Some Issues in the Incentive Reimbursement Approach to Cost Containment: An Overview *

1. Rice Dorothy P. Cooper Barbara S. “National Health Expenditures, 1929–1970.” Social Security Bulletin 34:11, January 1971.

2. Reports of the Associated Hospital Service of New York.

3. Rice Cooper , op. cit.

4. Social Security Administration, Office of Research and Statistics. Reimbursement Incentive for Hospital and Medical Care: Objectives and Alternatives, 1968.

5. Bauer Katharine G. Containing Costs of Health Services Through Incentive Reimbursement: Some Approaches by Third Party Payers. Harvard Center for Community Health and Medical Care, Cases in Health Services, Series No. 4, December 1973.

6. Personal communication from Paul S. Keyser, Manager, Provider Services, Blue Cross of Virginia, October 5, 1971.

7. For a discussion of case mix as a neglected variable in hospital cost comparisons, see Rafferty John A. , “Patterns of Hospital Use: An Analysis of Short Run Variations,” J. of Political Economy 79:154–165, January-February 1971.

8. Interview with McNerney Walter J. , July 26, 1971.

9. Hill Lawrence A. “The Implications of Risk in Incentive Reimbursement.” Paper prepared for the Blue Cross Association, February 1970.

10. Wick C. Patrick Hard Wolfe Harvey . “Evaluation of an Incentive Reimbursement Experiment.” Medical Care 10:114, March-April 1972.

11. Diffenbach John . The Philadelphia Blue Cross 1971 Contract Negotiations. Case 9-373-126. Soldiers Field, Boston: Intercollegiate Case Clearinghouse, 1972.

12. Wolfe Gerrit . “A Field Study of Peer Decision Boards.” Unpublished paper, 1972.

13. Donabedian Avedis . A Guide to Medical Care Administration, Vol. 2, Medical Care Appraisal. Prepared for the APHA Program Area Committee in Medical Care Administration. New York: American Public Health Association, 1969.

14. McClain John O. “Physician Confidence and Reliability in Utilization Review.” Medical Care 10:463–469, November-December 1972.

15. Dalton Gene W. Lawrence Paul R. , Editors. Motivation and Control in Organizations. Homewood, Ill.: Irwin-Dorsey, 1971.

16. Hardwick Wolfe , op. cit.

17. Interview with Herbert Klarman, July 13, 1971.

18. Washington Report on Medicine and Health, February 12, 1973.

19. Rogers Joann (reporting interview with Herbert Denenberg). Baltimore News American, August 27, 1972.

20. Rogers Joann (reporting press release by Thomas Hatem). Baltimore News American, August 31, 1972.

21. Request of the Associated Hospital Service of New York to the Department of Insurance for Approval of Benefit Changes and Community Rate Increases, Filed January 16, 1973, p. 4.

22. Interview with John Shurtleff, General Counsel, Associated Hospital Service of New York, October 22, 1972.

23. Sigmond Robert M. “The Notion of Hospital Incentives.” Hospital Progress 50:64, January 1969.