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Forum for Health Economics & Policy

Editor-in-Chief: Goldman, Dana

2 Issues per year


CiteScore 2017: 0.53

SCImago Journal Rank (SJR) 2017: 0.425
Source Normalized Impact per Paper (SNIP) 2017: 0.297

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1558-9544
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High US Health-Care Spending and the Importance of Provider Payment Rates

Gerard Anderson
  • Corresponding author
  • Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Kalipso Chalkidou / Bradley Herring
  • Associate Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2012-09-10 | DOI: https://doi.org/10.1515/fhep-2012-0007

Abstract

We compare health care spending in the USA to other industrialized countries and find that payment rates for hospitals, physicians, and drugs are generally much higher in the USA than they are in other industrialized countries while the quantity of services – as measured by the number of physician visits, hospital days and prescriptions filled per capita – is relatively similar across countries. We then explore policy initiatives designed to control payment rates and volume of services and review the success and failures of these initiatives. Within the USA, the private sector pays significantly higher rates for hospital and physician services and drugs than the public sector. Thus, if the USA is going to reduce health care spending, it may be necessary to begin by reducing payment rates in the private sector. Options to achieve this goal are presented.

Keywords: health care spending; international comparisons; provider payment

About the article

Corresponding author: Gerard Anderson, Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health


Published Online: 2012-09-10


Citation Information: Forum for Health Economics and Policy, Volume 15, Issue 3, Pages 1–22, ISSN (Online) 1558-9544, DOI: https://doi.org/10.1515/fhep-2012-0007.

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©2012 Walter de Gruyter GmbH & Co. KG, Berlin/Boston.Get Permission

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