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Site Visit Publications
HSC visits 12 nationally representative communities every two years to track
how the health system is changing. Below are Issue Briefs and journal articles
identifying trends found during HSC's site visits, as well as Community Reports
from the 2002-03 site visits. HSC's fifth round of site visits will take place
in 2005. Click here for more information on
the site visits.
2002-03 Site Visits
Issue Briefs
Issue Brief No. 86 - Rhetoric vs. Reality:
Employer Views on Consumer-Driven Health Care, July 2004.
Issue Brief No. 85 - Tough Trade-offs: Medical
Bills, Family Finances and Access to Care, June 2004.
Issue Brief No. 84 - Health Care Access for Low-Income
People: Significant Safety Net Gaps Remain, June 2004.
Issue Brief No. 83 - Employers Shift Rising Health
Care Costs to Workers: No Long-Term Solution in Sight, May 2004.
Issue Brief No. 82 - Paying for Quality: Health
Plans Try Carrots Instead of Sticks, May 2004.
Issue Brief No. 81 - Preferred Provider Organizations
and Medicare: Is There an Advantage, April 2004.
Issue Brief No. 80 - Federal Aid Strengthens
Health Care Safety Net: The Strong Get Stronger, April 2004.
Issue Brief No. 79 - Managed Care Redux: Health
Plans Shift Responsibilities to Consumers, March 2004.
Issue Brief No. 78 - Emergency Department Diversions:
Hospital and Community Strategies Alleviate the Crisis, March 2004.
Issue Brief No. 77 - Leapfrog Patient-Safety
Standards are a Stretch for Most Hospitals, February 2004.
Issue Brief No. 76 - For-Profit Conversions and
Merger Trends Among Blue Cross Blue Shield Health Plans, January 2004.
Issue Brief No. 74 - Getting Along or Going Along?
Health Plan-Provider Contract Showdowns Subside, January 2004.
Issue Brief No. 71 - Tiered-Provider Networks:
Patients Face Cost-Choice Trade-Offs, November 2003.
Issue Brief No. 69 - Disease Management: A Leap
of Faith to Lower-Cost, Higher-Quality Health Care, October 2003.
Issue Brief No. 68 - Medical Malpractice Liability
Crisis Meets Markets: Stress in Unexpected Places, September 2003.
Issue Brief No. 66 - The Health Care Safety Net:
Money Matters but Savvy Leadership Counts, August 2003.
Issue Brief No. 65 - Has Bioterrorism Preparedness
Improved Public Health?, July 2003.
Issue Brief No. 63 - Health Care Cost and Access
Problems Intensify: Initial Findings from HSC's Recent Site Visits, May
2003.
Issue Brief No. 62 - Specialty Hospitals: Focused
Factories or Cream Skimmers?, April 2003.
Journal Articles
Managed Care Rebound? Recent Changes in Health Plans'
Cost Containment Strategies, Health Affairs, Web-exclusive, Aug.
11, 2004.
How Prepared are Americans for Public Health Emergencies?
Twelve Communities Weigh In, Health Affairs, May/June 2004.
Are Market Forces Strong Enough to Deliver Efficient
Health Care Systems? Confidence is Waning, Health Affairs, March/April
2004.
The Puzzling Popularity of the PPO, Health Affairs,
March/April 2004.
Financial Pressures Spur Physician Entrepreneurialism,
Health Affairs, March/April 2004.
Growth of Single-Specialty Medical Groups, Health
Affairs, March/April 2004.
What is Driving Hospitals' Patient-Safety Efforts?,
Health Affairs, March/April 2004.
Popular Medicaid Programs do Battle with State Budget
Pressures: Perspectives from Twelve States, Health Affairs, March/April
2004.
Medicaid Managed Care: The Last Bastion of the HMO,
Health Affairs, March/April 2004.
Does U.S. Hospital Capacity Need to be Expanded?, Health
Affairs, November/December 2003
Focused Factories? Physician-Owned Specialty Hospitals, Health Affairs, November/December 2003
Benefits of and Barriers to Large Medical Group Practice
in the United States, Archives of Internal Medicine, Sept. 8, 2003.
Community Reports (2002-03)
Boston
Cleveland
Greenville
Indianapolis
Lansing
Little Rock
Miami
Northern New Jersey
Orange County
Phoenix
Seattle
Syracuse
Click
here for previous rounds of site visit Community Reports.
Previous Site Visits
Previous site visits were conducted in 2000-01, 1998-99 and 1996-97. Below
are publications released following those visits.
Issue Briefs
Issue Brief No. 52 - Reversal of Fortune: Medicare+Choice
Collides with Market Forces, May 2002.
Issue Brief No. 45 - Consumers Face Higher Costs
as Health Plans Seek to Control Drug Spending, November 2001.
Issue Brief No. 44 - Communities Play Key Role
in Extending Public Health Insurance to Children, October 2001.
Issue Brief No. 40 - Health Plan-Provider Showdowns
on the Rise, June 2001.
Issue Brief No. 39 - Provider Network Instability:
Implications for Choice, Costs and Continuity of Care, June 2001.
Issue Brief No. 38 - Emergency Room Diversions:
A Symptom of Hospitals Under Stress, May 2001.
Issue Brief No. 36 - Tax Credits and Purchasing
Pools: Will This Marriage Work?, April 2001.
Issue Brief No. 35 - Back to the Future? New
Cost and Access Challenges Emerge, February 2001.
Issue Brief No. 26 - Insolvency and Challenges
of Regulating Providers that Bear Risk, February 2000.
Issue Brief No. 25 - Local Innovations Provide
Managed Care for the Uninsured, January 2000.
Issue Brief No. 18 - An Update on the Community
Tracking Study, February 1999.
Issue Brief No. 15 - The Uninsured Getting Care,
September 1998.
Issue Brief No. 14 - CHIPing Away at the Problem
of Uninsured Children, August 1998.
Journal Articles
The End of an Era: What Became of the "Managed
Care Revolution in 2001?, Health Services Research, Feb. 21, 2003.
An Empty Toolbox? Changes in Health Plans' Approaches
for Managing Costs and Care, Health Services Research, Feb. 21, 2003.
Medicare Contracting Risk/Medicare Risk Contracting:
A Life-Cycle View from Twelve Markets, Health Services Research,
Feb. 21, 2003.
The Resilience of the Health Care Safety Net, 1996-2001,
Health Services Research, Feb. 21, 2003.
Managing Costs, Managing Benefits: Employer Decisions
in Local Health Care Markets, Health Services Research, Feb. 21,
2003.
Hospitals' Negotiating Leverage with Health Plans: How
and Why it Changed, Health Services Research, Feb. 21, 2004.
Changes in Hospital Competitive Strategy: A New Medical
Arms Race, Health Services Research, Feb. 21, 2003.
Something Old, Something New: Recent Developments in
Hospital-Physician Relationships, Health Services Research, Feb.
21, 2003.
The Role of Public Employers in a Changing Health Care
Market, Health Affairs, January/February 2003.
Obsticles to Employers' Pursuit of Health Care Quality,
Health Affairs, September/October 2002.
Quality Improvements by Providers: Market Developments
Hinder Progress, Health Affairs, September/October 2002.
Back to the Drawing Board: New Directions in Health
Plans' Care Management Strategies, Health Affairs, September/October
2002.
A Longitudinal Perspective on Health Plan-Provider Risk,
Health Affairs, July/August.
The Changing Face of Managed Care, Health Affairs,
January/February 2002.
Employer-Sponsored Health Insurance, Health Affairs,
January/February 2002.
Update on the Nation's Health Care System, Health
Affairs, November/December 2000.
Monitoring Market Changes: Findings from the Community
Tracking Study, Health Services Research, April 2000.
Managed Care Backlash: The View from Communities,
Journal of Health Policy, Politics and Law, October 1999.
Health System Change in 1997, Health Affairs,
July/August 1998.
Rules of the Game, Health Affairs, July/August
1998.
Accountable Communities, Health Affairs,
July/August 1998.
The Role of Employers in Community Health Care Systems,
Health Affairs, July/August 1998.
The Dynamics of Market Level Change, Journal
of Health Policy, Politics and Law, April 1997.
Snapshots
of Change in Fifteen Communities, Health Affairs, Summer 1996.
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