Richard M Scheffler
Biographic Data
| ID | 1096554 |
|---|---|
| NAME | Richard M Scheffler |
| GIVEN NAMES | Richard M |
| FAMILY NAME | Scheffler |
| SIGNATURE | SCHEFFLER R M |
| AFFILIATIONS | University of California, Berkeley |
| VERIFIED | No |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 61 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1974 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Private Equity Acquisition of Gastroenterology Practices and Colonoscopy Price and Quality
In this economic evaluation, PE acquisition of gastroenterology practices led to higher prices and spending but had no discernible effect on quality. Policymakers may be well advised to monitor PE investment in physician practices given the increase in prices and spending without a commensurate increase in quality
When Does Private Equity Ownership of Physician Practices Violate “First, Do No Harm”
One driver of the corporatization of medicine has been private equity (PE) firms' acquisition of physician practices. This article describes when PE firms' investments in or ownership of physicians' practices undermine health service delivery operations and patients' outcomes to the point of violating primum non nocere, a key ethical requirement for physicians to prioritize harm avoidance in practice. This article then suggests how to balance the…
Association Between a Capitated, Low-cost, County-Based Public Health Insurance Option and Affordable Care Act Premium Growth in California
In this economic evaluation, LA Care was associated with lower premium growth of other health insurance plans in the LA regions of CC, with the majority of savings going to the federal government. California could have captured these savings if it had applied for and received a State Innovation Waiver under section 1332 of the ACA. LA Care may be a viable public option with the potential to be expanded across California through the state's 16 oth…
The Association between Hospital-Physician Vertical Integration and Outpatient Physician Prices Paid by Commercial Insurers
This study assessed the relationship between hospital ownership of physician organizations (known as hospital-physician vertical integration) and facility fees billed to commercial insurers and physician service prices. Healthcare claims came from the IBM® MarketScan® Commercial Database (2012-2016, N = 30,716,800 office visit claims [CPT codes 99211-99215]), and hospital-physician vertical integration measures were from SK&A Office Based Physici…
Learning from Accountable Health Models in Spain
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Republican States Bolstered Their Health Insurance Rate Review Programs Using Incentives From the Affordable Care Act
The Affordable Care Act (ACA) included financial and regulatory incentives and goals for states to bolster their health insurance rate review programs, increase their anticipated loss ratio requirements, expand Medicaid, and establish state-based exchanges. We grouped states by political party control and compared their reactions across these policy goals. To identify changes in states' rate review programs and anticipated loss ratio requirements…
Health workforce skill mix and task shifting in low income countries
BACKGROUND: Health workforce needs-based shortages and skill mix imbalances are significant health workforce challenges. Task shifting, defined as delegating tasks to existing or new cadres with either less training or narrowly tailored training, is a potential strategy to address these challenges. This study uses an economics perspective to review the skill mix literature to determine its strength of the evidence, identify gaps in the evidence, …
Human resources for mental health care
The mental health workforce gap in low- and middle-income countries
OBJECTIVE: To estimate the shortage of mental health professionals in low- and middle-income countries (LMICs). METHODS: We used data from the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) from 58 LMICs, country-specific information on the burden of various mental disorders and a hypothetical core service delivery package to estimate how many psychiatrists, nurses and psychosocial care providers would be n…
Patterns of Recovery from Severe Mental Illness
We performed a pilot study examining the patterns of recovery from severe mental illness in a model integrated service delivery system using measures from the Milestones of Recovery Scale (MORS), a valid and reliable measure of recovery outcomes which ranges from 1 to 8 (8 levels). For purposes of presentation, we constructed an aggregate MORS (6 levels) where the levels are described as follows: (1) extreme risk; (2) unengaged, poorly self-coord…
Community-level social capital and recurrence of acute coronary syndrome
The role of social capital in reducing non-specific psychological distress
Social capital and health in Indonesia
Medicines and vaccines for the world's poorest
This paper reviews the current status of the global pharmaceutical industry and its research and development focus in the context of the health care needs of the developing world. It will consider the attempts to improve access to critical drugs and vaccines, and increase the research effort directed at key public health priorities in the developing world. In particular, it will consider prospects for public-private collaboration. The challenges …
Romano and Colleagues Respond
trials before advocating a nationwide pro- gram
The Hospital Response to Medicare??s Prospective Payment System
This paper presents an empirical analysis of the impact that resulted from phase-in of Medicare's Prospective Payment System (PPS) on hospital utilization and payments for the Blue Cross and Blue Shield (BCBS) plans. A pooled cross-sectional time series econometric model was specified and estimated using quarterly hospital utilization and payments of the BCBS plans over the period 1980 to 1987. The results indicate that the implementation of PPS …
The United Mine Workers?? Health Plan An Analysis of the Cost-Sharing Program
This article reports on the introduction of a cost-sharing health care plan to the United Mine Workers. The authors discuss the data base and analyze the impact of the program on the use of health care, the probability of a hospital admission, hospital expenditures and length of stay, the demand for physician services, and the probability of seeing a physician. Hospital admissions and hospital expenditures per stay decreased, as did the probabili…
Poverty and Health
Survey approach to estimating demand for physician assistants
The Union Impact on Hospital Wages and Fringe Benefits
This paper uses 1977 data from a national probability sample of 1,200 hospitals to estimate the effect of unions on wages and fringe benefits in four occupations: registered nurses, practical nurses, secretaries, and housekeepers. The results show that unionization has a significant impact on wages that increases with the length of time collective bargaining has been in effect at the individual hospital. The overall wage effect of unions is about…
A Review of the Economic Evidence on Prevention
This study examines the economic evidence on preventive health care. A discussion of benefit-cost analysis and cost-effectiveness analysis, their applications to preventive strategies, and the problems inherent in implementing these approaches precedes a review of the empirical evidence. Prevention strategies are grouped into three categories: lifestyle changes, public health measures and screening programs. Lifestyle changes include altering beh…
The Nation’s Health Today
Essay| June 01 1977 The Nation’s Health Today Richard M. Scheffler, Richard M. Scheffler Scholar in Residence, National Academy of Sciences, Institute of Medicine Richard M. Scheffler is an Associate Professor of Economics on leave from the University of North Carolina at Chapel Hill. He is currently a Scholar in Residence at the National Academy of Sciences, Institute of Medicine in Washington. Search for other works by this author on: This Site…
The employment, utilization, and earnings of physician extenders
The Effect of Disability on Labor Supply
Characteristics of Physician??s Assistants
The Health Services Research Center at the University of North Carolina at Chapel Hill conducted a national survey of working Physician's Assistants in March and April of 1972. The sample of 151 Physician's Assistants obtained represents 55 per cent of all graduates of 18 training programs located throughout the United States. The data gathered is used to examine demographic characteristics of the Physician's Assistant population, geographic dist…
The role of social capital in reducing non-specific psychological distress
Community-level social capital and recurrence of acute coronary syndrome
Social capital and health in Indonesia
The Union Impact on Hospital Wages and Fringe Benefits
This paper uses 1977 data from a national probability sample of 1,200 hospitals to estimate the effect of unions on wages and fringe benefits in four occupations: registered nurses, practical nurses, secretaries, and housekeepers. The results show that unionization has a significant impact on wages that increases with the length of time collective bargaining has been in effect at the individual hospital. The overall wage effect of unions is about…
Patterns of Recovery from Severe Mental Illness
We performed a pilot study examining the patterns of recovery from severe mental illness in a model integrated service delivery system using measures from the Milestones of Recovery Scale (MORS), a valid and reliable measure of recovery outcomes which ranges from 1 to 8 (8 levels). For purposes of presentation, we constructed an aggregate MORS (6 levels) where the levels are described as follows: (1) extreme risk; (2) unengaged, poorly self-coord…
The Effect of Disability on Labor Supply
Discusses the effect of disability on labor supply in the United States. Information on industrial health; Discussion of worker's disability and health benefits; Sample equation analyzing the labor market; Details of the equal opportunity regulation. (Abstract copyright EBSCO.)
Characteristics of Physician??s Assistants
The Health Services Research Center at the University of North Carolina at Chapel Hill conducted a national survey of working Physician's Assistants in March and April of 1972. The sample of 151 Physician's Assistants obtained represents 55 per cent of all graduates of 18 training programs located throughout the United States. The data gathered is used to examine demographic characteristics of the Physician's Assistant population, geographic dist…
The Effect of Disability on Labor Supply
Discusses the effect of disability on labor supply in the United States. Information on industrial health; Discussion of worker's disability and health benefits; Sample equation analyzing the labor market; Details of the equal opportunity regulation. (Abstract copyright EBSCO.)
The Nation’s Health Today
Essay| June 01 1977 The Nation’s Health Today Richard M. Scheffler, Richard M. Scheffler Scholar in Residence, National Academy of Sciences, Institute of Medicine Richard M. Scheffler is an Associate Professor of Economics on leave from the University of North Carolina at Chapel Hill. He is currently a Scholar in Residence at the National Academy of Sciences, Institute of Medicine in Washington. Search for other works by this author on: This Site…
The employment, utilization, and earnings of physician extenders
The Effect of Disability on Labor Supply
A Review of the Economic Evidence on Prevention
This study examines the economic evidence on preventive health care. A discussion of benefit-cost analysis and cost-effectiveness analysis, their applications to preventive strategies, and the problems inherent in implementing these approaches precedes a review of the empirical evidence. Prevention strategies are grouped into three categories: lifestyle changes, public health measures and screening programs. Lifestyle changes include altering beh…
Poverty and Health
Survey approach to estimating demand for physician assistants
The Union Impact on Hospital Wages and Fringe Benefits
This paper uses 1977 data from a national probability sample of 1,200 hospitals to estimate the effect of unions on wages and fringe benefits in four occupations: registered nurses, practical nurses, secretaries, and housekeepers. The results show that unionization has a significant impact on wages that increases with the length of time collective bargaining has been in effect at the individual hospital. The overall wage effect of unions is about…
The United Mine Workers?? Health Plan An Analysis of the Cost-Sharing Program
This article reports on the introduction of a cost-sharing health care plan to the United Mine Workers. The authors discuss the data base and analyze the impact of the program on the use of health care, the probability of a hospital admission, hospital expenditures and length of stay, the demand for physician services, and the probability of seeing a physician. Hospital admissions and hospital expenditures per stay decreased, as did the probabili…
The Hospital Response to Medicare??s Prospective Payment System
This paper presents an empirical analysis of the impact that resulted from phase-in of Medicare's Prospective Payment System (PPS) on hospital utilization and payments for the Blue Cross and Blue Shield (BCBS) plans. A pooled cross-sectional time series econometric model was specified and estimated using quarterly hospital utilization and payments of the BCBS plans over the period 1980 to 1987. The results indicate that the implementation of PPS …
Romano and Colleagues Respond
trials before advocating a nationwide pro- gram
Medicines and vaccines for the world's poorest
This paper reviews the current status of the global pharmaceutical industry and its research and development focus in the context of the health care needs of the developing world. It will consider the attempts to improve access to critical drugs and vaccines, and increase the research effort directed at key public health priorities in the developing world. In particular, it will consider prospects for public-private collaboration. The challenges …
Social capital and health in Indonesia
The role of social capital in reducing non-specific psychological distress
Community-level social capital and recurrence of acute coronary syndrome
Patterns of Recovery from Severe Mental Illness
We performed a pilot study examining the patterns of recovery from severe mental illness in a model integrated service delivery system using measures from the Milestones of Recovery Scale (MORS), a valid and reliable measure of recovery outcomes which ranges from 1 to 8 (8 levels). For purposes of presentation, we constructed an aggregate MORS (6 levels) where the levels are described as follows: (1) extreme risk; (2) unengaged, poorly self-coord…
Health workforce skill mix and task shifting in low income countries
BACKGROUND: Health workforce needs-based shortages and skill mix imbalances are significant health workforce challenges. Task shifting, defined as delegating tasks to existing or new cadres with either less training or narrowly tailored training, is a potential strategy to address these challenges. This study uses an economics perspective to review the skill mix literature to determine its strength of the evidence, identify gaps in the evidence, …
Human resources for mental health care
The mental health workforce gap in low- and middle-income countries
OBJECTIVE: To estimate the shortage of mental health professionals in low- and middle-income countries (LMICs). METHODS: We used data from the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) from 58 LMICs, country-specific information on the burden of various mental disorders and a hypothetical core service delivery package to estimate how many psychiatrists, nurses and psychosocial care providers would be n…
Republican States Bolstered Their Health Insurance Rate Review Programs Using Incentives From the Affordable Care Act
The Affordable Care Act (ACA) included financial and regulatory incentives and goals for states to bolster their health insurance rate review programs, increase their anticipated loss ratio requirements, expand Medicaid, and establish state-based exchanges. We grouped states by political party control and compared their reactions across these policy goals. To identify changes in states' rate review programs and anticipated loss ratio requirements…
Learning from Accountable Health Models in Spain
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
The Association between Hospital-Physician Vertical Integration and Outpatient Physician Prices Paid by Commercial Insurers
This study assessed the relationship between hospital ownership of physician organizations (known as hospital-physician vertical integration) and facility fees billed to commercial insurers and physician service prices. Healthcare claims came from the IBM® MarketScan® Commercial Database (2012-2016, N = 30,716,800 office visit claims [CPT codes 99211-99215]), and hospital-physician vertical integration measures were from SK&A Office Based Physici…
Association Between a Capitated, Low-cost, County-Based Public Health Insurance Option and Affordable Care Act Premium Growth in California
In this economic evaluation, LA Care was associated with lower premium growth of other health insurance plans in the LA regions of CC, with the majority of savings going to the federal government. California could have captured these savings if it had applied for and received a State Innovation Waiver under section 1332 of the ACA. LA Care may be a viable public option with the potential to be expanded across California through the state's 16 oth…
Private Equity Acquisition of Gastroenterology Practices and Colonoscopy Price and Quality
In this economic evaluation, PE acquisition of gastroenterology practices led to higher prices and spending but had no discernible effect on quality. Policymakers may be well advised to monitor PE investment in physician practices given the increase in prices and spending without a commensurate increase in quality
Medicine (18 works) · Economics (17 works) · Health care (16 works) · Healthcare Policy and Management (11 works) · Economic growth (9 works) · Nursing (9 works) · Business (8 works) · Family medicine (7 works) · Political science (7 works) · Psychology (6 works)