Key findings from HSC's 2010 site visits: health care markets weather economic downturn, brace for health reform.

Laurie E Felland, Joy M Grossman, Ha T Tu
{"title":"Key findings from HSC's 2010 site visits: health care markets weather economic downturn, brace for health reform.","authors":"Laurie E Felland,&nbsp;Joy M Grossman,&nbsp;Ha T Tu","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Lingering fallout--loss of jobs and employer coverage--from the great recession slowed demand for health care services but did little to slow aggressive competition by dominant hospital systems for well-insured patients, according to key findings from the Center for Studying Health System Change's (HSC) 2010 site visits to 12 nationally representative metropolitan communities. Hospitals with significant market clout continued to command high payment rate increases from private insurers, and tighter hospital-physician alignment heightened concerns about growing provider market power. High and rising premiums led to increasing employer adoption of consumer-driven health plans and continued increases in patient cost sharing, but the broader movement to educate and engage consumers in care decisions did not keep pace. State and local budget deficits led to some funding cuts for safety net providers, but an influx of federal stimulus funds increased support to community health centers and shored up Medicaid programs, allowing many people who lost private insurance because of job losses to remain covered. Hospitals, physicians and insurers generally viewed health reform coverage expansions favorably, but all worried about protecting revenues as reform requirements phase in.</p>","PeriodicalId":80012,"journal":{"name":"Issue brief (Center for Studying Health System Change)","volume":" 135","pages":"1-8"},"PeriodicalIF":0.0000,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Issue brief (Center for Studying Health System Change)","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Lingering fallout--loss of jobs and employer coverage--from the great recession slowed demand for health care services but did little to slow aggressive competition by dominant hospital systems for well-insured patients, according to key findings from the Center for Studying Health System Change's (HSC) 2010 site visits to 12 nationally representative metropolitan communities. Hospitals with significant market clout continued to command high payment rate increases from private insurers, and tighter hospital-physician alignment heightened concerns about growing provider market power. High and rising premiums led to increasing employer adoption of consumer-driven health plans and continued increases in patient cost sharing, but the broader movement to educate and engage consumers in care decisions did not keep pace. State and local budget deficits led to some funding cuts for safety net providers, but an influx of federal stimulus funds increased support to community health centers and shored up Medicaid programs, allowing many people who lost private insurance because of job losses to remain covered. Hospitals, physicians and insurers generally viewed health reform coverage expansions favorably, but all worried about protecting revenues as reform requirements phase in.

HSC 2010年实地考察的主要发现是:医疗保健市场经受住了经济低迷,为医疗改革做好准备。
根据卫生系统变革研究中心(HSC) 2010年对12个具有全国代表性的大都市社区的实地考察的主要发现,大衰退带来的长期影响——失业和雇主保险的减少——减缓了对医疗保健服务的需求,但并没有减缓主要医院系统对有良好保险的患者的激烈竞争。具有重要市场影响力的医院继续要求私营保险公司大幅提高支付率,而医院与医生之间更紧密的结盟加剧了人们对医疗服务提供商日益增长的市场力量的担忧。高额和不断上涨的保费导致越来越多的雇主采用消费者驱动的健康计划,并继续增加患者费用分担,但教育和吸引消费者参与护理决策的更广泛运动没有跟上步伐。州和地方的预算赤字导致了一些对安全网提供者的资金削减,但联邦刺激资金的流入增加了对社区卫生中心的支持,并支持了医疗补助计划,使许多因失业而失去私人保险的人继续得到保障。医院、医生和保险公司普遍看好医疗改革覆盖范围的扩大,但都担心随着改革要求的逐步落实,收入会受到保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信