Unintended overpayment of some services, in combination with other market factors, is
driving increased use of expensive care, which in turn could be an important driver of health …

Fee‐for‐service payment is not the (main) problem - PMC Back to Top Skip to main content NIH
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Many policy makers believe that when Medicare constrains its payment rates for hospital
inpatient care, private insurers end up paying higher rates as a result. I tested this “cost …

Leaders of health insurance companies, hospital systems, and physician organizations
believe that when Medicare and Medicaid reduce payment rates to hospitals or physicians …

We examine cost shifting within the context of Medicare payment policy. We briefly review
economic theory and available data and discuss the importance of cost shifting for policy …

Recently, the Centers for Medicare and Medicaid Services announced its decision to cease
paying hospitals for some of the care made necessary by “preventable complications.” …

One of private health insurers' main roles in the United States is to negotiate physician
payment rates on their beneficiaries' behalf. We show that these rates are often set in …

In the constant attention paid to what drives health care costs, only recently has scrutiny
been applied to the power that some health care providers, particularly dominant hospital …

Health-care expenditures have grown considerably over the past few decades, and now
constitute an important and rising share of GDP in many developed countries. The fact that …

Unintended consequences of prospective payment: erosion of hospital financial position and
cost shifting Page 1 35 Unintended consequences of prospective payment: erosion of hospital …