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  

Tough Trade-offs: Medical Bills, Family Finances and Access to Care
June 2004 Issue Brief No. 85  
A Primer on Understanding Health Care Cost Trends: December 1996 Issue Brief No. 05  
Access to Health Care: April 1997 Issue Brief No. 08  
An Inadequate Supply of Qualified People Will Slow the Pace of Health System Change March 1997 Issue Brief No. 07  
An Update on Americans' Access to Prescription Drugs May 2005 Issue Brief No. 95  
An Update on Medicare Beneficiary Access to Physician Services February 2005 Issue Brief No. 93  
An Update on the Community Tracking Study: February 1999 Issue Brief No. 18  
Are Defined Contributions a New Direction for Employer-Sponsored Coverage? October 2000 Issue Brief No. 32  
At the Brink: December 2000 Issue Brief No. 33  
Back To The Future? New Cost and Access Challenges Emerge February 2001 Issue Brief No. 35  
Balancing Margin and Mission: Hospitals Alter Billing and Collection Practices for Uninsured Patients October 2005 Issue Brief No. 99  
Behind the Slow Growth of Employer-Based Consumer-Driven Health Plans December 2006 Issue Brief No. 107  
Benefit Design Innovations: Implications for Consumer-Directed Health Care February 2007 Issue Brief No. 109  
Can Money Buy Quality? Physician Response to Pay for Performance December 2005 Issue Brief No. 102  
CHIPing Away at the Problem of Uninsured Children August 1998 Issue Brief No. 14  
Clinical Information Technology Gaps Persist Among Physicians November 2006 Issue Brief No. 106  
Communities Play Key Role in Extending Public Health Insurance to Children October 2001 Issue Brief No. 44  
Community Efforts to Expand Dental Services for Low-Income People July 2008 Issue Brief No. 122  
Community Health Centers Tackle Rising Demands and Expectations December 2007 Issue Brief No. 116  
Consumer Tolerance for Inaccuracy in Physician Performance Ratings: One Size Fits None March 2007 Issue Brief No. 110  
Consumer-Directed Health Plans: Mixed Employer Signals, Complex Market Dynamics March 2008 Issue Brief No. 119  
Consumers Face Higher Costs As Health Plans Seek to Control Drug Spending November 2001 Issue Brief No. 45  
Cutting Back But Not Cutting Out October 2002 Issue Brief No. 56  
Defined Contributions: The Search for a New Vision April 2001 Issue Brief No. 37  
Designing Effective Health Care Quality Transparency Initiatives July 2009 Issue Brief No. 126  
Despite Regulatory Changes, Hospitals Cautious in Helping Physicians Purchase Electronic Medical Records September 2008 Issue Brief No. 123  
Disease Management: A Leap of Faith to Lower-Cost,Higher-Quality Health Care October 2003 Issue Brief No. 69  
Distorted Payment System Undermines Business Case for Health Quality and Efficiency Gains July 2007 Issue Brief No. 112  
Do HMOs Make a Difference? March 2000 Issue Brief No. 28  
Do Specialty Hospitals Promote Price Competition? January 2006 Issue Brief No. 103  
Electronic Medical Records and Communication with Patients and Other Clinicians: Are We Talking Less? April 2010 Issue Brief No. 131  
Emergency Department Diversions: Hospital and Community Strategies Alleviate the Crisis March 2004 Issue Brief No. 78  
Emergency Room Diversions: A Symptom of Hospitals Under Stress May 2001 Issue Brief No. 38  
Employer Health Insurance Premium Subsidies Unlikely to Enhance Coverage Significantly December 2001 Issue Brief No. 46  
Employer-Sponsored Health Insurance: Down but Not Out October 2011 Issue Brief No. 137  
Employers Shift Rising Health Care Costs to Workers: No Long-term Solution in Sight May 2004 Issue Brief No. 83  
Even When Physicians Adopt E-Prescribing, Use of Advanced Features Lags July 2010 Issue Brief No. 133  
Expectations Outpace Reality: Physicians' Use of Care Management Tools for Patients with Chronic Conditions December 2009 Issue Brief No. 129  
Federal Aid Strengthens Health Care Safety Net: The Strong Get Stronger April 2004 Issue Brief No. 80  
For-Profit Conversions and Merger Trends Among Blue Cross Blue Shield Health Plans January 2004 Issue Brief No. 76  
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The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.