Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy


Insurance Coverage & Costs Costs The Uninsured Private Coverage Employer Sponsored Individual Public Coverage Medicare Medicaid and SCHIP Access to Care Quality & Care Delivery Health Care Markets Issue Briefs Data Bulletins Research Briefs Policy Analyses Community Reports Journal Articles Other Publications Surveys Site Visits Design and Methods Data Files


Paul B. Ginsburg


Joy M. Grossman


Health Spending:

January/February 1999
Health Affairs

Tracking Health Care Costs:

November 1999
Issue Brief No. 23

Health Care Costs:

June 1997
Issue Brief No. 10

Tracking Health Care Costs:

January 1997
Issue Brief No. 06

A Primer on Understanding Health Care Cost Trends:

December 1996
Issue Brief No. 05

Despite Fears, Costs Rise Only Modestly in 1998

Fall 1998
Data Bulletin No. 13

Tracking Health Care Costs:

September/October 1998
Health Affairs

Tracking Health Care Costs:

July/August 1997
Health Affairs

Tracking Health Care Costs

Fall 1996
Health Affairs

Wall Street Comes to Washington:

September 2000
Issue Brief No. 31

Patients, Profits and Health System Change:

May 1997
Issue Brief No. 09

Wall Street Comes to Washington:

December 1998
Issue Brief No. 17

Wall Street Comes to Washington:

September 1999
Issue Brief No. 21

Health System Change:

The View from Wall Street

Winter 1995
Health Affairs, vol.14, no.4 (Winter 1995): 159-163
Paul B. Ginsburg, Joy M. Grossman

group of five health care securities analysts discussed future changes in the industry. Their consensus: First, the pace of change is not likely to change dramatically, especially the shift to managed care. Second, growth in managed care market share will continue at about one to two percentage points per year. Potential growth areas for managed care are the small group market, Medicaid and Medicare. Third, there will be little vertical integration between health plans and providers. These parties will rely on contractual arrangements rather than ownership. Fourth, changes imply substantial capital requirements, which will not be a constraint for sound enterprises. Fifth, to continue cost containment, providers need to develop new approaches to reduce volume and intensity of services.

Free access to this article is available at the Health Affairs Web site.


Back to Top
Site Last Updated: 9/15/2014             Privacy Policy
The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.