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Journal Article
J Health Polit Policy Law (2015) 40 (2): 421–437.
Published: 01 April 2015
...Deborah Levine; Jessica Mulligan Abstract Overutilization is commonly blamed for escalating costs, compromising quality, and limiting access to the US health care system. Recent estimates suggest that nearly one-third of health care spending in the United States is a result of unnecessary care...
Journal Article
J Health Polit Policy Law (1998) 23 (5): 795–832.
Published: 01 October 1998
...Ruth E. Malone The problem of emergency department (ED) overutilization or “inappropriate” utilization is commonly conceptualized in terms of inadequate access to appropriate primary medical care. Although medical care access is a critical issue, a focus on increased access to medical care...
Journal Article
J Health Polit Policy Law (2015) 40 (2): 277–279.
Published: 01 April 2015
... you will find an essay by Deborah Levine and Jessica Mulligan titled “Overutilization, Overutilized.” This is a gem, especially for those of us who recall this very long history of health care systems grappling with patients who “overutilize” care and how systems or governments should respond...
Journal Article
J Health Polit Policy Law (2015) 40 (6): 1227–1231.
Published: 01 December 2015
... — Payment Policy Disruption and Policy Drift, 4:839–46 Leibenluft, Robert F. Antitrust and Provider Collaborations: Where We've Been and What Should Be Done Now, 4:847–74 Levine, Deborah, and Jessica Mulligan. Behind the Jargon . Overutilization, Overutilized, 2:421–37 Lewis, Valerie A. See...
Journal Article
J Health Polit Policy Law (2015) 40 (6): 1157–1177.
Published: 01 December 2015
... defensive medicine might take many forms, the reform debate has focused on overutilization, or the delivery of additional care that is medically unnecessary in order to avoid potential liability. If fear of liability is driving the delivery of medically unnecessary care, reform that moderates liability...
Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1994) 19 (4): 914–916.
Published: 01 August 1994
... to overutilization. He shows how the field of industrial organization is used Reviews 915 to study everything from physician services to drugs to nursing homes. He then offers the history of how this school has analyzed the regulation of health care, possible...
Journal Article
J Health Polit Policy Law (1981) 6 (2): 347–349.
Published: 01 April 1981
... and symbolic interests at stake. Thus, for Medicaid he analyzes controversies over errors in payment to providers, errors of services themselves (overutilization or poor quality) and errors of eligibility. He brings to bear a great deal of secondary literature on each program, and though he does...
Journal Article
J Health Polit Policy Law (1994) 19 (3): 543–553.
Published: 01 June 1994
...Richard Kronick Copyright © 1994 by Duke University Press 1994 References Wennberg , J. E. , J. L. Freeman, and W. J. Culp. 1987 . Are Hospital Services Rationed in New Haven or Overutilized in Boston? Lancet 1 ( 8543 ): 1185 -89. Zedlewski , S. , J. Holahan, and C...
Journal Article
J Health Polit Policy Law (2019) 44 (2): 303–313.
Published: 01 April 2019
... . “ Current Concepts in the Pathogenesis, Diagnosis, and Management of Type I Chiari Malformations .” Rhode Island Medical Journal 100 , no. 6 : 47 – 49 . Emanuel E. J. , and Fuchs V. R. 2008 . “ The Perfect Storm of Overutilization .” Journal of the American Medical Association 299...
Journal Article
J Health Polit Policy Law (1998) 23 (6): 1037–1039.
Published: 01 December 1998
... Kane Ladd, Richard C. See Kane Linggood, Rita, Frank Govern, and C. Norman Coleman. A Blueprint for Linking Academic Oncology and the Community (report from the field), 6:973–994 Malone, Ruth E. Whither the Almshouse? Overutilization and the Role of the Emergency Department, 5:795–832 Marmor...
Journal Article
J Health Polit Policy Law (1978) 3 (1): 128–132.
Published: 01 February 1978
.... “Data for Local Health-Planning Decisions.” Bulletin of the New York Academy of Medicine 53 : 888 -92, December 1977 . Roy , W. R. “Overutilization of Health Care.” Bulletin of the New York Academy of Medicine 55 : 132 -8, January 1978 . Russell , L. B. “How Much Does Medical...
Journal Article
J Health Polit Policy Law (1983) 8 (1): 214–218.
Published: 01 February 1983
... benefits, which in turn encourage b‘excessive”health insurance coverage, which leads to overutilization and to soaring medical spending. They argue too that the exclusion is inequitable, benefitting mainly the better- off and doing nothing for the truly needy, the unemployed, or the elderly...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 1185–1190.
Published: 01 October 1999
... the rate at which costs increased and to improve the quality of care. The new strategy could contain costs by reducing the oversupply of hospital and specialty services and pre- venting overutilization of care. It could improve quality, especially for Journal of Health Politics, Policy and Law, Vol...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 1145–1157.
Published: 01 October 1999
... if patterns of utilization under indemnity insurance had been optimal and payments had been at competitive prices. Neither is known to be true. Even many who oppose managed care recognize that fee-for-service practice often overutilized acute care—sometimes risking patient injuries in the process...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 839–846.
Published: 01 August 2015
... problems. In the case of the RBRVS, the new payment system was expected to address the gap between primary and specialty care fees, reduce overutilization encouraged by fee-for-service, revalue overpriced services, and ultimately slow price growth. For both ACOs and the RBRVS, the idea that payments...
Journal Article
J Health Polit Policy Law (1994) 19 (1): 7–26.
Published: 01 February 1994
... review is two- fold: first, to identify physicians whose practice patterns depart from recognized norms; second, to correct those who overutilize (prescribe medically unnecessary procedures) through the recovery of payments made for unnecessary care and through monitoring and physician...
Journal Article
J Health Polit Policy Law (1983) 7 (4): 945–952.
Published: 01 August 1983
... the hospital's objective as maximizing the net incomes of its physician staff." Unlike the profit- maximization hypothesis, this view provides an explanation for the re- striction of hospital staff privileges, the nonprofit status of most hospitals, and the economically inefficient overutilization...
Journal Article
J Health Polit Policy Law (2015) 40 (1): 245–255.
Published: 01 February 2015
... in global budgets, thereby requiring CCOs to achieve savings by delivering care more efficiently, for example, by discouraging defensive medicine and reducing overutilization and preventable emergency room care (OHA 2011a ). Thus CCOs have financial incentives to focus on members with high health care...
Journal Article
J Health Polit Policy Law (1985) 10 (3): 549–564.
Published: 01 June 1985
... of this financial incentive. It was a freedom, in its most positive sense, from the question of how far to go with the poor and the elderly. At the same time that more expensive interventions became available, the financial constraints on their use were re- moved. Overutilization occurred in many...
Journal Article
J Health Polit Policy Law (1987) 12 (4): 723–739.
Published: 01 August 1987
... of this article). Fee-for-service medicine gives phy- sicians the incentive to overutilize, sometimes at the expense of patient health (e.g., performing unnecessary hysterectomies). By putting physicians on salary, PGPs give them little incentive regarding utilization. (Lazy physicians may work less...