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Spending per Medicare Beneficiary Is Higher in Hospital‐Owned Small‐ and Medium‐Sized Physician Practices
dc.contributor.authorPesko, Michael F.
dc.contributor.authorRyan, Andrew M.
dc.contributor.authorShortell, Stephen M.
dc.contributor.authorCopeland, Kennon R.
dc.contributor.authorRamsay, Patricia P.
dc.contributor.authorSun, Xuming
dc.contributor.authorMendelsohn, Jayme L.
dc.contributor.authorRittenhouse, Diane R.
dc.contributor.authorCasalino, Lawrence P.
dc.date.accessioned2018-08-13T18:48:31Z
dc.date.available2019-10-01T16:02:10Zen
dc.date.issued2018-08
dc.identifier.citationPesko, Michael F.; Ryan, Andrew M.; Shortell, Stephen M.; Copeland, Kennon R.; Ramsay, Patricia P.; Sun, Xuming; Mendelsohn, Jayme L.; Rittenhouse, Diane R.; Casalino, Lawrence P. (2018). "Spending per Medicare Beneficiary Is Higher in Hospital‐Owned Small‐ and Medium‐Sized Physician Practices." Health Services Research 53(4): 2133-2146.
dc.identifier.issn0017-9124
dc.identifier.issn1475-6773
dc.identifier.urihttps://hdl.handle.net/2027.42/145215
dc.publisherEmerald Group Publishing Limited
dc.publisherWiley Periodicals, Inc.
dc.subject.otherhealth care organizations and systems
dc.subject.otherownership/governance
dc.subject.otherAmbulatory/outpatient care
dc.titleSpending per Medicare Beneficiary Is Higher in Hospital‐Owned Small‐ and Medium‐Sized Physician Practices
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145215/1/hesr12765.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145215/2/hesr12765-sup-0001-AppendixSA1.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145215/3/hesr12765_am.pdf
dc.identifier.doi10.1111/1475-6773.12765
dc.identifier.sourceHealth Services Research
dc.identifier.citedreferenceLandon, B. E., S. L. Normand, E. Meara, Q. Zhou, S. R. Simon, R. Frank, and B. J. McNeil. 2008. “ The Relationship between Medical Practice Characteristics and Quality of Care for Cardiovascular Disease.” Medical Care Research and Review 65 ( 2 ): 167 – 86.
dc.identifier.citedreferenceCasalino, L. P.. 2014. “ Accountable Care Organizations–The Risk of Failure and the Risks of Success.” New England Journal of Medicine 371 ( 18 ): 1750 – 1.
dc.identifier.citedreferenceCasalino, L. P.. 2017. “ The Medicare Access And CHIP Reauthorization Act and the Corporate Transformation of American Medicine.” Health Affairs (Millwood) 36 ( 5 ): 865 – 9.
dc.identifier.citedreferenceCasalino, L., R. R. Gillies, S. M. Shortell, J. A. Schmittdiel, T. Bodenheimer, J. C. Robinson, T. Rundall, N. Oswald, H. Schauffler, and M. C. Wang. 2003. “ External Incentives, Information Technology, and Organized Processes to Improve Health Care Quality for Patients with Chronic Diseases.” Journal of the American Medical Association 289 ( 4 ): 434 – 41.
dc.identifier.citedreferenceCasalino, L. P., F. M. Wu, A. M. Ryan, K. Copeland, D. R. Rittenhouse, P. P. Ramsay, and S. M. Shortell. 2013. “ Independent Practice Associations and Physician‐Hospital Organizations Can Improve Care Management for Smaller Practices.” Health Affairs (Millwood) 32 ( 8 ): 1376 – 82.
dc.identifier.citedreferenceCasalino, L. P., M. F. Pesko, A. M. Ryan, J. L. Mendelsohn, K. R. Copeland, P. P. Ramsay, X. Sun, D. R. Rittenhouse, and S. M. Shortell. 2014. “ Small Primary Care Physician Practices Have Low Rates of Preventable Hospital Admissions.” Health Affairs (Millwood) 33 ( 9 ): 1680 – 8.
dc.identifier.citedreferenceCasalino, L. P., M. A. Chen, C. T. Staub, M. J. Press, J. L. Mendelsohn, J. T. Lynch, and Y. Miranda. 2016. “ Large Independent Primary Care Medical Groups.” Annals of Family Medicine 14 ( 1 ): 16 – 25.
dc.identifier.citedreferenceCenters for Medicare & Medicaid Services. 2017. “ State and County Level Demographic, Cost, Utilization, and Quality Data ” [accessed on June 1, 2017]. Available at http://download.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Geographic-Variation/Downloads/State_County_Table_All.zip
dc.identifier.citedreferenceFriedberg, M. W., K. L. Coltin, S. D. Pearson, K. P. Kleinman, J. Zheng, J. A. Singer, and E. C. Schneider. 2007. “ Does Affiliation of Physician Groups with One Another Produce Higher Quality Primary Care? ” Journal of General Internal Medicine 22 ( 10 ): 1385 – 92.
dc.identifier.citedreferenceGAO. 2015. Increasing Hospital‐ Physician Consolidation Highlights Need for Payment Reform. Washington, DC.
dc.identifier.citedreferenceGaynor, M., K. Ho, and R. J. Town. 2015. “ The Industrial Organization of Health‐Care Markets.” Journal of Economic Literature 53 ( 2 ): 235 – 84.
dc.identifier.citedreferenceGreaney, T. L., and D. Ross. 2016. “ Navigating through the Fog of Vertical Merger Law: A Guide to Counselling Hospital‐Physician Consolidation under the Clayton Act.” Washington Law Review 91: 199 – 252.
dc.identifier.citedreferenceKane, C. K. 2015. Updated Data on Physician Practice Arrangements: Inching Toward Hospital Ownership. Chicago, IL.
dc.identifier.citedreferenceKralewski, J., B. Dowd, D. Knutson, J. Tong, and M. Savage. 2015. “ The Relationships of Physician Practice Characteristics to Quality of Care and Costs.” Health Services Research 50 (3): 710 – 29.
dc.identifier.citedreferenceMcWilliams, J., M. E. Chernew, A. M. Zaslavsky, P. Hamed, and B. E. Landon. 2013. “ Delivery System Integration and Health Care Spending and Quality for Medicare Beneficiaries.” Journal of the American Medical Association Internal Medicine 173 ( 15 ): 1447 – 56.
dc.identifier.citedreferenceMostashari, F. 2016. “ The Paradox of Size: How Small, Independent Practices can Thrive in Value‐Based Care.” Annals of Family Medicine 14 ( 1 ): 5 – 7.
dc.identifier.citedreferenceMuhlestein, D. B., and N. J. Smith. 2016. “ Physician Consolidation: Rapid Movement from Small to Large Group Practices, 2013–15.” Health Affairs (Millwood) 35 ( 9 ): 1638 – 42.
dc.identifier.citedreferenceNeprash, H. T., M. E. Chernew, A. L. Hicks, T. Gibson, and J. M. McWilliams. 2015. “ Association of Financial Integration between Physicians and Hospitals with Commercial Health Care Prices.” Journal of the American Medical Association Internal Medicine 175 ( 12 ): 1932 – 9.
dc.identifier.citedreferencePhysicians Advocacy Institute. 2016. Physician Practice Acquisition Study.
dc.identifier.citedreferenceReschovsky, J. D., and E. Rich. 2015. “ Hospital Acquisition of Physician Groups: On the Road to Value‐Based or Higher‐Priced Care? ” Journal of the American Medical Association Internal Medicine 175 ( 12 ): 1939 – 41.
dc.identifier.citedreferenceRittenhouse, D. R., L. P. Casalino, S. M. Shortell, S. R. McClellan, R. R. Gillies, J. A. Alexander, and M. L. Drum. 2011. “ Small and Medium‐Size Physician Practices Use Few Patient‐Centered Medical Home Processes.” Health Affairs (Millwood) 30 ( 8 ): 1575 – 84.
dc.identifier.citedreferenceRobinson, J. C., and K. Miller. 2014. “ Total Expenditures per Patient in Hospital‐Owned and Physician‐Owned Physician Organizations in California.” Journal of the American Medical Association 312 ( 16 ): 1663 – 9.
dc.identifier.citedreferenceSchneider, E. C., and C. J. Hall. 2017. “ Improve Quality, Control Spending, Maintain Access—Can the Merit‐Based Incentive Payment System Deliver? ” New England Journal of Medicine 376 ( 8 ): 708 – 10.
dc.identifier.citedreferenceSquires, D., and D. Blumenthal. 2016. Do Small Physician Practices Have a Future? New York: The Commonwealth Fund.
dc.identifier.citedreferenceVladeck, B. C., and T. Rice. 2009. “ Market Failure and the Failure of Discourse: Facing up to the Power of Sellers.” Health Affairs (Millwood) 28 ( 5 ): 1305 – 15.
dc.identifier.citedreferenceWeeks, W. B., D. J. Gottlieb, D. E. Nyweide, J. M. Sutherland, J. Bynum, L. P. Casalino, R. R. Gillies, S. M. Shortell, and E. S. Fisher. 2010. “ Higher Health Care Quality and Bigger Savings Found at Large Multispecialty Medical Groups.” Health Affairs (Millwood) 29 ( 5 ): 991 – 7.
dc.identifier.citedreferenceBaker, L. C., M. K. Bundorf, and D. P. Kessler. 2014. “ Vertical Integration: Hospital Ownership of Physician Practices Is Associated with Higher Prices and Spending.” Health Affairs (Millwood) 33 ( 5 ): 756 – 63.
dc.identifier.citedreferenceBerenson, R. A., P. B. Ginsburg, and N. Kemper. 2010. “ Unchecked Provider Clout in California Foreshadows Challenges to Health Reform.” Health Affairs 29 ( 4 ): 699 – 705.
dc.identifier.citedreferenceBerenson, R. A., P. B. Ginsburg, J. B. Christianson, and T. Yee. 2012. “ The Growing Power of Some Providers to Win Steep Payment Increases from Insurers Suggests Policy Remedies May Be Needed.” Health Affairs (Millwood) 31 ( 5 ): 973 – 81.
dc.identifier.citedreferenceBuntin, M. B., and A. M. Zaslavsky. 2004. “ Too Much Ado about Two‐Part Models and Transformation? Comparing Methods of Modeling Medicare Expenditures.” Journal of Health Economics 23 ( 3 ): 525 – 42.
dc.identifier.citedreferenceBurns, L. R., J. C. Goldsmith, and A. Sen. 2013. “ Horizontal and Vertical Integration of Physicians: A Tale of Two Tails.” In Annual Review of Health Care Managmenet: Revisiting the Evolution of Health Systems Organization, edited by L. Friedman, J. Goes, and G. T. Savage, pp. 39 – 117. Bingley, UK: Emerald Group Publishing Limited.
dc.identifier.citedreferenceCapps, C., D. Dranove, and C. Ody. 2015. The Effect of Hospital Acquisitions of Physician Practices on Prices and Spending. Working Paper Series. Chicago, IL: Institute for Policy Research, Northwestern University.
dc.identifier.citedreferenceCarlin, C. S., B. Dowd, and R. Feldman. 2014. “ Changes in Quality of Health Care Delivery after Vertical Integration.” Health Services Research 50 ( 4 ): 1043 – 68.
dc.identifier.citedreferenceCasalino, L. P. 2006. “ Which Type of Medical Group Provides Higher‐Quality Care? ” Annals of Internal Medicine 145 ( 11 ): 860 – 1.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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