{"id":"https://openalex.org/W2073435295","doi":"https://doi.org/10.1377/hlthaff.2012.0332","title":"Contrary To Cost-Shift Theory, Lower Medicare Hospital Payment Rates For Inpatient Care Lead To Lower Private Payment Rates","display_name":"Contrary To Cost-Shift Theory, Lower Medicare Hospital Payment Rates For Inpatient Care Lead To Lower Private Payment Rates","publication_year":2013,"publication_date":"2013-05-01","ids":{"openalex":"https://openalex.org/W2073435295","doi":"https://doi.org/10.1377/hlthaff.2012.0332","mag":"2073435295","pmid":"https://pubmed.ncbi.nlm.nih.gov/23650328"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.2012.0332","doi":"https://doi.org/10.1377/hlthaff.2012.0332","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2012.0332","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079313075","display_name":"Chapin White","orcid":"https://orcid.org/0000-0002-6565-7885","observed_orcids":["https://orcid.org/0000-0002-6565-7885"]},"institutions":[{"id":"https://openalex.org/I4210089676","display_name":"Center for Studying Health System Change","ror":"https://ror.org/0065kgn45","country_code":"US","type":"other","lineage":["https://openalex.org/I4210089676"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Chapin White","raw_affiliation_strings":["Chapin White ( ) is a senior health researcher at the Center for Studying Health System Change, in Washington, D.C"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chapin White ( ) is a senior health researcher at the Center for Studying Health System Change, in Washington, D.C","institution_ids":["https://openalex.org/I4210089676"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5079313075"],"corresponding_institution_ids":["https://openalex.org/I4210089676"],"apc_list":null,"apc_paid":null,"fwci":25.435,"has_fulltext":false,"cited_by_count":91,"citation_normalized_percentile":{"value":0.99429302,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"32","issue":"5","first_page":"935","last_page":"943"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cost-shifting","display_name":"cost shifting","score":0.6710000038146973},{"id":"https://openalex.org/keywords/medicare-payment-cuts","display_name":"Medicare payment cuts","score":0.6000000238418579},{"id":"https://openalex.org/keywords/hospital-operating-costs","display_name":"hospital operating costs","score":0.7400000095367432},{"id":"https://openalex.org/keywords/hospital-competition","display_name":"hospital competition","score":0.4880000054836273},{"id":"https://openalex.org/keywords/health-care-spending-growth","display_name":"health care spending growth","score":0.6079999804496765}],"concepts":[{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.7389090061187744},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5234329700469971},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.5183368921279907},{"id":"https://openalex.org/C2777093003","wikidata":"https://www.wikidata.org/wiki/Q6508345","display_name":"Lead (geology)","level":2,"score":0.5041712522506714},{"id":"https://openalex.org/C2779245251","wikidata":"https://www.wikidata.org/wiki/Q7250835","display_name":"Prospective payment system","level":3,"score":0.434037446975708},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.21372359991073608},{"id":"https://openalex.org/C114793014","wikidata":"https://www.wikidata.org/wiki/Q52109","display_name":"Geomorphology","level":1,"score":0.0},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003361","descriptor_name":"Cost Allocation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003361","descriptor_name":"Cost Allocation","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003361","descriptor_name":"Cost Allocation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004469","descriptor_name":"Economics, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D004469","descriptor_name":"Economics, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D018803","descriptor_name":"Models, Economic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.2012.0332","doi":"https://doi.org/10.1377/hlthaff.2012.0332","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2012.0332","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:23650328","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23650328","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.5683000087738037}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W1491756997","https://openalex.org/W1496951938","https://openalex.org/W1580979650","https://openalex.org/W1897121462","https://openalex.org/W2000302243","https://openalex.org/W2011155816","https://openalex.org/W2015075272","https://openalex.org/W2037491713","https://openalex.org/W2051027023","https://openalex.org/W2156800520","https://openalex.org/W2170905070","https://openalex.org/W2339484740","https://openalex.org/W3122333884"],"related_works":["https://openalex.org/W2026891215","https://openalex.org/W2051027023","https://openalex.org/W2015075272","https://openalex.org/W2100461787","https://openalex.org/W2168996180","https://openalex.org/W2193863922","https://openalex.org/W2515337553","https://openalex.org/W2188018014","https://openalex.org/W2170905070","https://openalex.org/W2037491713"],"abstract_inverted_index":{"Many":[0],"policy":[1],"makers":[2],"believe":[3],"that":[4,36,53,83,165],"when":[5],"Medicare":[6,43,61,89,134,142,169],"constrains":[7],"its":[8],"payment":[9,64,74,90,99,114,135,143,149,170],"rates":[10,21,65,75,91,100,144,150,171],"for":[11],"hospital":[12,44,54,63,73,180],"inpatient":[13,62],"care,":[14],"private":[15,39,72,98,154,183,196],"insurers":[16,184],"end":[17],"up":[18],"paying":[19],"higher":[20],"as":[22],"a":[23,31,84],"result.":[24],"I":[25,51,81],"tested":[26],"this":[27],"\"cost-shifting\"":[28],"theory":[29],"using":[30],"unique":[32],"new":[33],"data":[34,41],"set":[35],"combines":[37],"MarketScan":[38],"claims":[40],"with":[42,56],"cost":[45],"reports.":[46],"Contrary":[47],"to":[48,93,123,156,191],"the":[49,109,130,148,175,193],"theory,":[50],"found":[52,82],"markets":[55],"relatively":[57,68],"slow":[58,69,174],"growth":[59,70,176,194],"in":[60,71,88,97,125,129,141,168,177,187,195],"also":[66,146],"had":[67],"during":[76],"1995-2009.":[77],"Using":[78],"regression":[79],"analyses,":[80],"10":[85],"percent":[86,103],"reduction":[87,96],"led":[92],"an":[94,119],"estimated":[95],"of":[101,132],"3":[102],"or":[104],"8":[105],"percent,":[106],"depending":[107],"on":[108,179],"statistical":[110],"model":[111],"used.":[112],"These":[113],"rate":[115],"spillovers":[116],"may":[117,145],"reflect":[118],"effort":[120],"by":[121,182],"hospitals":[122,138],"rein":[124],"their":[126],"operating":[127],"costs":[128,198],"face":[131],"lower":[133],"rates.":[136],"Alternatively,":[137],"facing":[139],"cuts":[140,167],"cut":[147],"they":[151],"seek":[152],"from":[153],"payers":[155],"attract":[157],"more":[158],"privately":[159],"insured":[160],"patients.":[161],"My":[162],"findings":[163],"indicate":[164],"repealing":[166],"would":[172,186],"not":[173],"spending":[178],"care":[181],"and":[185,199],"fact":[188],"be":[189],"likely":[190],"accelerate":[192],"insurers'":[197],"premiums.":[200]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":9},{"year":2016,"cited_by_count":13},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":8},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
