Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy


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Issue Briefs

ssue Briefs are designed to provide readers with relatively short, analytical research results that are policy relevant. Issue Briefs include the broader context for the research and lay out the range of related policy implications. The publications offer original HSC research results, summarize and make more accessible HSC research results that appear in peer-reviewed journals or report HSC conference proceedings. Most of the Issue Briefs are based on data from the CTS household, physician and employer surveys, CTS Site Visits or the Health Tracking Household and Physician Surveys.

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Title Date Document Info  
Small Employers and Self-Insured Health Benefits: Too Small to Succeed? July 2012 Issue Brief No. 138  
Employer-Sponsored Health Insurance: Down but Not Out October 2011 Issue Brief No. 137  
Rising Hospital Employment of Physicians: Better Quality, Higher Costs? August 2011 Issue Brief No. 136  
Key Findings from HSC's 2010 Site Visits May 2011 Issue Brief No. 135  
Physicians Slow to E-mail Routinely with Patients October 2010 Issue Brief No. 134  
Even When Physicians Adopt E-Prescribing, Use of Advanced Features Lags July 2010 Issue Brief No. 133  
Innovations in Preventing and Managing Chronic Conditions: What's Working in the Real World? June 2010 Issue Brief No. 132  
Electronic Medical Records and Communication with Patients and Other Clinicians: Are We Talking Less? April 2010 Issue Brief No. 131  
Modest and Uneven: Physician Efforts to Reduce Racial and Ethnic Disparities February 2010 Issue Brief No. 130  
Expectations Outpace Reality: Physicians' Use of Care Management Tools for Patients with Chronic Conditions December 2009 Issue Brief No. 129  
Impact of Health Care Price Transparency on Price Variation: The New Hampshire Experience November 2009 Issue Brief No. 128  
Hospital Strategies to Engage Physicians in Quality Improvement October 2009 Issue Brief No. 127  
Designing Effective Health Care Quality Transparency Initiatives July 2009 Issue Brief No. 126  
Rising Rates of Chronic Health Conditions: What Can Be Done? November 2008 Issue Brief No. 125  
Massachusetts Health Reform: High Costs and Expanding Expectations May Weaken Employer Support October 2008 Issue Brief No. 124  
Despite Regulatory Changes, Hospitals Cautious in Helping Physicians Purchase Electronic Medical Records September 2008 Issue Brief No. 123  
Community Efforts to Expand Dental Services for Low-Income People July 2008 Issue Brief No. 122  
Health and Wellness: The Shift from Managing Illness to Promoting Health June 2008 Issue Brief No. 121  
Safety Net Hospital Emergency Departments: Creating Safety Valves for Non-Urgent Care May 2008 Issue Brief No. 120  
Consumer-Directed Health Plans: Mixed Employer Signals, Complex Market Dynamics March 2008 Issue Brief No. 119  
Health Plans Target Advanced Imaging Services February 2008 Issue Brief No. 118  
Relief, Restoration and Reform: Economic Upturn Yields Modest and Uneven Health Returns January 2008 Issue Brief No. 117  
Community Health Centers Tackle Rising Demands and Expectations December 2007 Issue Brief No. 116  
Hospital Emergency On-Call Coverage: Is There a Doctor in the House? November 2007 Issue Brief No. 115  
Health Care Cost and Access Challenges Persist October 2007 Issue Brief No. 114  
Massachusetts Health Reform: Employers, Lower-Wage Workers and Universal Coverage July 2007 Issue Brief No. 113  
Distorted Payment System Undermines Business Case for Health Quality and Efficiency Gains July 2007 Issue Brief No. 112  
High-Performance Health Plan Networks: Early Experiences May 2007 Issue Brief No. 111  
Consumer Tolerance for Inaccuracy in Physician Performance Ratings: One Size Fits None March 2007 Issue Brief No. 110  
Benefit Design Innovations: Implications for Consumer-Directed Health Care February 2007 Issue Brief No. 109  
Physician Financial Incentives: Use of Quality Incentives Inches Up, but Productivity Still Dominates January 2007 Issue Brief No. 108  
Behind the Slow Growth of Employer-Based Consumer-Driven Health Plans December 2006 Issue Brief No. 107  
Clinical Information Technology Gaps Persist Among Physicians November 2006 Issue Brief No. 106  
The Community Safety Net and Prescription Drug Access for Low-Income, Uninsured People April 2006 Issue Brief No. 105  
Stretching the Safety Net to Serve Undocumented Immigrants: Community Responses to Health Needs February 2006 Issue Brief No. 104  
Do Specialty Hospitals Promote Price Competition? January 2006 Issue Brief No. 103  
Can Money Buy Quality? Physician Response to Pay for Performance December 2005 Issue Brief No. 102  
Rising Pressure: Hospital Emergency Departments as Barometers of the Health Care System Nov. 18, 2005 Issue Brief No. 101  
Perception, Reality and Health Insurance: Uninsured as Likely as Insured to Perceive Need for Care but Half as Likely to Get Care October 2005 Issue Brief No. 100  
Balancing Margin and Mission: Hospitals Alter Billing and Collection Practices for Uninsured Patients October 2005 Issue Brief No. 99  
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The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.