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Presentations: When Public Payment Declines, Does Cost-Shifting Occur? Hospital and Physician Responses

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Sponsored by The Robert Wood Johnson Foundation under its Changes in Health Care Financing and Organization (HCFO) initiative and conducted by AcademyHealth
November 13, 2002 - Wyndham Washington, Washington, D.C.

Session I - Economic Theory and Research Evidence: What do They Say?

Hospital and Physician Cost-Shifting: A Conceptual Framework
Paul Ginsburg, Ph.D., Center for Studying Health System Change

What Happens When Medicare Payments Change? Putting Medicare in Perspective
Stuart Guterman, Center for Medicare and Medicaid Services

Cost-Shifting: An Integral Aspect of U.S. Health Care Finance
Allen Dobson, Ph.D., The Lewin Group

Cost-Shifting…Again?
Michael Morrisey, Ph.D., University of Alabama at Birmingham

Economic Theory and Evidence on Cost Shifting: Hospital and Physician Responses
Thomas McGuire, Ph.D., Harvard Medical School

Session II - Bringing Practice to Policy: Effects of Reductions in Public Payments

The Impact of Changing Payment Levels on Providers
Richard Showalter, Jr., Dartmouth-Hitchcock Medical Center

When Public Payment Declines Does Cost-Shifting Occur? Hospital and Physician Responses
Donald Fisher, Ph.D., American Medical Group Association

When Public Payment Declines Does Cost-Shifting Occur? The California Experience
Joan Trauner, Ph.D., Independent Consultant

Maryland Medicaid Program: Cost-Shifting Among Payers
Debbie Chang, Maryland Department of Health and Mental Hygiene
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