analysis.” Medical Care 30(2): 174–187.
Zuckerman, Stephen. 1987a. “Rate Setting and Hospital Cost Containment.” Health Services Research 22 (No. 3, August): 307–326.
Zuckerman, Stephen. 1987b. “Commercial Insurers and All-Payer Regulation.” Journal of Health Economics 6(3): 165–187.
Zwanziger, Jack, and Glenn Melnick. 1988. “The Effects of Hospital Competition and The Medicare PPS Program on Hospital Cost Behavior in California.“ Journal of Health Economics 7(4): 301–320.
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Hadley, J. (1995). Hospital Price Regulation: Evidence and Implications for Health Care Reform. In: Abbott, T.A. (eds) Health Care Policy and Regulation. Topics in Regulatory Economics and Policy Series, vol 20. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2219-5_8
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DOI: https://doi.org/10.1007/978-1-4615-2219-5_8
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5932-6
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