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  • Access to Care Among Hispanics: Implications for Understanding Community Variation
  • A Comparative Analysis of Small and Large Group Health Care Utilization and Costs, 1988-1990
  • A Comparative Evaluation of Risk-Adjustment Methodologies for Profiling Physician Practice Efficiency
  • Administrative Costs Associated with Third Party Payment
  • Administrative Simplification Challenges and Opportunities: A Physician Organization's Perspective
  • Alternative Models for Ensuring Access to Primary Medical Care in Nursing Facilities
  • A Methodological Evaluation of Non-Response on the Physician Component of the Community
  • An Academic Health Center and Public Health Practice Collaboration: Disseminating Continuous Quality Improvement Capability to Local and State Public Health Agencies
  • Analysis of the Transfer of Risk and Clinical Management Responsibilities to Physician Organizations
  • An Analysis of the Effects of Medical Underwriting
  • An Early Portrait of Consumer-Directed Health Benefits: Design, Integration, Penetration, and Effects
  • An Empirical Investigation of Employee Health Plan Choice and Switching Behavior Under Managed Competition
  • An Evaluation of the Current and Potential Impact of Consumer Survey-Based Report Cards on the Health Care Market Place
  • An Evaluation of the Impact of the New York Health Care Reform Act of 1996 on Selected Clinical Outcomes, Patient Satisfaction, and Health Status
  • An Investigation of the Management Uses of Health-based Risk Adjustment Tools by U.S. Purchasers and Health Plans
  • A Randomized Controlled Trial of Collaborative Care: An Alternative Model for Organizing Health Care Delivery in Teaching Hospitals
  • Are Highly Concentrated Health Care Markets Bad for Health Care?
  • Arkansas School Health Insurance Project (ASHIP)
  • Assessing the Impact of a Public Report on Hospital Quality: A Controlled Experiment in the State of Wisconsin
  • Assessing the Impact of Hospital Mergers
  • Assessing the Impact of Medicaid Equalization Policies on Access to Nursing Home Care
  • Assessment of Quality of Care Under PPS By Examining Patient Functional Status Through Post-Hospital Period -- A Feasibility Study
  • Assessment of Training Needs for Public Health Financial Managers
  • A Systematic Study of Nebraska’s Regional Public Health Agency Model
  • Autologous Bone Marrow Transplantation (ABMT) and the Treatment of Breast Cancer: The U.S. Experience
  • Barriers to Small-Group Purchasing Coalitions
  • Beyond the Gatekeeper: How Managed Care Organizations Affect the Use of Technology
  • Broadening Access to Prenatal Care through Expansions: The Impact on Prenatal Care Use and Infant Mortality
  • Business Views of Strengths and Weaknesses of the Employer-Based System for Providing Health Insurance Coverage
  • Californians' Health Insurance Coverage: Research for Public Policy Making and Planning
  • Can Disease Management Control Costs?
  • Capped Prescription Benefits and Medicare Managed Care
  • Causes and Consequences of Change in Local Public Health Spending
  • Causes and Consequences of the HMO Underwriting Cycle
  • CCRCs: An Efficient Alternative for Long-Term Care Provision and Financing?
  • Changes in Drug Payment and Management Strategies in Physician Organization
  • Changes in Drug Utilization for Seniors without Prior Prescription Drug Insurance
  • Changes in Employer-Offered Health Insurance: Firms Decision Making & Employee Satisfaction
  • Changes in Hospital Configurations Between 1980 and 1995 in Urban America
  • Changes in Physicians’ Decisions to Treat Medicaid Patients and the Uninsured
  • Changing Medicaid Physician Fees: Effects on Access and Total Cost
  • Characteristics and Determinants of Intragovernmental Activity Within State Public Health Systems
  • Comparing the Cost Effectiveness of Chronic Care between Medicare Advantage and FFS Medicare Beneficiaries
  • Comparison of Public Health Organizational Structures Using Dynamic Network Analysis
  • Competition, Volume, and Outcome in Cardiovascular Care in California
  • Competitive Bidding in the Federal Employees Health Benefit Plan
  • Conditions of Practice and Quality of Care: Physicians' Perceptions
  • Consequences of SCHIP for Household Well-Being
  • Consumer Choice of Plans, Employer Contribution Policy, and Health Plan Price
  • Controlling Risk Segmentation under Employment-based Medical Savings Accounts
  • Corporate Finance and Consolidation in Health Care
  • Cost, Utilization, and Health Effects of Successive Changes in Cesarean Length of Stay Policy
  • Cost and Efficiency in Treating High-Cost Medicare Beneficiaries: The Role of Physician Practice and Health System Factors
  • Cost Effectiveness, Quality and the Future of Medical Technology Assessment
  • Costs and Benefits of Physician Practices' Interactions with Health Plans
  • Creating and Sharing Improved Tools for Policymakers to Assess Risk Adjustment Approaches
  • Defensive Medicine as a Response to Medical Malpractice Liability in the United States
  • Defining Affordability for the Uninsured and People with Chronic Conditions
  • Demonstration of the Subacute Care Alternative
  • Developing and Applying a Descriptive Framework for Analyzing Food Safety Resources
  • Developing Risk Assessment Tools for Large Employers and Testing Risk Adjustment Approaches in Health Care Purchasing
  • Does Hospice Save Medicare Money?
  • Does Managed Care Work? An Empirical Study of Corporate Healthcare Cost Containment Initiatives
  • Duration Limitations and Adherence to Chronic Medication
  • Early Implementation Experience of Companies Offering internet-based Models for Employer Health Benefits
  • Economic Impact of Adverse Health Events on the Uninsured Near Elderly
  • Effect of Decreased Emergency Department Access on Patient Outcomes
  • Effect of State Parity Laws on Children with Mental Health Care Needs
  • Effects of a Statewide Perinatal Program for the Uninsured
  • Effects of Competition and Rate Regulation on Access to Physician Services and Uncompensated Care
  • Effects of Different Mechanisms on Pharmaceutical Use and Cost
  • Effects of Physician Compensation Method on Physician Behavior and Satisfaction in Managed Care Organizations
  • Effects of Prior Authorization of New Medications among Medicaid Beneficiaries with Bipolar Disorder
  • Effects of the Balanced Budget Act and Market Forces on the Health Safety Net
  • Efficiency/Quality/Outcome Trade-offs in Medicare's Prospective Payment System
  • Enhancing Access to Obstetrical Care: An Evaluation of A Change in Medicaid Payment Policy
  • Establishing the Value of Stable Prescription Coverage for Medicare Beneficiaries
  • Evaluate Selective Contracting for Tertiary Services by Managed Care Organizations
  • Evaluating Business Initiatives in Health Care Purchasing
  • Evaluating Cost Efficiency of Specialist Physicians
  • Evaluating Florida's Medicaid Provider Service Network Demonstration Project
  • Evaluating the Medicaid Psychiatric Hospital Payment System in New Hampshire
  • Evaluating the Use of Performance-Related Information and Financial Incentives in Employer Health Care Purchasing
  • Evaluation of Baltimore's Mental Health Capitation Program
  • Evaluation of Defined Contribution Plans on Health Insurance Choice and Medical Care Use
  • Evaluation of Maine's Dirigo Health Reform
  • Evaluation of Medicare's Local Medical Review Policies for New Medical Technologies
  • Evaluation of Natural Experiment to Raise Medicaid Fees for Physicians
  • Evaluation of New York City Model to Provide Home Care Services: The Cluster Care Demonstration
  • Evaluation of Reforms of the Market for Individual Health Insurance Coverage in New Jersey
  • Evaluation of State Initiatives to Expand Health Insurance Among Small Businesses
  • Evaluation of State Risk Pools: The Current and Potential Experience
  • Evaluation of the Buyers Health Care Action Group (BHCAG) Initiative Component Three: An Assessment of the Impact of the Initiative on Health Care Delivery
  • Evaluation of the Buyers Health Care Action Group Initiative
  • Evaluation of the Effects of Utilization Review on Patterns of Care and Medical Expenses
  • Evaluation of the Impact of the Resource Utilization Groups II System on Long-Term Care Facilities in New York
  • Evaluation of the Medicare Supplementary Insurance Reform Legislation of 1990
  • Evaluation of the TennCare Health Reform Plan
  • Evolution of Physician Organization Under Managed Care
  • Evolution of Self-Insurance in an Era of Managed Care
  • Examining Effective Strategies that Local Communities Have Used to Meet Expanded Public Health Workforce Needs
  • Examining the Impact of Informational Messages on Seniors' Choice of Medicare Drug Plans
  • Excess Capacity, Hospital Costs, and the Effects of Market Structure
  • Exit, Voice and Frailty: Consumer Behavior Under Managed Competition
  • Exploration of Market-Based Risk Adjustments for Adverse Selection in Health Insurance
  • Extent and Impact of the Use of Observations Stays in the Medicare Program
  • Factors Affecting End-of-Life Care for Beneficiaries Who Are Dually Eligible for Medicare and Medicaid
  • Factors Associated With Health Insurance Coverage for Low-Income Children
  • Factors Associated with the Distribution of Physician Income: A Quantile Regression Approach
  • Financing American Indian Health Care: Impacts and Options for Improving Access and Quality of Care
  • Gender and Managed Care
  • Geographic Variation in Alcohol, Drug Abuse, and Mental Health Services Utilization: What is the Role of Physician Practice Patterns?
  • Getting Tools Used: Lessons Learned from Successful Decision Support Tools Unrelated to Health Care
  • Guaranteed Renewability in Individual and Group Health Insurance: Functioning and Future Prospects
  • Health and Economic Consequences of Medicaid Disenrollment in New York City
  • Health Care Services for Children Placed in Foster or Kinship Care
  • Health Care Utilization Among the Previously Uninsured
  • Health Care Utilization Among the Previously Uninsured-- A Feasibility Study
  • Health Insurance Purchasing Cooperatives: Analysis of Existing Data
  • Health Plan Choice and Utilization: The Role of Plan Attributes
  • Health Plan Choices and Adverse Selection in Employer Sponsored InsuranceHealth Plan Choices and Adverse Selection in Employer-Sponsored Health Insurance
  • Health Plan Selection for Medicare Eligible Enrollees in the Federal Employees Health Benefits Program
  • Health Savings Accounts, High Deductible Policies, and the Uninsured: Simulating the Effects of HSA Tax Policy
  • HIPC Health Risk Adjusters Project
  • Hospital Capital Financing in the Era of Quality and Safety: Strategies and Priorities for the Future - A Survey of CEOs
  • Hospital Contracting Under Managed Care
  • Hospital Mergers and Health Reform: Decreased Competition Versus Community Benefit
  • Hospital Ownership and Performance: An Integrative Research Review
  • Hospital Ownership Conversions
  • Hospital Responses to Competitive and Regulatory Pressures: The Role of Organizational Form in Changing Markets
  • Hospital Uncompensated Care Under Managed Care, Competition and Fiscal Pressure
  • How Does Fragmentation of Care Contribute to the Costs of Care?
  • How Do Rising Healthcare Costs Affect Worker Compensation?
  • How Managed Care Growth Has Affected Health Departments’ and Physicians’ Ability to Provide Indigent Care
  • How Valid are the Assumptions Underlying Consumer-Driven Health Plans?
  • Impact of Medicaid Managed Care on Access to Care and Service Use
  • Impact of Medicare
  • Impact of Medicare Payment Reductions For "Overpriced" Surgical Procedures on Utilization and Access
  • Impact of MMA Part D on Medicare Residents in Nursing Homes
  • Impact of Physician Compensation Mechanisms on the Process of Care
  • Impact of Private Long-term Care Insurance on Demand for Care: Setting and Intensity
  • Impact of Profitability on Hospital Responses to Financial Stress
  • Impact of State Medicaid Policy Changes on Nursing Home Hospitalization
  • Impact of the Medicare Home Health Prospective Payment System on Beneficiaries and Program Costs
  • Impact of the Washington State Diabetes Collaborative on Patient Health and Economic Outcomes
  • Impact of Various Health System Reform Options on the Distribution of Health Care Costs Across All Payers
  • Implementation and Impact of Health Based Risk Adjustment
  • Implementing Diagnostic Health Risk Adjustment in an Employed Population -- Phase II
  • Implementing Risk-Adjustment for Medicaid
  • Improving Access to Improve Quality: Evaluation of an Organizational Innovation
  • Incorporating Disparities into State Strategies to Monitor and Improve Health Status
  • Information Technologies and the Use of Information in Managed Care
  • Informing the Design of Funding Allocation Formulas in Public Health
  • Insurance Coverage, Use of Prenatal Care, and the Financing of Birth Outcomes in Nine States Pre and Post Welfare Reform
  • Investigation into Specialty Payment: Effects on Cost and Treatments
  • Involving Consumers in Physician Choice: Making Data into Useable Information for Chronically Ill Patients in Consumer-Directed Health Plans
  • Is Small-Area Variation in Healthcare Utilization Explained by Physician Financial Self-Interest?
  • Is the Impact of Managed Care on Hospital Prices Decreasing?
  • Liability Problems and Transparent Disclosure to Patients as a Solution
  • Local Community Strategies to Develop their Public Health Surge Capacity to Handle Emergencies Affecting Many People
  • Local Funding for Health Services in Rural Counties
  • Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
  • Long-Term Care Options Planning Project
  • Long-Term Care Options Project (Planning Grant)
  • Managed Care: Contractual Arrangements with Physicians and Implications for Pediatric Health Care Use
  • Managed Care and Medicare Expenditures
  • Managed Care’s Spillover Effects on the Quality of Diabetes Care for Medicare Patients
  • Market-Based Reforms and the Quality of Hospital Care in New Jersey
  • Market Forces in Investor-Owned Health Maintenance Organizations
  • Measuring Managed Care Activity
  • Measuring the Costs and Benefits of Medicare Private Fee-for-Service
  • Measuring the Costs of Defensive Medicine in the United States: Phase II
  • Measuring the Value of Public Health Systems
  • Medicaid Eligibility Expansions for Pregnant Women, 1986-1990: Evaluating the Aggressiveness of States' Implementation
  • Medicaid Long-Term Care Programs: Simulating Rate Setting and Cross-Payer Effects
  • Medicaid Managed Care and Health Care Access, Use, and Quality
  • Medical Malpractice Reform and Implications for Health Insurance Costs
  • Medical Risk Distribution Among Competing Health Plans
  • Medical Spending and Health of the Elderly
  • Medicare Health Plan Decisions: Will Regional Competitive Bidding Work?
  • Medicare Policy and Aging in the US and Canada
  • Medicare Risk-Contracting: Impact on Access and Quality for Medicare HMO Enrollees and Vulnerable Populations
  • Medicare Spending, Disparities, and Returns to Healthy Behaviors
  • Meeting the Future Long-Term Care Needs of the Baby Boomers: How the Changing Structure of Families Will Affect Paid Helpers and Institutions
  • Methods to Present Quality Information to Assist Consumers to Make Health Plan Decisions
  • Monitoring and Evaluation of Massachusetts's Chapter 495
  • Monitoring the Early Experience with Federal Health Insurance Tax Credits
  • National Security and Child Health: Reexamining the Role of Medicaid and EPSDT
  • New Approaches to Identifying Market Power in Health Care
  • New York State ProNet (Prospectively Paid Health Network)
  • Older American's Health Insurance: Emerging Concerns
  • Patterns of Individual Coverage
  • Paying Physician Group Practices for Quality: A Regional Natural Experiment
  • Peer Pressure: Hospital Ownership Mix and Medical Service Provision
  • Physician-Organization Arrangements: Impact on Integration and Managed Care
  • Physician Compensation & Risk Bearing Arrangements in Medical Groups: Market Level Effects and Impacts on Physician Productivity and Risk Contracting
  • Physician Compensation and Risk-Bearing Arrangements in Medical Groups: Impact on Physician Productivity
  • Physician Responses to HMO Growth
  • Physician Response to Medicare Payment Reductions: Impacts on the Public and Private Sectors
  • Physicians' Responses to Variations in Medicare Fees for Specific Services
  • Pilot Study of Variations in Medicare Spending per Beneficiary
  • Preferences, Choices, and Managed Care Markets: Determinants of Consumer Trust and Satisfaction
  • Premium Variation and Insurance Demand in the Individual Insurance Market
  • Prescription Benefit Comprehensiveness and Costs of Care in Elderly Persons with Chronic Illness: The Medicare Enrollee Drug Study (MEDS)
  • Private Insurance Markets: The Missing Link-Association Health Plans and Other Pooled Purchasing Arrangements
  • Promoting Readiness and Interest in Self Management
  • Public Health Entrepreneurship
  • Public Health Funding and Population Health
  • Public Health System Organization and Performance in Rural Communities
  • Quality Assessment of South Carolina Medicaid Managed Care
  • Racial and Socioeconomic Disparities in Health Care Among the Insured
  • Reforming Medicare Risk Payment Through Competitive Market Forces
  • Reimbursement Policy and Cancer Chemotherapy Treatment and Outcomes
  • Research on Determinants of Hospital Contracts with HMOs
  • Research on Risk Selection in Employer-sponsored Health Insurance
  • Research on the Effect of Community Variability on Financing Strategy Effectiveness
  • Research on the Governance and Management of Collective Purchasing Arrangements Under Managed Competition
  • Research on the Impact of Physician Competition on Health Care Utilization
  • Research on the Relationship Between Market Characteristics and the Number and Type of Medicare Enrollees in HMOs
  • Resource Use and Efficiency in Episodes of Care
  • Second-Generation Evaluation of Buyers Health Care Action Group (BHCAG)
  • Single Payer Demonstration Project
  • Small Area Variation in Medicaid Utilization and Expenditures: Implications for Cost Containment and Quality of Care
  • Sources of Health Care Cost Growth
  • State Experience with Pharmaceutical Assistance Programs
  • State Health Policy and the State of American Medicine
  • Strategies to Reduce Health Care Providers’ Administrative Burden Related to Quality Performance Measurement and Reporting
  • Structural Capacities, Processes and Performance of Essential Public Health Services by Small Local Public Health Systems
  • Studies of the Working Uninsured, Their Dependents and Insurance Reform on Their Behalf
  • Study of the Effects of High-Deductible Health Plans on Families with Chronic Conditions
  • Study on Informed Choice of Drug Coverage for Medicare Beneficiaries
  • Survey to Begin Assessment of HIPC Risk Adjustment Mechanism
  • Surviving the Perfect Storm: Impacts of Benefit Reductions and Increased Cost Sharing in a Medicaid Program
  • Sustaining Individual Health Insurance Markets Under Community Rating and Open Enrollment
  • Testing the Value of Patient-reported Physician Quality Information for Quality Improvement and Consumer Choice
  • The Anatomy of ERISA Health Plans: Describing their Basic Structure and Key Areas of Variation
  • The Costs and Benefits of Health Information Technology: Computerized Physician Order Entry
  • The Dynamics of Health Insurance Coverage: 1996 to 2000
  • The Dynamics of Spells Without Health Insurance
  • The Economics of Health Information Technology in Physician Organizations
  • The Effect of a Physician Gatekeeper on the Cost of, Access to, and Quality of Care in an Employed Population
  • The Effect of Expanding Medicaid Coverage to Poor Uninsured Women on Maternal and Infant Health Outcomes
  • The Effect of Expanding Medicaid Coverage to Poor Uninsured Women on Maternal and Infant Health Outcomes -- Planning Grant
  • The Effect of Hospital Mergers on HMO Hospital Costs and Premiums, 1995-2001
  • The Effect of Local Hospital Networks on the Cost and Accessibility of Hospital Services
  • The Effect of Managed Care on Treatment Patterns and Health Outcomes Among Traditional Medicare Patients
  • The Effect of Price on Health Plan Choices of Retirees
  • The Effects of Any Willing Provider Laws
  • The Effects of Health Plan Concentration on Hospital Prices, Costs, Capacity, Charity Care, and Outcomes
  • The Effects of Managed Care on MRI Adoption and Use
  • The Effects of Managed Care Organizations on Government Spending and Health Care Quality: Evidence from California’s Medicaid Mandates
  • The Effects of PPOs on Health Care Use and Costs
  • The Effects of the New York Health Care Reform Act of 1996 on Health Services Accessibility and Efficiency
  • The Emerging Market for Pharmacogenomics and Health Care Competition
  • The Fishing Partnership Health Plan: A Model for Reducing the Numbers of the Working Uninsured
  • The Impact of Assisted Living Growth on the Market for Nursing Home Care
  • The Impact of Managed Behavioral Health Market Share, Public Sector Carve-Outs, and Parity Legislation on Service Utilization for Children and Adolescents: Results from NSAF and CTS
  • The Impact of Managed Care on the Appropriateness and Outcomes of Carotid Endarterectomy
  • The Impact of Medicaid Managed Care on Prenatal Use and Birth Outcomes
  • The Impact of Multiple Consumer Driven Health Plans Beyond Early Adoption: Here to Stay or Market Fad?
  • The Impact of Nonprofit Conversions on Community Benefit
  • The Impact of Pay for Performance on Hospitals that Care for Minorities and the Poor
  • The Impact of Performance Reporting on Consumer and Physician Organization Behavior
  • The Impact of Pharmaceutical Formularies on Prescription Drug and Health Care Costs and Utilization
  • The Impact of Quality Information on Consumer Plan Choices: Does Health Status Matter?
  • The Impact of the Prospective Payment System on Nursing Home Care
  • The Impacts of Undocumented Immigrants on the U.S. Health Care System
  • The Incidence of Financing National Health Spending
  • The Influence of Accreditation on Local Health Department Performance in NC
  • The Influence of Managed Care on Physician Scope of Practice
  • The Kaiser Permanente Medicare Demonstration: Policy Implications of Offering a Dual Option Benefit Package in an HMO
  • The Medicaid Undercount: Real or Perceived Bias in Estimates of Coverage in General Population Surveys
  • The Painful Prescription: Revisited
  • The Provision and Reporting of Community Benefits by Hospitals: Lessons from Maryland
  • The Relationship Between Market Forces and the Cost, Treatments and Outcomes of Medicare AMI Patients
  • The Rise in Employer Health Care Costs -- Phase 1
  • The Rise in Employer Health Costs -- Phase 2
  • The Role of Benefit Design in Enrollment, Use and Spending in State Prescription Drug Assistance Programs for Seniors - Lessons for Medicare
  • The Safety Net and Employer-Provided Health Insurance
  • The Transformation of Corporate Health Care Purchasing
  • The Treatment of Dying Medicare Managed Care Patients: The Role of Social and Economic Factors
  • Trauma System Structure and Performance
  • Trends in Medigap Insurance and the Impact of Recent Market and Regulatory Changes
  • Understanding and Assessing Partnership Connections in Public Health Departments
  • Understanding Medical Necessity Decision Making
  • Understanding the Resource Allocation Decisions of Public Health Officials in the U.S.
  • Uninsured in America: Individual and Community Factors
  • Uptake and Impact of Health Risk Appraisals
  • Use of Tiered Networks by Employer Sponsored Health Plans
  • Using Physician Profiling Software to Evaluate the Practice Efficiency of Physician Specialists
  • Utilization Review: Cost Savings and Quality of Care
  • Variation in Health Care Cost Growth
  • Waiting for Outpatient Care and Choice in Financing
  • Web Links
  • When Doctors Believe They Are Not Providing Good Care: The Sources of Professional Distress in the American Health Care System
Home › Publications ›

Consumer-Directed Health Plans: Evolution and Early Outcomes

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Value-Based Purchasing
Vol. 1, No. 2
May 2006
Parente, S.

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