James D Reschovsky
Biographic Data
| ID | 5537866 |
|---|---|
| NAME | James D Reschovsky |
| GIVEN NAMES | James D |
| FAMILY NAME | Reschovsky |
| SIGNATURE | RESCHOVSKY J D |
| AFFILIATIONS | Center for Studying Health System Change |
| VERIFIED | No |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 22 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1987 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 2 |
Characteristics of Academic-Affiliated Health Systems
PURPOSE: Changing market forces increasingly are leading academic medical centers (AMCs) to form or join health systems. But it is unclear how this shift is affecting the tripartite academic mission of education, research, and high-quality patient care. To explore this topic, the authors identified and characterized the types of health systems that owned or managed AMCs in the United States in 2016. METHOD: The authors identified AMCs as any gene…
Methodological Approaches to Understanding Causes of Health Disparities
Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family, neighborhood), each of which needs to be appropriately c…
Examining Drivers of Health Care Spending
BACKGROUND: Despite the enactment of laws to restrict the practice of self-referral, exceptions in these prohibitions have enabled these arrangements to persist and proliferate. Most research documenting the effects of self-referral arrangements analyzed claims records from Medicare beneficiaries. Empirical evidence documenting the effects of self-referral on use of services and spending incurred by persons with private insurance is sparse. OBJEC…
Does Location Determine Medical Practice Patterns
This opinion piece critiques the large body of geographic variations research, finding much of it flawed or uninformative for policy. The author posits that wide geographic variation in fee-for-service Medicare spending and care delivery could be mitigated by reforming the payment system to promote better outcomes and greater value, rather than fees for service; fighting fraud and abuse; better defining and communicating best clinical practices; …
Why Do Hispanics Have So Little Employer-Sponsored Health Insurance
This paper investigates low rates of employer health insurance coverage among Hispanics using national data from the Community Tracking Study Household Survey. Interview language served as a proxy for the degree of assimilation. Findings indicate that English-speaking Hispanics are more similar to whites in their labor market experiences and coverage than they are to Spanish-speaking Hispanics. Spanish-speakers' very low human capital (including …
Insurance Premiums and Insurance Coverage of Near-Poor Children
States increasingly are using premiums for near-poor children in their public insurance programs (Medicaid/SCHIP) to limit private insurance crowd-out and constrain program costs. Using national data from four rounds of the Community Tracking Study Household Surveys spanning the seven years from 1996 to 2003, this study estimates a multinomial logistic regression model examining how public and private insurance premiums affect insurance coverage …
Leaving Medicine
BACKGROUND: During the past decade, a confluence of forces has changed the practice of medicine in unprecedented ways. Anecdotal reports suggest that, in response, some physicians are leaving the practice of medicine or retiring earlier than they otherwise would have. OBJECTIVE: We sought to examine how physician demographic characteristics, practice characteristics, and career satisfaction are related to physician decisions to leave the practice…
Health and the Cost of Nongroup Insurance
This analysis estimates a selection-adjusted model of the premium for nongroup insurance to measure the effect of health status on the cost of nongroup insurance. Using data from two recent national surveys, the probability of buying nongroup insurance is about 50% lower for people in fair or poor health compared to similar people in excellent health. Correcting for selection, premiums are about 15% higher for people with modest health problems, …
Small Firms' Demand for Health Insurance
This paper explores the decisions by small business establishments (< 100 workers) to offer health insurance. We estimate a theoretically derived model of establishments' demand for insurance using nationally representative data from the 1997 Robert Wood Johnson Foundation Employer Health Insurance Survey and other sources. Findings show that offer decisions reflect worker demand, labor market conditions, and establishments' costs of providing co…
Physicians??? Assessments of Their Ability to Provide High-Quality Care in a Changing Health Care System
BACKGROUND: With the growth of managed care, there are increasing concerns but inconclusive evidence regarding deterioration in the quality of medical care. OBJECTIVES: To assess physicians' perceptions of their ability to provide high-quality care and explore what factors, including managed care, affect these perceptions. RESEARCH DESIGN: Bivariate and multivariate analyses of the Community Tracking Study Physician Survey, a cross-sectional, nat…
The Demand for Post-Acute and Chronic Care in Nursing Homes
OBJECTIVES: Nursing homes provide care for persons with both post-acute and chronic conditions. In general, these two types of patients are associated with short and long stays, respectively. They also tend to be covered by different public or private insurance plans. The author investigated whether and how the demand for these two types of nursing home care differ. How alternative definitions of post-acute and chronic care nursing home stays aff…
Market Incentives to Encourage Household Waste Recycling
James D. Reschovsky, Sarah E. Stone, Market Incentives to Encourage Household Waste Recycling: Paying for What You Throw Away, Journal of Policy Analysis and Management, Vol. 13, No. 1 (Winter, 1994), pp. 120-139
Federal Policy and the Mobility of Older Homeowners
The elderly's immobility is of public policy concern because it may jeopardize both individual and community welfare. Elderly households may face obstacles to moving which either lock them into their current homes or out of suitable alternatives. Only one federal policy (the one-time capital gains exclusion), addresses the mobility of the elderly, but it has been ineffective and probably inequitable. Alternative policies range from targeting the …
Market Incentives to Encourage Household Waste Recycling
James D. Reschovsky, Sarah E. Stone, Market Incentives to Encourage Household Waste Recycling: Paying for What You Throw Away, Journal of Policy Analysis and Management, Vol. 13, No. 1 (Winter, 1994), pp. 120-139
Methodological Approaches to Understanding Causes of Health Disparities
Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family, neighborhood), each of which needs to be appropriately c…
Federal Policy and the Mobility of Older Homeowners
The elderly's immobility is of public policy concern because it may jeopardize both individual and community welfare. Elderly households may face obstacles to moving which either lock them into their current homes or out of suitable alternatives. Only one federal policy (the one-time capital gains exclusion), addresses the mobility of the elderly, but it has been ineffective and probably inequitable. Alternative policies range from targeting the …
Market Incentives to Encourage Household Waste Recycling
James D. Reschovsky, Sarah E. Stone, Market Incentives to Encourage Household Waste Recycling: Paying for What You Throw Away, Journal of Policy Analysis and Management, Vol. 13, No. 1 (Winter, 1994), pp. 120-139
The Demand for Post-Acute and Chronic Care in Nursing Homes
OBJECTIVES: Nursing homes provide care for persons with both post-acute and chronic conditions. In general, these two types of patients are associated with short and long stays, respectively. They also tend to be covered by different public or private insurance plans. The author investigated whether and how the demand for these two types of nursing home care differ. How alternative definitions of post-acute and chronic care nursing home stays aff…
Physicians??? Assessments of Their Ability to Provide High-Quality Care in a Changing Health Care System
BACKGROUND: With the growth of managed care, there are increasing concerns but inconclusive evidence regarding deterioration in the quality of medical care. OBJECTIVES: To assess physicians' perceptions of their ability to provide high-quality care and explore what factors, including managed care, affect these perceptions. RESEARCH DESIGN: Bivariate and multivariate analyses of the Community Tracking Study Physician Survey, a cross-sectional, nat…
Small Firms' Demand for Health Insurance
This paper explores the decisions by small business establishments (< 100 workers) to offer health insurance. We estimate a theoretically derived model of establishments' demand for insurance using nationally representative data from the 1997 Robert Wood Johnson Foundation Employer Health Insurance Survey and other sources. Findings show that offer decisions reflect worker demand, labor market conditions, and establishments' costs of providing co…
Health and the Cost of Nongroup Insurance
This analysis estimates a selection-adjusted model of the premium for nongroup insurance to measure the effect of health status on the cost of nongroup insurance. Using data from two recent national surveys, the probability of buying nongroup insurance is about 50% lower for people in fair or poor health compared to similar people in excellent health. Correcting for selection, premiums are about 15% higher for people with modest health problems, …
Insurance Premiums and Insurance Coverage of Near-Poor Children
States increasingly are using premiums for near-poor children in their public insurance programs (Medicaid/SCHIP) to limit private insurance crowd-out and constrain program costs. Using national data from four rounds of the Community Tracking Study Household Surveys spanning the seven years from 1996 to 2003, this study estimates a multinomial logistic regression model examining how public and private insurance premiums affect insurance coverage …
Leaving Medicine
BACKGROUND: During the past decade, a confluence of forces has changed the practice of medicine in unprecedented ways. Anecdotal reports suggest that, in response, some physicians are leaving the practice of medicine or retiring earlier than they otherwise would have. OBJECTIVE: We sought to examine how physician demographic characteristics, practice characteristics, and career satisfaction are related to physician decisions to leave the practice…
Why Do Hispanics Have So Little Employer-Sponsored Health Insurance
This paper investigates low rates of employer health insurance coverage among Hispanics using national data from the Community Tracking Study Household Survey. Interview language served as a proxy for the degree of assimilation. Findings indicate that English-speaking Hispanics are more similar to whites in their labor market experiences and coverage than they are to Spanish-speaking Hispanics. Spanish-speakers' very low human capital (including …
Does Location Determine Medical Practice Patterns
This opinion piece critiques the large body of geographic variations research, finding much of it flawed or uninformative for policy. The author posits that wide geographic variation in fee-for-service Medicare spending and care delivery could be mitigated by reforming the payment system to promote better outcomes and greater value, rather than fees for service; fighting fraud and abuse; better defining and communicating best clinical practices; …
Examining Drivers of Health Care Spending
BACKGROUND: Despite the enactment of laws to restrict the practice of self-referral, exceptions in these prohibitions have enabled these arrangements to persist and proliferate. Most research documenting the effects of self-referral arrangements analyzed claims records from Medicare beneficiaries. Empirical evidence documenting the effects of self-referral on use of services and spending incurred by persons with private insurance is sparse. OBJEC…
Methodological Approaches to Understanding Causes of Health Disparities
Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family, neighborhood), each of which needs to be appropriately c…
Characteristics of Academic-Affiliated Health Systems
PURPOSE: Changing market forces increasingly are leading academic medical centers (AMCs) to form or join health systems. But it is unclear how this shift is affecting the tripartite academic mission of education, research, and high-quality patient care. To explore this topic, the authors identified and characterized the types of health systems that owned or managed AMCs in the United States in 2016. METHOD: The authors identified AMCs as any gene…
Medicine (9 works) · Business (8 works) · Economics (8 works) · Health care (7 works) · Healthcare Policy and Management (7 works) · Economic growth (5 works) · Actuarial science (4 works) · Psychology (4 works) · Computer Science (3 works) · Demographic economics (3 works)