National Institute for Health Care Reform
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Policy Research & Analysis
Payment Policy and Benefit Design
The Role of Competition
Improving Care Delivery
Patient Engagement and Shared Decision-making
Care Coordination and Management
Prevention and Improving Health
Access to Medical Providers
Access to Medical Providers
Primary Care Workforce Shortages: Nurse Practitioner Scope-of-Practice Laws and Payment Policies
NIHCR Research Brief No. 13
While state scope-of practice laws don’t typically restrict what primary care services nurse practitioners (NPs) can provide to patients, the laws do affect practice opportunities for NPs and appear to influence payer policies, according to a new qualitative study by the Center for Studying Health ...
After-Hours Access to Primary Care Practices Linked with Lower Emergency Department Use and Less Unmet Medical Need
, Web First
Patients with problems reaching their primary care practice after hours are more likely to report ending up in the emergency department and going without needed medical care, according to a study by the Center for Studying Health System Change (HSC) published today as a Web First by Health Affairs ...
Dec. 12, 2012
Local Public Hospitals: Changing with the Times
HSC Research Brief No. 25
In recent years, local public hospitals have stayed afloat financially without abandoning their mission to care for low-income people by expanding access to primary care, attracting privately insured patients and paying closer attention to collection of patient revenues, among other strategies, according ...
U.S. Families’ Use of Workplace Health Clinics, 2007-2010
NIHCR Research Brief No. 10
Despite heightened employer interest in workplace clinics as a cost-containment tool, only 4 percent of American families in 2010 reported visiting a workplace clinic in the previous year--the same proportion as in 2007, according to a new national study by the Center for Studying Health System Change ...
Great Recession Accelerated Long-Term Decline of Employer Health Coverage
NIHCR Research Brief No. 8
Between 2007 and 2010, the share of U.S. children and working-age adults with employer-sponsored health insurance dropped 10 percentage points from 63.6 percent to 53.5 percent, according to a national study by HSC for the nonpartisan, nonprofit National Institute for Health Care Reform (NIHCR).
State Benefit Mandates and National Health Reform
NIHCR Policy Analysis No. 8
While the national health reform law requires states to pay for health benefit mandates that exceed a minimum package of covered services, states' financial liability for mandates is likely to be relatively small, according to a new Policy Analysis from the nonprofit, nonpartisan National Institute for ...
Indianapolis Hospital Systems Compete for Well-Insured, Suburban Patients
Community Report No. 12
Indianapolis’ major hospital systems continue to encroach on each other’s traditional territories, engaging in a battle of bricks and mortar in suburban areas to compete for well-insured patients, according to a new Community Report released today by the Center for Studying Health System ...
Matching Supply to Demand: Addressing the U.S. Primary Care Workforce Shortage
NIHCR Policy Analysis No. 7
While there is little debate about a growing primary care workforce shortage in the United States, precise estimates of current and projected need vary. A secondary problem contributing to addressing capacity shortfalls is that the distribution of primary care practitioners often is mismatched with patient ...
Physician Visits After Hospital Discharge: Implications for Reducing Readmissions
NIHCR Research Brief No. 6
One in three adult patients—aged 21 and older—discharged from a hospital to the community does not see a physician within 30 days of discharge, according to a new national study by the Center for Studying Health System Change (HSC) for the nonpartisan, nonprofit National Institute for Health ...
A Long and Winding Road: Federally Qualified Health Centers, Community Variation and Prospects Under Reform
HSC Research Brief No. 21
Tracing their roots to the civil rights movement and the 1960s’ War on Poverty, federally qualified health centers (FQHCs) have grown from fringe providers to mainstays of many local health care system safety nets, according to a study released today by the Center for Studying Health System Change ...
Economic Downturn Strains Miami Health Care System
Community Report No. 11
Despite the economic downturn’s severe fallout on Miami’s tourism, real estate and construction sectors, some hospitals are expanding beyond their traditional geographic markets to compete for privately insured patients, according to a new Community Report released today by the Center for ...
Physicians Key to Health Maintenance Organization Popularity in Orange County
Community Report No. 10
The extent of health plan delegation of financial risk and utilization management to physicians caring for health maintenance organization (HMO) enrollees makes Orange County stand out from many health care markets, according to a new Community Report released by the Center for Studying Health System ...
Syracuse Health Care Market Works to Right-Size Hospital Capacity
Community Report No. 9
Largely stable over the last three years, the Syracuse health care market continues to grapple with the challenge of finding the right level and mix of hospital capacity, according to a new Community Report by the Center for Studying Health System Change (HSC). The study was funded jointly by the Robert ...
Economic Downturn Slows Phoenix’s Once-Booming Health Care Market
Community Report No. 8
After more than a decade of rapid population growth and a thriving economy, Phoenix’s once-booming health care market has adopted a more cautious outlook amid the lingering effects of the great recession, according to a new Community Report by the Center for Studying Health System Change (HSC). ...
Health Care Certificate-of-Need (CON) Laws: Policy or Politics?
NIHCR Research Brief No. 4
Originally intended to ensure access to care, maintain or improve quality, and control capital expenditures on health care services and facilities, the certificate-of-need (CON) process has evolved into an arena where providers often battle for service-line dominance and market share, according to a ...
Lansing’s Dominant Hospital, Health Plan Strengthen Market Positions
Community Report No. 7
In an insular market wary of outsiders, Lansing’s dominant hospital system—Sparrow Health System—and health plan—Blue Cross Blue Shield of Michigan—have reinforced their already-strong market positions, according to a Community Report by the Center for Studying Health System ...
Greenville & Spartanburg: Surging Hospital Employment of Physicians Poses Opportunities and Challenges
Community Report No. 6
In an area already notable for high rates of physician employment, the two largest hospital systems in Greenville and Spartanburg, S.C., have greatly increased employment of physicians with an eye toward capturing more referrals and admissions, according to a new Community Report released today by the ...
Little Rock Health Care Safety Net Stretched by Economic Downturn
Community Report No. 5
The economic downturn has been milder in Little Rock than elsewhere, but increased unemployment and an almost 15 percent uninsurance rate have strained the area’s fragmented health care safety net, according to a new Community Report released today by the Center for Studying Health System Change ...
Northern New Jersey Health Care Market Reflects Urban-Suburban Contrasts
Community Report No. 4
Northern New Jersey is a community of contrasts with affluent suburbs and financially strong health care providers juxtaposed against the fragile health care safety net of impoverished inner-city Newark, according to a new Community Report released today by the Center for Studying Health System Change ...
Seattle Hospital Competition Heats Up, Raising Cost Concerns
Community Report No. 3
Known as a market where hospital systems focus on particular niches rather than head-to-head competition, Seattle now faces growing competition as hospital systems vie for market share in the city and seek new affiliations and growth in affluent suburbs, according to a new Community Report released today ...
The National Institute for Health Care Reform contracts with the Center for Studying Health System Change (HSC) to conduct health policy research and analyses to improve the organization, financing and delivery of health care in the United States.
© 2012 National Institute for Health Care Reform.
National Institute for Health Care Reform
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