# overview
Research interests focus health insurance, the effects of legislation and regulation in health and health care, outcomes research, and hospital economics. The third edition of his graduate textbook, Health Insurance, was published by Health Administration Press in 2020.  He is the author of six other books, and more than 180 peer-reviewed papers on health economics and health policy.

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Managed Care Techniques (e.g., Utilization Review)

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3507 Strategy, Management And Organisational Behaviour

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35 Commerce, Management, Tourism And Services

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Health Insurance Portability And Accountability Act

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Patient Protection And Affordable Care Act

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Children’s Health Insurance Program (chip)

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8.1 Organisation And Delivery Of Services

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8 Health And Social Care Services Research

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Patient Protection And Affordable Care Act

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Physical Injury - Accidents And Adverse Effects

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35 Commerce, Management, Tourism And Services

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8.1 Organisation And Delivery Of Services

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8 Health And Social Care Services Research

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Joint Commission On Accreditation Of Healthcare Organizations

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Quality Of Care / Patient Safety (measurement)

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Children’s Health Insurance Program (chip, Schip)

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Centers For Medicare And Medicaid Services, U.s.

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Attention Deficit Disorder With Hyperactivity

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Patient Protection And Affordable Care Act

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Centers For Medicare And Medicaid Services, U.s.

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Mental Health Parity And Addiction Equity Act

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Centers For Medicare And Medicaid Services, U.s.

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Patient Protection And Affordable Care Act

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Obstetrics And Gynecology Department, Hospital

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Obstetrics And Gynecology Department, Hospital

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Clinical Trials And Supportive Activities

# educationAndTraining[].organization.label
University of Washington - (Seattle, Washington, United States)

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Northern State University - (Aberdeen, South Dakota, United States)

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University of Washington - (Seattle, Washington, United States)

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John D. Thompson Prize for Young Investigators

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Job Responsibilities and Expectations of Assistant Professors: Does School of Employment Matter?

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University Programs in Health Administration

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Graduated drivers license programs and rural teenage motor vehicle fatalities.

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Is State Rate Setting The Best Path To Controlling Costs?

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Book Review: Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice

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Tax Subsidy of Employer-Sponsored Health Insurance

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Effectiveness of Policy Efforts to Reduce Teenage Motor Vehicle Fatalities

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Is state rate setting the best path to controlling costs?

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Corporate health benefits and the indexing of the personal income tax.

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Initial Impacts of the Patient Care Networks of Alabama Initiative.

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Medical Malpractice Reform in Three Southern States

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Health care reform: public views of problems and solutions

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Do "any willing provider" and "freedom of choice" laws affect HMO market share?

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Simplifying the assessment of rural emergency medical service trauma transport.

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The effects of Medicaid reimbursement on nursing home services

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Cost sharing and the changing pattern of employer-sponsored health benefits.

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Systemwide implications of the repeal of the national maximum speed limit.

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Hospital Affiliation and Capital Structure: How Will Capital Markets Guide Health Care Restructuring?

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A resource-dependence model of hospital contract management.

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Generic alendronate use among Medicare beneficiaries: are Part D data complete?

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Mortality following bone metastasis and skeletal-related events among patients 65 years and above with lung cancer: A population-based analysis of U.S. Medicare beneficiaries, 1999-2006.

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Characteristics of low-severity emergency department use among CHIP enrollees

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Managed Care & Healthcare Communications

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Cost Sharing and the Changing Pattern of Employer-Sponsored Health Benefits

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Employer-sponsored insurance coverage for alcoholism and drug-abuse treatments.

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All Payor Regulation: An Analysis of Hospital Response

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Small employers and the health insurance market.

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Regional variation in health insurance coverage.

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Favorable selection, risk adjustment, and the Medicare Advantage program.

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The Role of Physicians in Hospital Production

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Massachusetts Institute of Technology Press (MIT Press): Economics Titles

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Evaluating comorbidity scores based on health service expenditures.

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Office of Research, Development and Information (ORDI)

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Simplifying the assessment of rural emergency medical services trauma transport.

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The composition of hospital medical staffs.

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FiveState Study of ACA Marketplace Competition: A Summary Report

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Adherence to Telemonitoring Therapy for Medicaid Patients With Hypertension: Case Study (vol 23, e29018, 2021)

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Managed care and processes to integrate physicians/hospitals.

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Tax-exempt debt and the capital structure of nonprofit organizations: An application to hospitals

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Award programs reduce costs, improve worker safety records.

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Defining Geographic Markets for Hospital Care

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Co-payments and the use of emergency department services in the children's health insurance program.

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US Privacy Laws Go Against Public Preferences and Impede Public Health and Research: Survey Study.

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16 Peace, Justice and Strong Institutions

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State motor vehicle laws and older drivers.

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Mortality following bone metastasis and skeletal-related events among men with prostate cancer: a population-based analysis of US Medicare beneficiaries, 1999-2006.

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Nursing Homes and the Long Term Care Market

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Hospital affiliation and capital structure: how will capital markets guide health care restructuring?

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Publication Activity of Health Administration Faculty

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University Programs in Health Administration

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Hospital-physician joint ventures: who's doing what.

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Price Sensitivity in Health Care: Implications for Health Care Policy

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CEO perceptions of competition--and strategic response in hospital markets.

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Capital Structure, Ownership, and Capital Payment Policy: The Case of Hospitals

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Predicting hip and major osteoporotic fractures using administrative data.

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Health Expenditure Concentration and Characteristics of High-Cost Enrollees in CHIP.

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Tort law and medical malpractice insurance premiums

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The geographic availability and associated utilization of dual-energy X-ray absorptiometry (DXA) testing among older persons in the United States.

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State Insurance Regulation and Employers' Decisions to Self-Insure

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Disparities in Telehealth Utilization in a Population of Publicly Insured Children During the COVID-19 Pandemic.

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Charity Care by Non-profit Hospitals: The Price of Tax-exempt Debt

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Survey of hospital medical staffs--Part 1.

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Burden of Osteoporosis among U.S. Adults: Estimates from Medicare Claims Data

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Medical liability and health care reform.

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Impact of texting laws on motor vehicular fatalities in the United States.

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Physician Participation in the Administration and Governance of System and Free Standing Hospitals: A Comparison by Type of Ownership

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Health services utilization after fractures: evidence from Medicare.

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Price Sensitivity in Health Care: Implications for Health Policy, Second Editiion

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Physician influence in hospitals: an update.

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Hospitals and Health Maintenance Organizations: An Analysis of the Minneapolis-St. Paul Experience

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Patterns and predictors of home health and hospice use by older adults with cancer.

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Capital Structure, Ownership, and Capital Payment Policy: The Case of Hospitals

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Medicare prospective payment and the use of medical technologies in hospitals.

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Estimated prevalence and patterns of presumed osteoporosis among older Americans based on Medicare data.

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Can increases in CHIP copayments reduce program expenditures on prescription drugs?

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A theory of organizational response to hospital regulation: a reply to Smith and Mick.

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The Effect of the Medicaid Expansion on Frequent Emergency Department Use in New York.

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Effects of competition, regulation, and corporatization on hospital-physician relationships.

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Medicaid Expansion Resulted in Decreased Odds of Frequent Emergency Department Use Among Medicaid Beneficiaries and the Uninsured in New York

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Assessing the Quality Measure for Follow-up Care After Children's Psychiatric Hospitalizations.

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Employer-sponsored health insurance and mandated benefit laws.

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Gasoline prices and motor vehicle fatalities

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Not-for-profit survival in a competitive world.

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State mandates, self-insurance, and employer demand for substance abuse and mental health insurance coverage.

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Adverse Selection in the Children's Health Insurance Program.

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Rural emergency medical services: patients, destinations, times, and services.

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Hospital Pricing:  Cost-Shifting and Competition

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Switching to Managed Care in the Small Employer Market

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State Health Care Reform: Protecting the Provider

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Outcomes Associated With Early Preventive Dental Care Among Medicaid-Enrolled Children in Alabama.

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State rate setting: an analysis of some unresolved issues.

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Outside Consulting Income by University Faculty in Health Administration

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University Programs in Health Administration

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Competition in hospital and health insurance markets: a review and research agenda

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Elderly licensure laws and motor vehicle fatalities.

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Health economics: a report on the field.

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Physician supply, protective pricing and implications for hospital medical staffs.

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HMO Penetration, Hospital Competition, and Growth of Ambulatory Surgery Centers

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THE EARNINGS AND CONSULTING INCOME OF US HEALTH ECONOMISTS Results from the 2012 Survey of the American Society of Health Economists

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The effects of managed care on physician and clinical integration in hospitals.

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Cost Shifting in Health Care Separating Evidence from Rhetoric

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The effects of state-level expenditures for home- and community-based services on the risk of becoming a long-stay nursing home resident after hip fracture.

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Characteristics and outcomes associated with two asthma quality of care measures

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Employer choices of family premium sharing.

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Mandated Benefits and Compensating Differentials - Taxing the Uninsured

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Recent trends in hip fracture rates by race/ethnicity among older US adults.

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Trauma patients: an analysis of rural ambulance trip reports.

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Endogenous fringe benefits, compensating wage differentials and older workers.

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The effects of premium changes on ALL Kids, Alabama's CHIP program.

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Office of Research, Development and Information (ORDI)

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The expanding medical staff: nonphysician practitioners.

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THE ECONOMIC-BASIS OF HYDE - ARE MARKET POWER AND HOSPITAL EXCLUSIVE CONTRACTS RELATED

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Measuring prevention more broadly: an empirical assessment of CHIPRA core measures.

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Office of Research, Development and Information (ORDI)

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Is withholding osteoporosis medication after fracture sometimes rational? A comparison of the risk for second fracture versus death.

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The effects of CON repeal on Medicaid nursing home and long-term care expenditures.

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Effects of the Medicare Prospective Payment System on Hospital Cost Containment: An Early Appraisal

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The production of published research by U.S. academic health economists.

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The effects of direct-to-consumer advertising on medication use among Medicaid children with asthma.

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An assessment of the CHIP/Medicaid quality measure for ADHD.

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Patterns and predictors of osteoporosis medication discontinuation and switching among Medicare beneficiaries.

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Firearms, firearms injury, and gun control: a critical survey of the literature.

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Hospital Cost Shifting, a Continuing Debate

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Identifying types of nursing facility stays using medicare claims data: an algorithm and validation

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Did copayment changes reduce health service utilization among CHIP enrollees? Evidence from Alabama.

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Acquisition strategies of multihospital systems.

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Spatial Competition in the U.S. Hospital Industry and the Economic Effects of Specialty Hospital Entry

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Central DXA utilization shifts from office-based to hospital-based settings among medicare beneficiaries in the wake of reimbursement changes.

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Small Group Reform and Insurance Provision by Small Firms, 19891995

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Are healthier older adults choosing managed care?

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Medical staff specialty mix and hospital production.

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The effect of expanded insurance coverage under the Affordable Care Act on emergency department utilization in New York.

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Effectiveness of preventive dental visits in reducing nonpreventive dental visits and expenditures.

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Small group insurance reform: how are state programs measuring up?

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Health services utilization, out-of-pocket expenditure, and underinsurance among insured non-elderly cancer survivors in the United States, 2011-2015.

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The Earnings of University Faculty in Health Administration: What Characteristics Influence Pay?

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University Programs in Health Administration

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The new dominance of managed care: insurance trends in the 1990s.

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The strength of graduated drivers license programs and fatalities among teen drivers and passengers.

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The nature of hospital-HMO affiliations.

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Effects of specialty hospitals on the financial performance of general hospitals, 1997-2004.

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A survey of hospital medical staffs--Part 1.

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Analyzing the Gender Gap in the Salary of Health Administration Faculty

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University Programs in Health Administration

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The impact of texting bans on motor vehicle crash-related hospitalizations.

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Clinical and demographic factors associated with fractures among older Americans.

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Price Sensitivity of Health Care Services

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Enrollment, expenditures, and utilization after CHIP expansion: evidence from Alabama.

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An Empirical Analysis of HMO Market Share

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Damages caps in medical malpractice cases.

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Erratum to: Clinical and demographic factors associated with fractures among older Americans

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The effects of the Balanced Budget Act of 1997 on home health and hospice in older adult cancer patients.

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The Rise in Pediatric Obesity-Related Conditions and Costs in Public Insurance Programs: Evidence from Alabama.

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Assessing the Impact of Case Management on Medicaid Clients with Chronic Diseases.

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A survey of hospital medical staffs--Part 2.

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Employer-sponsored insurance coverage for alcohol and drug abuse treatment, 1988.

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Cost shifting: New myths, old confusion, and enduring reality

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The Future of the Nursing Workforce in the United States: Data, Trends, and Implications

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Hospital care for the "self-pay" patient.

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The Great Recession of 2007-2009 and Public Insurance Coverage for Children in Alabama: Enrollment and Claims Data from 1999-2011.

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Hospital participation in multihospital systems.

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Impact of Mental Health Parity and Addiction Equity Act on Costs and Utilization in Alabama's Children's Health Insurance Program.

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Health economists' views of health policy.

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US health economists: who we are and what we do.

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Employer-sponsored postretirement health benefits: not your mother's medigap plan.

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Death, debility, and destitution following hip fracture.

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Social determinants of health and emergency department utilization in Alabama Children's Health Insurance Program.

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Managed Care and Healthcare Communications, LLC

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The spread of state any willing provider laws.

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Death and reputation: how consumers acted upon HCFA mortality information

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Economic regulation and hospital behavior: the effects on medical staff organization and hospital-physician relationships

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A Theory of Organizational Response to Regulation: The Case of Hospitals.

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Turmoil in the Health Insurance Marketplaces.

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Bypassing rural hospitals for obstetrics care.

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US Privacy Laws Go Against Public Preferences and Impede Public Health and Research: Survey Study (Preprint)

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Dental hygienists' scope of practice regulations and preventable non-traumatic dental emergency department visits: A cross-sectional study of 10 U.S. states.

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Capital markets and the growth of multihospital systems.

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Fractures and mortality in relation to different osteoporosis treatments.

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Hospital Selection into Multihospital Systems: The Effects of Market, Management, and Mission

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The effects of Medicaid reimbursement on nursing home services

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Graduated driver licensing and teen traffic fatalities.

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Can Increases in CHIP Copayments Reduce Program Expenditures on Prescription Drugs?

# publications[].publisher
Office of Research, Development and Information (ORDI)

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The Benefit of Early Preventive Dental Care for Children-Reply.

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Why Do Employers Do What They Do? Compensating Differentials

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Determinants of rural travel distance for obstetrics care.

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Those changing medical staffs: survey shows some surprising trends. Part 1.

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Trends in the utilization and outcomes of Medicare patients hospitalized for hip fracture, 2000-2008.

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The near-elderly, early retirees, and managed care.

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Mortality following bone metastasis and skeletal-related events among women with breast cancer: a population-based analysis of U.S. Medicare beneficiaries, 1999-2006.

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Beer taxes, workers' compensation, and industrial injury

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Academic Health Administration: Who Are We? What Do We Do? and What are Our Views Concerning the Profession?

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University Programs in Health Administration

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Cost shifting: new myths, old confusion, and enduring reality.

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Group Health Insurance: A Hedonic Price Approach

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Massachusetts Institute of Technology Press (MIT Press): Economics Titles

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The impact of CHIP coverage on children with asthma in Alabama.

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Health care expenditures associated with skeletal fractures among Medicare beneficiaries, 1999-2005.

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Adherence to Telemonitoring Therapy for Medicaid Patients With Hypertension: Case Study.

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Correction: Adherence to Telemonitoring Therapy for Medicaid Patients With Hypertension: Case Study.

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Case shifting and the Medicare Prospective Payment System.

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Medical malpractice reform and employer-sponsored health insurance premiums.

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Shifting Medicare patients out of the hospital.

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A close examination of healthcare expenditures related to fractures.

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A survey of hospital medical staffs--Part 2.

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Physician integration strategies and hospital output. A comparison of rural and urban institutions.

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Continuity of insurance coverage and ambulatory care-sensitive hospitalizations/ED visits: evidence from the children's health insurance program.

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Managed Care and Processes To Integrate Physicians/Hospitals

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Is Withholding Osteoporosis Medication After Fracture Sometimes Rational? A Comparison of the Risk for Recurrent Fracture Versus Death

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Medical Staff Size, Hospital Privileges, and Compensation Arrangements: A Comparison of System Hospitals

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A theory of organizational response to regulation: the case of hospitals.

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Gas prices, beer taxes and GDL programmes: effects on auto fatalities among young adults in the US

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Why do employers do what they do? Compensating differentials.

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Preventive Dental Care and Long-Term Dental Outcomes among ALL Kids Enrollees.

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More hospitals compensate physicians for administrative role: survey. Part 2.

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Correction: Adherence to Telemonitoring Therapy for Medicaid Patients With Hypertension: Case Study (Preprint)

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"Pathologic" fractures: should these be included in epidemiologic studies of osteoporotic fractures?

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Endogenous Fringe Benefits, Compensating Wage Differentials and Older Workers

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Hospital acquisition or management contract: a theory of strategic choice.

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Medicare prospective payment and posthospital transfers to subacute care.

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Medical Staff Size, Hospital Privileges and Compensation Arrangements: A Comparison of System Hospitals

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Will Obamacare marketplaces suffer as open enrollment begins?

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ENDOGENOUS HOSPITAL REGULATION AND ITS EFFECTS ON HOSPITAL AND NON-HOSPITAL EXPENDITURES

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Credentialing: say good-bye to the 'rubber stamp'.

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Regional variation in the denial of reimbursement for bone mineral density testing among US Medicare beneficiaries.

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Hospital rate review. A theory and an empirical review.

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Physician and clinical integration among rural hospitals.

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Employer-sponsored health insurance for retired Americans.

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Competition in hospital and health insurance markets: a review and research agenda.

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The effect of state regulations on motor vehicle fatalities for younger and older drivers: a review and analysis.

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Managed care and physician/hospital integration.

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Adherence to Telemonitoring Therapy for Medicaid Patients With Hypertension: Case Study (Preprint)

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Physicians' explanations for apparent gaps in the quality of rheumatology care: results from the US Medicare Physician Quality Reporting System.

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Free-standing ambulatory surgery centers and hospital surgery volume.

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The role of local hospitals in physician rural location decisions

# editorOf[].label
Managed Care and Changing Health Care Markets

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Malpractice Claims Among Rural and Urban Providers: Do State Telehealth Laws Make a Difference?

# researcherOn[].awardedBy.label
Health Resources and Services Administration - (Rockville, Maryland, United States)

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Rural Health Research Grant Program Cooperative Agreement

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Health Resources and Services Administration - (Rockville, Maryland, United States)

# streetAddress
Texas A&M Health Science Center; Health Policy And Management; 1266 TAMUS