Health Affairs, 25, no. 1 (2006): 197-203 doi: 10.1377/hlthaff.25.1.197 © 2006 by Project HOPE	New Online   New Issue: China & India   Obesity In China   Pay Cuts For Medicare Docs   Access To Care Woes

This Article Figures Only Full Text (HTML) Reprint (PDF) Online Appendix Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (4) Citing Articles via Google Scholar Google Scholar Articles by Zwanziger, J. Articles by Bamezai, A. Search for Related Content PubMed PubMed Citation Articles by Zwanziger, J. Articles by Bamezai, A. Related Collections State/Local Issues - California Business Of Health Consumer Issues Hospitals Medicare State/Local Issues Health Spending

Health Tracking

MARKETWATCH

Evidence Of Cost Shifting In California Hospitals

We used 1993–2001 data from private hospitals in California to investigate whether decreases in Medicare and Medicaid prices were associated with increases in prices paid for privately insured patients. We found that a 1 percent relative decrease in the average Medicare price is associated with a 0.17 percent increase in the corresponding price paid by privately insured patients; similarly, a 1 percent relative reduction in the average Medicaid price is associated with a 0.04 percent increase. These relationships imply that cost shifting from Medicare and Medicaid to private payers accounted for 12.3 percent of the total increase in private payers’ prices from 1997 to 2001.

                      What's this?

This article has been cited by other articles:

				J. Zwanziger and N. Khan Safety-Net Hospitals Med Care Res Rev, August 1, 2008; 65(4): 478 - 495. [Abstract] [PDF]

				B. R. Shah, S. W. Glickman, L. Liang, W. B. Gibler, E. M. Ohman, C. V. Pollack Jr, M. T. Roe, and E. D. Peterson The Impact of For-Profit Hospital Status on the Care and Outcomes of Patients With Non ST-Segment Elevation Myocardial Infarction: Results From the CRUSADE Initiative J. Am. Coll. Cardiol., October 9, 2007; 50(15): 1462 - 1468. [Abstract] [Full Text] [PDF]

				G. F. Anderson From 'Soak The Rich' To 'Soak The Poor': Recent Trends In Hospital Pricing Health Aff., May 1, 2007; 26(3): 780 - 789. [Abstract] [Full Text] [PDF]