Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy


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Health System Change in Twelve Communities

September 1997
Compilation of 1996-97 Site Visits

The Community Snapshots Project

March 1996
Compilation of Snapshots

Update on the Nationís Health Care System:

November/December 2000
Health Affairs

HSC Conference Focusing on the Nation's Health Care System Finds It Is in Tremendous Turmoil

November 19, 1999
Conference Executive Summary

Update on the Nation's Health Care System:

November 16, 1999
Conference Transcript

Results from Tracking 12 Communities, 1997-1999

Compilation of 1998-99 Site Visits
Summer 1999

he Community Report series documents the findings from site visits to 12 communities (see list below) HSC is studying intensively to understand how health systems are changing and the impact of these changes on consumers. Each Community Report is based on extensive interviews with health care leaders in that market. The Community Report also contains statistical information from HSC’s household, physician and employer surveys.

The 12 communities are:

  1. Boston, Mass.

  2. Cleveland, Ohio

  3. Greenville, S.C.

  4. Indianapolis, Ind.

  5. Lansing, Mich.

  6. Little Rock, Ark.

  7. Miami, Fla.

  8. Northern New Jersey

  9. Orange County, Calif.

  10. Phoenix, Ariz.

  11. Seattle, Wash.

  12. Syracuse, N.Y.


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The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.