scholarly journals Analyzing the Health Care Cost Curve: A Case Study

2013 ◽  
Vol 16 (5) ◽  
pp. 341-348
Author(s):  
Robert D. Lieberthal
2018 ◽  
Vol 37 (12) ◽  
pp. 973-978 ◽  
Author(s):  
João de Sousa ◽  
Pedro Marques ◽  
Vítor Martins ◽  
António Hipólito-Reis ◽  
Luís Duarte ◽  
...  

2018 ◽  
Vol 37 (12) ◽  
pp. 973-978
Author(s):  
João de Sousa ◽  
Pedro Marques ◽  
Vítor Martins ◽  
António Hipólito-Reis ◽  
Luís Duarte ◽  
...  

Author(s):  
Brad Beauvais ◽  
Clemens Scott Kruse ◽  
Lawrence Fulton ◽  
Matthew Brooks ◽  
Michael Mileski ◽  
...  

The purpose of this research is to determine if the tradeoffs that Kissick proposed among cost containment, quality, and access remain as rigidly interconnected as originally conceived in the contemporary health care context. Although many have relied on the Kissick model to advocate for health policy decisions, to our knowledge, the model has never been empirically tested. Some have called for policy makers to come to terms with the premise of the Kissick model tradeoffs, others have questioned the model given the proliferation of quality enhancing initiatives, automation, and information technology in the health care industry. One wonders whether these evolutionary changes alter or disrupt the originality of the Kissick paradigms themselves. Methods: Structural Equation Modeling (SEM) was used to evaluate the Kissick hypothetical relationships among the unobserved constructs of cost, quality, and access in hospitals for the year 2018. Hospital data were obtained from Definitive Healthcare a subscription site which contains Medicare data as well as non-Medicare data for networks, hospitals, and clinics (final n= 2,766). Results: Reporting significant net effects as defined by our chosen study variables, we find that as quality increases costs increase, as access increases quality increases, and as access increases, costs increase. Policy and Practice Implications: Our findings lend continued relevance to a balanced approach to health care policy reform efforts. Simultaneously bending the health care cost curve, increasing access to care, and advancing quality of care is as challenging now as it was when the Kissick model was originally conceived.


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1753
Author(s):  
Brad Beauvais ◽  
Clemens Scott Kruse ◽  
Lawrence Fulton ◽  
Matthew Brooks ◽  
Michael Mileski ◽  
...  

Background/Purpose: The purpose of this research is to determine if the tradeoffs that Kissick proposed among cost containment, quality, and access remain as rigidly interconnected as originally conceived in the contemporary health care context. Although many have relied on the Kissick model to advocate for health policy decisions, to our knowledge the model has never been empirically tested. Some have called for policy makers to come to terms with the premise of the Kissick model tradeoffs, while others have questioned the model, given the proliferation of quality-enhancing initiatives, automation, and information technology in the health care industry. One wonders whether these evolutionary changes alter or disrupt the originality of the Kissick paradigms themselves. Methods: Structural equation modeling (SEM) was used to evaluate the Kissick hypothetical relationships among the unobserved constructs of cost, quality, and access in hospitals for the year 2018. Hospital data were obtained from Definitive Healthcare, a subscription site that contains Medicare data as well as non-Medicare data for networks, hospitals, and clinics (final n = 2766). Results: Reporting significant net effects as defined by our chosen study variables, we find that as quality increases, costs increase, as access increases, quality increases, and as access increases, costs increase. Policy and Practice Implications: Our findings lend continued relevance to a balanced approach to health care policy reform efforts. Simultaneously bending the health care cost curve, increasing access to care, and advancing quality of care is as challenging now as it was when the Kissick model was originally conceived.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
LaTasha Johnson-Bibbs

Purpose This paper aims to clarify the relationship between characteristics that contribute to health care access issues and individual behavior seeking health care. It proposes the different contexts of why African American and Hispanic men are not accessing health care. The study findings provided the target audience with past and present literature to contribute to the future resolution of racial and ethnic health care disparity, as well as health care access. Design/methodology/approach The paper opted for a descriptive case study using a one-on-one face-to-face semi-structured approach of a case study, including 10 depth interviews representing African American and Hispanic men who are experiencing health care access issues. The data were complemented by archival data analysis, description of personal accounts of the African American and Hispanic men and articles pertaining to racial and ethnic health disparities. Findings The paper provides insights into how change is brought about the improvement of health care for all races and ethnicity. It suggests that leaders act as “integrating forces” on two levels: integrating the important elements of improved health care coupled with communication, language and health care cost and mediating between the health care structures and the individual. Originality/value This paper fulfills an identified need to study the characteristics that contribute to health care access issues among African American and Hispanic men.


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