... by Tal Gross and Miriam J. Laugesen in this special issue examines many of the explanations that have been offered to explain why United States has higher prices than the other countries. With the possible exception of rent-seeking behavior (discussed below), the authors are correct...

...Victor G. Rodwin Copyright © 2018 by Duke University Press 2018 Can the right mix of generalists and specialists produce the needed fix? For good drinks, getting the mix right is surely critical; not so for the physician specialty mix in health policy, because, as Miriam J. Laugesen argues...

...Jonathan Oberlander This review was commissioned by former JHPPL book review editor Rick Mayes and edited by Eric Patashnik. Miriam J. Laugesen . Fixing Medical Prices: How Physicians Are Paid . Cambridge, MA : Harvard University Press , 2016 . 288 pp. $35 , hardback...

... examines the benefits and dangers of increased agency discretion under the development of new independent commissions under the ACA, such as an independent Medicare commission, an innovations center, and an Institute of Medicine commission. Finally, Miriam J. Laugesen focuses on the American Medical...

...Tal Gross; Miriam J. Laugesen Abstract Higher prices are increasingly recognized as a significant cause of the outlier status of the United States in health care expenditures. At the same time, various explanations are often invoked to justify higher prices as rational or even defensible. We...

...Miriam J. Laugesen Abstract The conventional wisdom that the United States has an imbalance of specialty and generalist physicians is supported by data from the Organisation for Economic Co-operation and Development (OECD), which show that just 12 percent of physicians in the United States...

...Steven B. Spivack; Miriam J. Laugesen; Jonathan Oberlander Abstract Organized medicine long yearned for the demise of Medicare's Sustainable Growth Rate (SGR) formula for updating physician fees. Congress finally obliged in 2015, repealing the SGR as part of the Medicare Access and CHIP...

...Miriam J. Laugesen; Michael K. Gusmano Abstract The authors reflect on their own work in relation to the articles in this special section on physician organizations, and they make four observations. First, association-government power relations shift after countries introduce universal health...

...Miriam J. Laugesen Abstract Membership in the American Medical Association (AMA) has suffered a precipitous decline since the 1970s and, with it, a loss in revenue. The expansion of subsidized student memberships has bolstered its official membership number; only 12.6% of physicians who have...

...Miriam J. Laugesen; Eric M. Patashnik References Berger Peter L. , and Luckman Thomas . 1966 . The Social Construction of Knowledge . New York : Doubleday . Case Anne , and Deaton Angus . 2015 . “ Rising Morbidity and Mortality in Midlife among White Non...

...Miriam J. Laugesen; Thomas Rice Until recently, physicians were viewed as the dominant player in health policy. Now, however, they compete with many other effective interest groups. This article analyzes this changing role, and specifically how organized medicine has changed its approach...

...Miriam J. Laugesen Physicians' fees under Medicare are updated by regulation annually based on a formula called the Sustainable Growth Rate (SGR). Since 2003 Congress has reversed impending cuts to fees in response to physician calls for reform of the SGR, yet physician groups supported the SGR...

...Miriam Laugesen Market-oriented health policy reforms in the 1980s and 1990s generally included five kinds of proposals: increased cost sharing for patients through user fees, the separation of purchaser-provider functions, management reforms of hospitals, provider competition, and vouchers...

...Peter C. Rockers; Margaret E. Kruk; Miriam J. Laugesen In low- and middle-income countries, health care systems are an important means by which individuals interact with their government. As such, aspects of health systems in these countries may be associated with public trust in government...

...Miriam J. Laugesen References Balla Steven J. 1998 . “ Administrative Procedures and Political Control of the Bureaucracy .” American Political Science Review 92 , no. 3 : 663 – 73 . Berenson Robert . 2015 . “ Addressing Pricing Power in Integrated Delivery: The Limits...

...Miriam J. Laugesen © 2011 by Duke University Press 2011 References American Medical Association . 2009 . AMA Supports H.R. 3200, “America's Affordable Health Choices Act of 2009.” News release , July 16 . www.ama-assn.org/ama/pub/news/news/ama-supports-hr-3200.shtml...

...Carole Roan Gresenz; Miriam J. Laugesen; Ambeshie Yesus; José J. Escarce Affordability is integral to the success of health care reforms aimed at ensuring universal access to health insurance coverage, and affordability determinations have major policy and practical consequences. This article...

... sufficient tools to understand how physician associations engage with the state in these contexts. In high-income countries, many physicians no longer work under the same employment arrangements or revenue structure as was the case when arguments about the role of organized medicine were developed (Laugesen...

..., Laugesen has shown that efforts to cap Medicare payments have failed to change their fee-for-service foundations. 4 Despite the historical resistance of organized medicine to federal insurance, regulation, and cost control, doctors now use their influence over Medicare fee-setting to tilt the bargain...

... Importation of Prescription Drugs in the United States: Short-­Run Implications, 2:295 – 316 Deane, Claudia. See Brodie, Deane, and Cho Dowd, Bryan E. See Coulam, Feldman, and Dowd Drummond, Michael. See Sampat and Drummond Escarce, José J. See Gresenz, Laugesen, Yesus, and Escarce Feder, Judith...