Payment Mechanisms under a National Health Program

Abel-Smith, B. "Who Is the Odd Man Out? The Experience of Western Europe in Containing the Costs of Health Care." Milbank Memorial Fund Quarterly/Health and Society 63, no. 1 (1985): 1-17.

Altman, S. "Can We Control Health-Care Costs?" Health Maintenance Quarterly 10 , First Quarter (1988): 15-19.

Anderson, G. "DataWatch: National Medical Care Spending." Health Affairs 5 (Fall 1986): 123-30.

Andreopoulos, S. National Health Insurance: Can We Learn From Canada? New York: John Wiley and Sons, 1975 .

Brook, R. , et al. "Does Free Care Improve Adults' Health?" New England Journal of Medicine 309 (8 December 1983): 1426-34.

Bunker, J. "Surgical Manpower." New England Journal of Medicine 282 (15 January 1970): 135-44.

Burda, D. "Hospitals' Pricing Puzzle." Madern Healthcare 18 (19 February 1988): 30-37.

Burkett, G. "Variations in Physician Utilization Patterns in a Capitation Payment IPA-HMO." Medical Care 20 (November 1982): 1128-39.

Califano, J. America's Health Care Revolution. New York: Random House, 1986.

Chassin, M. , et al. "Does Inappropriate Use Explain Geographic Variations in the Use of Health Care Services?" Journal of the American Medical Association 258 (13 November 1987 ): 2533-37.

Childs, A. , and E. Hunter. "Non-medical Factors Influencing Use of Diagnostic X-ray by Physicians." Medical Care 10 (July/August 1972): 323-35.

Cotton, P. "Growing Access Crisis Threatens Health System." Medical World News 29, no. 4 (27 July 1987): 30-40.

Deber, R. , et al. "Technology Acquisition in Canada." International Journal of Technology Assessment in Health Care 4, no. 1 (1988): 185-206.

de Pouvourville, G. "Hospital Reforms in France under a Socialist Government." The Milbank Memorial Fund Quarterly 64, no. 2 (1986): 392-413.

de Pouvourville, G. , and M. Renaud. "Hospital System Management in France and Canada: National Pluralism and Provincial Centralism." Social Science and Medicine 20, no. 2 ( 1985): 153-66.

Detsky, A. , et al. "The Effectiveness of a Regulatory Strategy in Containing Hospital Costs." New England Journal of Medicine 309 (21 July 1983): 151-59.

Donlan, T. "An Interview with Uwe Reinhardt." Physician's Management 27, no. 8 (August 1987): 212-26.

Egdahl, R. , and C. Taft. "Financial Incentives to Physicians." New England Journal of Medicine 315 (3 July 1986): 59-61.

Eisenberg, J. "Physician Utilization." Medical Care 23 (May 1985): 461-83.

Evans, R. "Finding the Levers, Finding the Courage: Lessons from Cost Containment in North America" Journal of Health Politics, Policy and Law 11, no. 4 ( 1986): 585-615.

Falk, I.S. , and J. Senturia. "The Steelworkers Survey Their Health Services." American Journal of Public Health 51, no. 1 (January 1961): 11-17.

Fein, R. Medical Care, Medical Costs. Cambridge: Harvard University Press, 1986.

Gabel, J. , and M. Redisch. "Alternative Physician Payment Methods: Incentives, Efficiency, and National Health Insurance." Milbank Memorial Fund Quarterly/Health and Society 57, no.1 (1979): 38-59.

Gabel, J. , et al. "The Changing World of Group Health Insurance." Health Affairs 7 (Summer 1988): 48-65.

Glaser, W. Health Insurance Bargaining, Foreign Lessons for Americans. New York: Gardner Press, Inc., 1978.

. Paying the Doctor under National Health Insurance: Foreign Lessons for U.S. New York: Columbia University Bureau of Applied Social Research, 1976.

Goldberg, T. , and R. Reid. "Methods of Payment to Hospitals in Ontario." Journal of Public Health Policy 7 (Summer 1986): 218-23.

Greene, J. "Market Focus: Milwaukee." Modern Healthcare 18 (5 February 1988): 36-40.

Hillman, A. "Financial Incentives for Physicians in HMOs. Is There a Conflict of Interest?" New England Journal of Medicine 317 (31 December 1987): 1743-48.

Himmelstein, D. , and S. Woolhandler. "Cost without Benefit." New England Journal of Medicine 314 (13 February 1986 ): 441-45.

Holahan, J. "Foundations for Medical Care: An Empirical Investigation of the Delivery of Health Services to a Medicaid Population." Inquiry 14 (December 1977): 352-68.

Hombrook, M. , and S. Berki. "Practice Mode and Payment Method." Medical Care 23 (May 1985): 484-511.

Iglehart, J. "Japan's Medical Care System." New England Journal of Medicine 319 (22 September 1988 ): 807-12.

Jackson, B. , and J. Jensen. "Hospitals Turn to New Software, Hardware to Cope with DRGs." Modern Healthcare 14 (September 1984): 109-12.

Juffermans, P. "Economic Crisis and Health Policy in the Netherlands." International Jounial of Health Services 14 (1984): 147-58.

Kahn, H. , and P. Orris. "The Emerging Role of Salaried Physicians: An Organizational Proposal." Journal of Public Health Policy 3 (September 1982): 284-92.

Klein, R. "Prospects and Problems in the Comparative Study of Health-Services Innovation." In Innovation in Health Policy and Service Delivery . Edited by C. Altenstetter. Cambridge, MA: Oelgeschlager, Gunn and Hain, 1981.

Lacronique, J. "Technology in France." Intemational Journal of Technology Assessment in Health Care 4, no. 1 (1988): 385-94.

Law, S. Blue Cross. What Went Wrong? New Haven: Yale University Press, 1974.

Leaf, A. "The Doctor's Dilemma—And Society's Too." New England Journal of Medicine 310 (15 March 1984): 718-21.

Lee, S. " Health Policy, A Social Contract: A Comparison of the United States and Canada ." Journal of Public Health Policy 3 (September 1982): 293-301.

Luft, H. "How do Health-Maintenance Organizations Achieve Their 'Savings'?" New England Journal of Medicine 298 (15 June 1978): 1336-43.

. " Trends in Medical Care Costs." Medical Care 18, no. 1 (1980): 1-16.

Manning, W. , et al. "A Controlled Trial of the Effect of a Prepaid Group Practice on the Use of Services." New England Journal of Medicine 310 (7 June 1984): 1505-10.

Maxwell, R. Health and Wealth. Lexington, MA: Lexington Books, 1981.

Moore, F. "What Puts the Surge in Surgery?" New England Journal of Medicine 282 (15 January 1970 ): 162-64.

Newhouse, J. , et al. "Are Fee-for-Service Costs Increasing Faster than HMO Costs ?" Medical Care 23 (August 1985): 960-66.

New York Times, 12 January 1988a.

January 1988b.

—. 31 January 1988c.

—. 15 February 1988d.

—. 8 March 1988e.

Raffel, M. Comparative Health Systems. University Park: The Pennsylvania State University Press, 1984.

Reinhardt, U. "Can the United States Learn from Foreign Medical Insurance Systems? " Hospital Progress 59 (November 1978): 60-67.

—." Health and Insurance and Cost Containment: the Experience Abroad." In A New Approach to the Economics of Health Care. Edited by M..Olson. Washington, DC: American Enterprise Institute for Public Policy Research, 1981a.

—. "Health Insurance and Health Policy in The Federal Republic of Germany ." Health Care Financing Review 3 (December 1981b): 1-14.

Relman, A. "The Future of Medical Practice." Health Affairs 2 (Summer 1983): 5-19.

Roemer, M. National Strategies for Health Care Organization: A World Overview. Ann Arbor, MI: Health Administration Press, 1985.

Scheiderich, W. "Pricing Constraints." Topics in Health Care Financing 14 (Fall 1987): 5-15.

Schieber, G. , and J.P. Poullier. "DataWatch: International Health Care Spending" Health Affairs 5 (Fall 1986): 111-22.

Schramm, C. , and J. Gabel. "Prospective Payment. Some Retrospective Observations." New England Journal of Medicine 318 (23 June 1988): 1681-82.

Schroeder, S. , and J. Showstack. "Financial Incentives to Perform Medical Procedures and Laboratory Tests." Medical Care 16 (April 1978): 289-98.

Schwartz, H. "HMOs: The Bloom Is Off the Rose." Physician's Management 27, no. 9 (September 1987): 118-22.

Schwartz, W. , and H. Aaron. "Rationing Health Care. Lessons from Britain." New England Journal of Medicine 310 (5 January 1984): 52-56.

Scovern, H. "A Physician's Experiences in a For-Profit Staff-Model HMO." New England Journal of Medicine 319 (22 September 1988): 787-90.

Starr, P. The Social Transformation of American Medicine. New York: Basic Books, Inc., 1982.

Stone, D. The Limits of Professional Power. National Health Care in the Federal Republic of Germany. Chicago: University of Chicago Press, 1980.

Taylor, M. Health Insurance and Canadian Public Policy. Montreal: McGill-Queen's University Press, 1978.

U.S Congress. House. Subcommittee on Oversight and Investigations of the Committee on Interstate and Foreign Commerce. Cost and Quality of Health Care: Unnecessary Surgery. 94th Congress . Washington, DC: Government Printing Office, 1976.

—. House. Committee on Government Operations. Medicare Health Maintenance Organizations: The International Medical Center Experience. 100th Congress. Washington, DC: Government Printing Office, 1988.

. Senate. Committee on Government Operations. Subcommittee on Investigations . Prepaid Health Plans. 94th Congress. Washington, DC: Government Printing Office, 1975.

U.S. Department of Health , Education and Welfare. Health United States 1979. DHEW Publication No. 80-1232. Washington, DC: Government Printing Office, 1980.

Vayda, E. , et al. "A Decade of Surgery in Canada, England and Wales, and the United States." Archives of Surgery 17 (June 1982): 846-53.

Wagner, L. "Harvard Study is Expected to Spark Debate on Physician Payment Reform ." Modern Healthcare 18 (15 April 1988): 24.

Wall Street Journal, 9 August 1988.

Ware, J. , et al. "Comparison of Health Outcomes at a Health Maintenance Organization with Those of Fee-for-Service Care." The Lancet i (3 May 1986): 1017-22.

Weinstein, I. "The Future of the MIO in a Price-Competitive, Price-Driven Market." Topics in Health Care Financing 11 (1984): 84-92.

Wennberg, J. , and A. Gittelsohn. "Variations in Medical Care among Small Areas." Scientific American 246, no. 4 (1982): 120-34.

Wilensky, G. , and L. Rossiter. "Patient Self-Selection in HMOs." Health Affairs 5 (Spring 1986a): 66-80.

. " Alternative Units of Payment for Physician Services: An Overview of the Issues ." Medical Care Review 43 (Spring 1986b): 133-56.

World Health Organization. World Health Statistics , 1987. Geneva: World Health Organization, 1987.