Wide variation in hospital and physician payment rates evidence of provider market power.

No abstract is available for this paper.

• Publication year

  2010

• Venue

  Research brief

• Publication date

  2010-11-01

• Fields of study

  Medicine, Business, Economics

• Identifiers
  PMID 21117341
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Unchecked provider clout in California foreshadows challenges to health reform.

  2010cited by this paper
• Setting hospital rates to control costs and boost quality: the Maryland experience.

  2009cited by this paper
• Does certificate of need really contain hospital costs in the United States?

  2007cited by this paper
• How has hospital consolidation affected the price and quality of hospital care ?

  2006cited by this paper
• Report to the Congress: Medicare Payment Policy

  2003cited by this paper

• Hospital finances following Connecticut's ban on outpatient facility fees

  2025cites this paper
• Growth of Private Equity and Hospital Consolidation in Primary Care and Price Implications

  2025cites this paper
• Regional Price Level Estimates for Medical Services in the United States.

  2025cites this paper
• Commercial prices and care for Medicare beneficiaries with prostate cancer.

  2024cites this paper
• Most Major Hospitals Fail to Comply with Federal Price Transparency Regulations.

  2024cites this paper
• Hospital system market share and commercial prices: a cross-sectional approach using price transparency data

  2024cites this paper
• Comparing Costs: Does Extreme Oncoplastic Breast-Conserving Surgery Confer a Cost Benefit When Compared with Mastectomy and Reconstruction?

  2024cites this paper
• Evaluation of Hospital Compliance With Federal Price Transparency Regulations and Variability of Negotiated Rates for Spinal Fusion

  2023cites this paper
• Prices for Common Services at Quaternary vs Nonquaternary Hospitals.

  2023cites this paper
• Declining Medicare reimbursement in abdominal transplantation from 2000 to 2021.

  2023cites this paper
• Price Variation for Total Shoulder Arthroplasty in the United States: Transparency, Variability, and Compliance with Federal Reporting Regulations

  2022cites this paper
• Public Insurance Payment Does Not Compensate Hospital Cost for Care of Long-Bone Fractures Requiring Additional Surgery to Promote Union

  2022cites this paper
• Prices Paid to Hospitals by Private Health Plans: Findings from Round 4 of an Employer-Led Transparency Initiative.

  2022cites this paper
• Demand Matching and Site of Care: High-Cost Facilities Do Not Improve Short-term Quality Metrics Following Total Hip and Knee Arthroplasty.

  2021cites this paper
• Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer-Led Transparency Initiative.

  2021cites this paper
• Impact of reduced elective ophthalmic surgical volume on U.S. hospitals during the early coronavirus disease 2019 pandemic

  2020cites this paper
• Variation in Health Care Prices Across Public and Private Payers

  2020cites this paper
• Geographic Variation in Costs of Transsphenoidal Pituitary Surgery in the United States.

  2020cites this paper
• Racial and Ethnic Disparities in Birth Outcomes and Labor and Delivery Charges Among Massachusetts Women With Intellectual and Developmental Disabilities.

  2020cites this paper
• Evaluating the impact of prior authorizations in patients with complex dermatological conditions.

  2020cites this paper
• Economic implications of decreased elective orthopaedic and musculoskeletal surgery volume during the coronavirus disease 2019 pandemic

  2020cites this paper
• The likely economic impact of fewer elective surgical procedures on US hospitals during the COVID-19 pandemic

  2020cites this paper
• Hospital markets in the United States, 2007-2017.

  2020cites this paper
• Untitled

  2020cites this paper
• Impact of insurance type on national variation in cost of endovascular treatment for unruptured cerebral aneurysms

  2020cites this paper
• Nationwide Evaluation of Health Care Prices Paid by Private Health Plans: Findings from Round 3 of an Employer-Led Transparency Initiative

  2020cites this paper
• Trends in Private Equity Acquisition of Dermatology Practices in the United States.

  2019cites this paper
• Racial and ethnic disparities in birth outcomes and labour and delivery‐related charges among women with intellectual and developmental disabilities

  2019cites this paper
• A Cost-Effectiveness Analysis of Isolated Meniscal Repair Versus Partial Meniscectomy for Red-Red Zone, Vertical Meniscal Tears in the Young Adult.

  2019cites this paper
• Conversion Total Knee Arthroplasty is Associated with Increased Post-Acute Care Costs.

  2019cites this paper
• Peering Behind the Veil: Trends in Types of Contracts Between Private Health Plans and Hospitals

  2019cites this paper
• Why Don't Commercial Health Plans Use Prospective Payment?

  2019cites this paper
• Modelling competition in health care markets as a complex adaptive system: an agent-based framework

  2019cites this paper
• Physician Practice and MCO Negotiation: The Impact of Time Sensitive Supply and Demand

  2018cites this paper
• An Assessment of the New York Health Act

  2018cites this paper
• Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements

  2018cites this paper
• Personalized Healthcare for Patients Access to Price Transparency

  2018cites this paper
• Prices for physician services in Medicare Advantage versus traditional Medicare.

  2018cites this paper
• Has inpatient hospital treatment before and after age 65 changed as the difference between private and Medicare payment rates has widened?

  2018cites this paper
• Prices for Physicians’ Services in Medicare Advantage and Commercial Plans

  2018cites this paper
• The Cost-Effectiveness of Meniscal Repair Versus Partial Meniscectomy in the Setting of Anterior Cruciate Ligament Reconstruction.

  2018cites this paper
• Variability in Critical Care–Related Charge Markups in Medicare Patients

  2018cites this paper
• Place, Policy and Parity: Examining and Visualizing Spatial and Socioeconomic Contributions to Hospital Charge Markup

  2017cites this paper
• Societal costs in displaced transverse olecranon fractures: using decision analysis tools to find the most cost-effective strategy between tension band wiring and locked plating.

  2017cites this paper
• Wide variation in cost of surgical care for parathyroidectomy: is there a need for standardization of practice?

  2017cites this paper
• Does It Pay to Know Prices in Health Care

  2017cites this paper
• Does Insurance Status Influence a Patient’s Hospital Charge?

  2017cites this paper
• Market Share Matters: Evidence Of Insurer And Provider Bargaining Over Prices.

  2017cites this paper
• Price Variations and Their Trends in U.S. Hospitals

  2017cites this paper
• Policy Diffusion across Disparate Disciplines: Private- and Public-Sector Dynamics Affecting State-Level Adoption of the ACA.

  2017cites this paper
• Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance

  2017cites this paper
• Variation in Payment Rates under Medicare's Inpatient Prospective Payment System

  2017cites this paper
• The price of surgery: markup of operative procedures in the United States.

  2017cites this paper
• Cost-effectiveness of magnetic resonance imaging versus ultrasound for the detection of symptomatic full-thickness supraspinatus tendon tears.

  2017cites this paper
• Title : Do All Hospital Systems Have Market Power ? : Different types of multi-hospital systems and surgery pricing

  2017cites this paper
• Barriers to Entry in the Healthcare Markets: Winners and Losers from Certificate-of-Need Laws

  2017cites this paper
• Solo and Small Practices: A Vital, Diverse Part of Primary Care

  2016cites this paper
• Marshall Digital Scholar Management Faculty Research Management , Marketing and MIS 2015 All Payer Hospital Regulations

  2016cites this paper
• Prices For Common Medical Services Vary Substantially Among The Commercially Insured.

  2016cites this paper
• THE PRICE AIN'T RIGHT? HOSPITAL PRICES AND HEALTH SPENDING ON THE PRIVATELY INSURED.

  2016cites this paper
• Economic Decision Model Suggests Total Shoulder Arthroplasty is Superior to Hemiarthroplasty in Young Patients with End-stage Shoulder Arthritis

  2016cites this paper
• The attributable annual health costs of U.S. occupational lead poisoning

  2016cites this paper
• Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays.

  2016cites this paper
• Comparison of Mortality and Costs at Trauma and Nontrauma Centers for Minor and Moderately Severe Injuries in California.

  2016cites this paper
• An economic analysis of trial of labor after cesarean delivery

  2016cites this paper
• Economic Burden of Inpatient Admission of Ankle Fractures

  2016cites this paper
• Are Certificate-of-Need Laws Barriers to Entry? How They Affect Access to Mri, Ct, and Pet Scans

  2016cites this paper
• Centers for medicare and medicaid services provider characteristics fail to explain billing variability

  2016cites this paper
• Measuring Physician Practice Competition Using Medicare Data

  2016cites this paper
• Using Science to Shape Medicare Physician Payment

  2016cites this paper
• CHAIRMEN MITCH DANIELS LEON PANETTA TIM PENNY PRESIDENT MAYA MACGUINEAS DIRECTORS BARRY ANDERSON ERSKINE BOWLES CHARLES BOWSHER KENT CONRAD DAN CRIPPEN VIC FAZIO WILLIS GRADISON JANE HARMAN WILLIAM HOAGLAND JIM JONES LOU KERR JIM KOLBE

  2016cites this paper
• The Price Ain ’ t Right ? Hospital Prices and Health Spending on the Privately

  2016cites this paper
• THE PRICE AIN ’ T RIGHT ? HOSPITAL PRICES AND HEALTH SPENDING ON THE PRIVATELY INSURED Zack

  2015cites this paper
• How do health insurer market concentration and bargaining power with hospitals affect health insurance premiums?

  2015cites this paper
• Addressing Pricing Power in Integrated Delivery: The Limits of Antitrust.

  2015cites this paper
• NBER WORKING PAPER SERIES DOES HEALTH PLAN GENEROSITY ENHANCE HOSPITAL MARKET POWER?

  2015cites this paper
• Diagnosing Hospital System Bargaining Power in Managed Care Networks

  2015cites this paper
• The Association Between Hospital Finances and Complications After Complex Abdominal Surgery: Deficiencies in the Current Health Care Reimbursement System and Implications for the Future.

  2015cites this paper
• Cost of intraocular lens versus contact lens treatment after unilateral congenital cataract surgery in the infant aphakia treatment study at age 5 years.

  2015cites this paper
• The Industrial Organization of Health Care Markets

  2015cites this paper
• All Payer Hospital Regulations

  2015cites this paper
• Physicians' financial incentives and treatment choices in heart attack management

  2015influential citation
• Contextualist Inquiry into IT-enabled Hospital Revenue Cycle Management: Bridging Research and Practice

  2015cites this paper
• CEP Discussion Paper No 1395 December 2015 The Price Ain ’ t Right ? Hospital Prices and Health Spending on the Privately Insured Zack

  2015influential citation
• Variation in inpatient hospital prices and outpatient service quantities drive geographic differences in private spending in Texas.

  2014cites this paper
• Healthcare Price Transparency: Policy Approaches and Estimated Impacts on Spending

  2014cites this paper
• How Does Accounting for Worker Productivity Affect the Measured Cost-Effectiveness of Lumbar Discectomy?

  2014cites this paper
• Geographic Adjustment in Medicare Payment: Phase II:Implications for Access, Quality, and Efficiency

  2014cites this paper
• Inpatient Hospital Prices Drive Spending Variation for Episodes of Care for Privately Insured Patients

  2014influential citation
• A Cross-Sectional Analysis of Variation in Charges and Prices across California for Percutaneous Coronary Intervention

  2014cites this paper
• Analysis of variation in charges and prices paid for vaginal and caesarean section births: a cross-sectional study

  2014cites this paper
• Title Analysis of variation in charges and prices paid for vaginal and caesarean section births : A cross-sectional study

  2014cites this paper
• Market power and provider consolidation in physician markets

  2014influential citation
• Peer Reviewed Title: Analysis of variation in charges and prices paid for vaginal and caesarean section births: A cross-

  2014cites this paper
• Reference Pricing: A Small Piece of the Health Care Price and Quality Puzzle

  2014cites this paper
• Physician practice competition and prices paid by private insurers for office visits.

  2014cites this paper
• Cost-Effectiveness Analysis of Early Reconstruction Versus Rehabilitation and Delayed Reconstruction for Anterior Cruciate Ligament Tears

  2014cites this paper
• Evaluation of Centers of Excellence Program for Knee and Hip Replacement

  2013cites this paper
• Physician Practices: Background, Organization, and Market Consolidation

  2013cites this paper
• NBER WORKING PAPER SERIES PUBLIC LIABILITIES AND HEALTH CARE POLICY

  2013cites this paper