Read Books Online and Download eBooks, EPub, PDF, Mobi, Kindle, Text Full Free.
How Do Primary Care Physicians Influence Healthcare Evidence On Practice Styles And Switching Costs From Medicare
Download How Do Primary Care Physicians Influence Healthcare Evidence On Practice Styles And Switching Costs From Medicare full books in PDF, epub, and Kindle. Read online How Do Primary Care Physicians Influence Healthcare Evidence On Practice Styles And Switching Costs From Medicare ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Book Synopsis How Do Primary Care Physicians Influence Healthcare? Evidence on Practice Styles and Switching Costs from Medicare by : Jennifer Kwok
Download or read book How Do Primary Care Physicians Influence Healthcare? Evidence on Practice Styles and Switching Costs from Medicare written by Jennifer Kwok and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary care physicians have a central, coordination role in medicine, yet little is known about their impacts on healthcare utilization. I study the short-run and long-run effects of switching to different primary care physicians on utilization in terms of spending among Medicare patients over age 65. First, I show that patients who switch from a primary care physician whose other patients have low utilization to one whose other patients have high utilization experience increases in long-run utilization, whereas patients who switch in the opposite direction experience decreases. Regardless of the direction of the change, patients experience short-run increases in utilization around the switch. Using a model that includes both patient and physician fixed effects, I find that differences in primary care physician practice styles, as measured by spending, explain 2-3% of the variation in long-run total utilization and about 13% of the variation in long-run primary care utilization within healthcare markets. To estimate the short-run effects of changing primary care physicians on utilization, I focus on patients who involuntarily switch because their physicians relocate or retire. Each primary care physician switch leads to approximately $500-725 in additional costs, and 20-30% comes from temporary increases in primary care utilization. Combining my findings, I construct counterfactuals and find that policies that reallocate patients across primary care physicians could potentially be counterproductive due to modest long-run savings and substantial short-run switching costs.
Book Synopsis Primary Care Physician Practice Styles and Patient Care by : Itzik Fadlon
Download or read book Primary Care Physician Practice Styles and Patient Care written by Itzik Fadlon and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary care physicians (PCPs) provide frontline health care to patients in the U.S.; however, it is unclear how their practice styles affect patient care. In this paper, we estimate the long-lasting effects of PCP practice styles on patient health care utilization by focusing on Medicare patients affected by PCP relocations or retirements, which we refer to as "exits." Observing where patients receive care after these exits, we estimate event studies to compare patients who switch to PCPs with different practice style intensities. We find that PCPs have large effects on a range of aggregate utilization measures, including physician and outpatient spending and the number of diagnosed conditions. Moreover, we find that PCPs have large effects on the quality of care that patients receive, and that all of these effects persist for several years. Our results suggest that switching to higher-quality PCPs could significantly affect patients' longer-run health outcomes.
Book Synopsis Primary Care Physicians by : Institute of Medicine
Download or read book Primary Care Physicians written by Institute of Medicine and published by National Academies Press. This book was released on 1989-02-01 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because of changes in the health care system, the hospital has become less suitable as the primary focus of graduate medical education for primary care physicians. However, the current system of financing health care education and services makes it difficult to accomplish the needed shift to training in primary care ambulatory settings. This book suggests ways of lowering financial barriers to primary care training in ambulatory settings.
Book Synopsis Physician Group Influences on Treatment Intensity and Health by : Joseph J Doyle (Jr)
Download or read book Physician Group Influences on Treatment Intensity and Health written by Joseph J Doyle (Jr) and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Treatment intensity varies remarkably across physicians, yet the key drivers are not well understood. Meanwhile, the organization of healthcare is undergoing a secular transformation as physicians increasingly work in groups. This paper tests whether physicians' group affiliation matters for practice styles and patient health. Using Medicare inpatient claims data, we compare these outcomes before and after physicians switch between groups of varying treatment intensity while remaining in the same hospital to control for practice setting. Event studies show that internists who join more-intensive groups immediately increase their own treatment intensity, with an elasticity of approximately 0.3; the opposite is found for internists who switch to groups that are less intensive. This change in Medicare spending largely stems from greater quantities of care provided, with some evidence of a change in coding behavior. We do not detect a change in health outcomes, suggesting that treatment intensity induced by group affiliation may not be productive.
Download or read book Breaking Point written by John P. Geyman and published by John Geyman, M.D.. This book was released on 2011 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our market-based, profit-driven health care system in the United States has put necessary care increasingly beyond the reach of ordinary Americans. Primary health care, the fundamental foundation of all high-performing health care systems in the world, is a critical but ignored casualty of the current system. Unfortunately, primary care is often poorly understood, even within the health professions. This book describes what has become a crisis in primary care, defines its central role, analyzes the reasons for its decline, and assesses its impacts on patients and families. A constructive approach is presented to rebuild and transform U.S. primary care with the urgent goal to address the nation's problems of access, cost, quality and equity of health care for all Americans.
Book Synopsis Evidence-Based Medicine and the Changing Nature of Health Care by : Institute of Medicine
Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Book Synopsis Doctors' Decisions and the Cost of Medical Care by : John Meyer Eisenberg
Download or read book Doctors' Decisions and the Cost of Medical Care written by John Meyer Eisenberg and published by . This book was released on 1986 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an introduction to the research that has elucidated the reasons doctors practice the way they do and make the decisions they do. It reviews the complex array of motivations in medical practice. The book also reviews the programs that have been used to change physicians' prescription of medical services, including education, feedback, participation, administrative rules, incentives, and penalties.1: Understanding variations in physicians' practice patterns. 2: Changing physicians' practice patterns. 3: Directions for research on physician utilization
Book Synopsis The Major Cause of Rising Health Care Cost with Decreasing Quality: A Scarcity of Primary Care Physicians by : Fred W. Lafferty, MD
Download or read book The Major Cause of Rising Health Care Cost with Decreasing Quality: A Scarcity of Primary Care Physicians written by Fred W. Lafferty, MD and published by Page Publishing Inc. This book was released on 2016-01-26 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 2000, the author has observed the soaring costs of health care in the United States which has accompanied a decline in quality of care for the average citizen. This has been the result of the intrusions of Medicare since 1985, the profit motivated private health insurance companies, the development of large corporate hospital chains, and the irresponsible increased cost of medications by the pharmaceutical industry. In 1985, Medicare mandated what physicians could charge with a clumsy coding system, which essentially socialized medicine. This system heavily favored the procedure driven specialties to the detriment of the primary care doctor. During the past thirty years, the percentage of American Medical School graduates entering primary care has diminished from thirty-five to five percent resulting in a scarcity of family physicians. Despite America's outstanding medical schools, academic physicians, and technology, the United States ranks from fifteenth to thirty seventh among the industrialized nations of the world in quality of care and longevity of its population. Regardless of Obamacare's promise to provide healthcare to most US citizens, it will fail unless at least fifty percent of America's physicians enter primary care as in Europe. Our fault lies with allowing the Medicare bureaucrats unrestricted power since 1985.
Book Synopsis Unhealthy Politics by : Eric M. Patashnik
Download or read book Unhealthy Politics written by Eric M. Patashnik and published by Princeton University Press. This book was released on 2020-07-07 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.
Book Synopsis The Effects of Multispecialty Group Practice on Health Care Spending and Use by : Laurence Claude Baker
Download or read book The Effects of Multispecialty Group Practice on Health Care Spending and Use written by Laurence Claude Baker and published by . This book was released on 2019 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: U.S. physicians are increasingly joining multispecialty group practices. In this paper, we analyze how a primary care physician's practice type -- single (SSP) versus multispecialty practice (MSP) -- affects health care spending and use. Focusing on Medicare beneficiaries who change their primary care physician due to a geographic move, we compare changes in practice patterns before and after the move between patients who switch practice types and those who do not. We use instrumental variables to address potential selection by patients into practice types after the move. We find that changing from a single to a multi-specialty primary care group practice decreases annual Medicare-financed per capita expenditures by about $1,600 - a 28% reduction. The effect is driven primarily by changes in hospital expenditures and is concentrated among patients with two or more chronic conditions, suggesting that MSP improves care delivery by reducing hospitalizations among relatively sick patients. The results imply that, while research has shown the potential for physician consolidation to increase prices in some settings, large multispecialty groups also have the potential to lower costs.
Book Synopsis Handbook of Health Economics by : Mark V. Pauly
Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :030946921X Total Pages :161 pages Book Rating :4.3/5 (94 download)
Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine
Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Book Synopsis Alternative Volume Performance Standards for Medicare Physicians' Services by : M. Susan Marquis
Download or read book Alternative Volume Performance Standards for Medicare Physicians' Services written by M. Susan Marquis and published by . This book was released on 1992 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Primary Care Professionals: Recent Supply Trends, Projections, and Valuation of Services by : A. Bruce Steinwald
Download or read book Primary Care Professionals: Recent Supply Trends, Projections, and Valuation of Services written by A. Bruce Steinwald and published by DIANE Publishing. This book was released on 2008-07 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most of the funding for programs under title VII of the Public Health Service Act goes toward primary care med. and dentistry training and increasing med. student diversity. Health care marketplace signals suggest an undervaluing of primary care med., creating a concern about the future supply of primary care professionals -- physicians, physician assistants, nurse practitioners, and dentists. This report focuses on: (1) recent supply trends for primary care professionals, incl. info. on training and demographic characteristics; (2) projections of future supply for primary care professionals, incl. the factors underlying these projections; and (3) the influence of the health care system¿s financing mechanisms on the valuation of primary care services.
Book Synopsis Common Practice by : Michael Lawrence Barnett
Download or read book Common Practice written by Michael Lawrence Barnett and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Efforts to raise the productivity of the U.S. health care system have proceeded slowly. One potential explanation is the fragmentation of payment across insurers. Each insurer's efforts to improve care could influence how doctors practice medicine for other insurers, leading to unvalued externalities. We study these externalities by examining the unintended private insurance spillovers of a public insurer's intervention. In 2015, Medicare randomized warning letters to doctors to curtail overuse of antipsychotics. Even though the letters did not mention private insurance, they reduced prescribing to privately insured patients by 12%. The reduction to Medicare patients was 17%, and we cannot reject one-for-one spillovers. The results imply that physicians experience large costs to setting insurer-specific medical practice styles. If private insurers conducted a similar intervention with their own limited information, they would stem half as much prescribing as a social planner able and willing to better target the intervention. Our findings establish that insurers can affect health care well outside their direct purview, raising the question of how to match their private objectives with their scope of influence.
Book Synopsis Part-time Practice and Physician Performance by : Patricia H. Parkerton
Download or read book Part-time Practice and Physician Performance written by Patricia H. Parkerton and published by . This book was released on 2000 with total page 486 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Changing Health Care Systems and Rheumatic Disease by : Institute of Medicine
Download or read book Changing Health Care Systems and Rheumatic Disease written by Institute of Medicine and published by National Academies Press. This book was released on 1997-02-09 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?
