APPENDIX II

APPENDIX II

1.

2.

3.

4.

Notes For Chapter 5

Starr, P. The Social Transformation of American Medicine.
New York: Basic Books, Inc., 1982, pp. 260-261.

U.S. Department of Health and Human Services. HHS News.
Press release, July 31, 1985, Table 1.

U.S. House of Representatives, Committee on Ways and Means.
Background Material and Data on Major Programs Within

the Jurisdiction of the Committee on Ways and Means. WMCP:
98-2, Washington, DC, Feb. 8, 1983, p. 89.

U.S. Congressional Research Service. Summary of Health Legislation/1959 Through 1981/86th Congress-97th Congress, 1st Session. Washington, DC, July 2, 1982, p. 20.

7.

8.

9.

10.

11.

12.

Ibid., p. 90 and U.S. Department of Health and Human
Services. The Medicare and Medicaid Data Book, 1983.
Washington, DC, Dec. 1983, p. 16.

U.S. Congress, Proceedings of the Conference on the Future
of Medicare. U.S. House of Representatives, Subcommittee on
Health, Committee on Ways and Means, Feb. 1, 1984, p. 88.

Commerce Clearing House.
December 1983, 1251.

Medicare and Medicaid Guide,

U.S. House of Representatives. Background Material and Data on Major Problems Within the Jurisdiction of the Committee on Ways and Means, p. 91.

Op. cit., ¶ 3050.

Op. cit., p. 89.

13.

Ibid., p. 90 and U.S. Department of Health and Human
Services. The Medicare and Medicaid Data Book, 1983, p. 16.

14. Commerce Clearing House. Medicare and Medicaid Guide, December 1984, 3057.64

15.

U.S. Congressional Research Service.
DC, Nov. 7, 1983, p. 1.

Medicaid.

Washington,

APPENDIX II

APPENDIX II

16.

Gibson, R. et al.

"National health expenditures, 1983." Health Care Financing Review, Vol. 6, No. 2 (Winter 1984), P. 23.

20.

21.

Commerce Clearing House. Medicare and Medicaid Guide,
December 1983, ¶ 14,731.

Gibson, R. et al. "National health expenditures, 1983,"
P. 23.

25.

Enthoven, A. Health Plan: The Only Practical Solution to
the Soaring Cost of Medical Care. Reading, MA:
Addison-Wesley Publishing Company, 1980, p. 24.

30.

"Getting the Blues out of the red." Washington Report on Medicine and Health Perspectives.

McGraw-Hill, May 31, 1982, p. 2.

Washington, DC:

31. "Health costs: Shifting or sharing?" Washington Report on Medicine and Health Perspectives. Washington, DC: McGraw-Hill, August 1983.

32.

Health Insurance Association of America. Hospital Cost
Shifting: The Hidden Tax, What Should Be Done About It.

Washington, DC, 1982, p. 2.

APPENDIX II

APPENDIX II

33. Data provided by Philip Briggs, Executive Vice President, Metropolitan Life Insurance Companies, Nov. 7, 1984.

34.

Report to the

U.S. Department of Health and Human Services.
Congress: Hospital Prospective Payment for Medicare.
Washington, DC, December 1982, p. i.

37.

38.

U.S. House of Representatives, Committee on Ways and Means.
Background Material and Data on Major Programs Within the
Jurisdiction of the Committee on Ways and Means, pp. 116
and 123.

Op. cit., ¶ 4203.

45.

46.

47.

48.

U.S. Department of Health and Human Services. Report to the
Congress: Hospital Prospective Payment for Mediciare,
pp. 14 and 101-102.

Ibid., pp. 104-105.

Commerce Clearing House. Medicare and Medicaid Guide,
November 1984, ¶ 4227.

Interviews with Dr. Philip Caper, Director, Division of
Health Policy, John F. Kennedy School of Government, Harvard
University, January 3, 1984; Dr. David Rosenblume, Adjunct
Lecturer in Health Care, Florence Heller School, Brandeis
University, January 4, 1984; and Dr. Richard Egdahl, Dean,
Boston University Medical School, January 5, 1984.

APPENDIX II

APPENDIX II

49.

50.

51.

52.

53.

54.

U.S. General Accounting Office. Comments on a Health Care
Financing Administration Regional Office's Report on New
Jersey's DRG Prospective Reimbursement Experiment.
HRD-83-63, Washington, DC, June 15, 1983, p. 7.

U.S. Department of Health and Human Services. The
Prospective Payment System and the Office of the Inspector
General. Washington, DC, Mar. 8, 1984, pp. 7-12.

Wennberg, J. et al. "Will payment based on

diagnosis-related groups control hospital costs?" New England Journal of Medicine, Vol. 311, No. 5 (Aug. 2, 1984), pp. 295-300.

Intergovernmental Health Policy Project. State Guide to Medicaid Cost Containment. Washington, DC: IHPP, September 1981, p. 13.

Intergovernmental Health Policy Project.

The Status of

Major State Policies Affecting Hospital Capital Investment.
Washington, DC: IHPP, July 1984, pp. 31-32.

Commerce Clearing House.

October 1984, ¶ 14,725.

Medicare and Medicaid Guide,

56.

57.

Intergovernmental Health Policy Project. Recent and
Proposed Changes in State Medicaid Programs--A Fifty State
Survey. Washington, DC: IHPP, November 1982, Survey
Highlights.

Intergovernmental Health Policy Project. The Status of Major State Policies Affecting Hospital Capital Investment, pp. 4-5.

58. U.S. Department of Health and Human Services. Report to the Congress: Hospital Prospective Payment for Medicare, p. 19.

59.

60.

61.

"The All-Payer Waiver Controversy. Washington Report on
Medicine and Health Perspectives. Washington, DC:
McGraw-Hill, Oct. 29, 1984, p. 4.

Sloan, F. "Rate regulation as a strategy for hospital cost control: evidence from the last decade." Milbank Memorial Fund Quarterly, Vol. 61, No. 2 (Spring 1983), pp. 196 and 212.

Esposito, A. et al. "Abstract of state-legislated hospital cost containment programs. Health Care Financing Review, Vol. 4, No. 2 (December 1982), pp. 143-144.

APPENDIX II

APPENDIX II

62.

Ibid., pp. 148-149.

63.

"New Jersey gets its all-payer waiver." Washington Report on Medicine and Health Perspectives. Washington, DC: McGraw-Hill, Jan. 7, 1985, p. 1.

66.

67.

Hereford, R. "Health care cost containment." State
Legislatures, November-December 1982, p. 9.

New York State Department of Health. New York's Prospective
Hospital Reimbursement Methodology. April 1983, pp. 4-5.

69.

70.

71.

72.

Sorenson, A. et al. "Hospital cost containment in
Rochester: From maxicap to the hospital experimental

payments program." Inquiry, Vol. 19 (Winter 1982), pp. 331
and 333.

Ibid., p. 332.

Esposito, A. et al. "Abstract of state-legislated hospital
cost containment programs,"
P. 144.

Intergovernmental Health Policy Project. The Status of Major State Agencies Affecting Hospital Capital Investment, pp. 179-180.

73. Stowe, J. "Strengths and weaknesses of the Massachusetts model." Business and Health, April 1984, pp. 11-13.

74.

75.

76.

77.

78.

Data provided by U.S. Department of Health and Human
Services, Feb. 27, 1984.

Op. cit., pp. 12-13.

National Conference of State Legislatures. The Arizona
Health Care Cost Containment System. August 1982, p. 1.

Ibid., pp. 3-4.

Intergovernmental Health Policy Project. The Status of Major State Policies Affecting Hospital Capital Investment, p. 82.