Council on Health Care Economics and Policy

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Papers & Reports

The staff of the Council periodically issues research papers and reports and occasionally commissions papers from Council members or other experts. Although these reports are often prepared in consultation with Council staff, they reflect the ideas of the authors and do not necessarily reflect the views of the Council or of its individual members. We have provided the full text of some of these reports and authorization is hereby granted to download and reproduce those publications.

Princeton Conference XVII

Princeton Conference XVII Policy Brief: Examining End of Life Care: Creating Sensible Public Policies for Patients, Providers, and Payers
Findings from the 17th Princeton Conference, May 19-20, 2010
By Jeffrey Sussman, MPH, MA, Palmira Santos, PhD, and Stuart Altman, PhD


Publication Date: September 2010

Princeton Conference XVI

Princeton Conference XVI Policy Brief: How Will We Meet the Health Service Needs of an Aging America?
Findings from the 16th Princeton Conference, May 20-21, 2009
By Jeffrey Sussman, MPH, MA and Stuart Altman, Ph.D.

Publication Date: December 2009

Crumbling Retiree Health Benefits: Who Will Bear the Burden of a Failing System?

  • The Current State of Retiree Health Benefits. Tricia Neuman, Sc.D., Vice President; Director, Medicare Policy Project; The Henry J. Kaiser Family Foundation.
  • Reorganizing Retiree Health Care in Bankrupcy. Kurt T. Slawson, J.D., Assistant General Counsel, U.S. Airways.
  • Retiree Health Benefits in the Public Sector. Steven Kreisberg, Associate Director for Research and Collective Bargaining, AFSCME.
  • Changing the Age of Medicare Eligibility: Implications for Older Adults, Employers and the Government. Richard W. Johnson, Ph.D., Principal Research Associate, The Urban Institute.
  • Raising the Medicare Eligibility Age With a Buy-In Option: Can One Stone Kill Three Birds? Richard W. Johnson, Principal Research Associate, and Robert D. Reischauer, President, The Urban Institute.
  • Can One Stone Kill Three Birds? Raising Medicare's Age of Eligibility. Robert D. Reischauer, Ph.D., President, The Urban Institute.
  • Crumbling Retiree Health Benefits: Political & Policy Perspectives. Dean A. Rosen, J.D., Principal, Mehlman Vogel Castagnetti.
  • Crumbling Retiree Health Benefits: Who Will Bear the Burden of a Failing System? John Rother, J.D., Director of Policy and Strategy, AARP.

Princeton Conference XII: How Will the States Pay for Health Care?

  • Building a New Partnership Between the Federal Government and the States. Stuart Butler, Vice President for Domestic and Economic Policy Studies, The Heritage Foundation.
  • Medicaid Coverage for Poor Adults: A Potential Building Block for Bipartisan Health Reform. Stan Dorn, Senior Policy Analyst, Economic and Social Research Institute.
  • The Case for Investing in Quality in Medicaid. Stephen A. Somers, President, Center for Health Care Strategies, Inc., Nikki Highsmith and Melanie Bella.
  • How Will States Pay for Long Term Care? Susan C. Reinhard, Co-Director, Rutgers Center for State Health Policy.

Specialty Hospitals, Ambulatory Surgery Centers, and General Hospitals: Charting a Wise Public Policy

  • Clinical Focus in Health Care: Some International Lessons. John Chilingerian, Ph.D., Professor, Brandeis University.
  • Adverse Effect of Physician-Owned Limited Service Facilities: Healthy Competition Depends on Level Playing Field. Charles N. Kahn III, President, Federation of American Hospitals; and Jeff Cohen, Vice President for Legislation, Federation of American Hospitals.

Princeton Conference XI: Managing Cost and Quality Through the Health Care Delivery System

  • Will Care Management Improve the Value of U.S. Health Care? Robert Mechanic, M.B.A., Senior Fellow, Brandeis University
  • Chronic Care Improvement in Medicare FFS: Cosmetic or Transforming? Sandra M. Foote, Sc.M., Director Health Insurance Reform Project
  • Issue Brief prepared by David Shactman

Health Insurance Expansions 2004: Examining the Options

  • An Overview and Analysis of the Democratic Presidential Candidates' Health Care Reform Proposals, Kenneth E. Thorpe, Ph.D., Robert W. Woodruff Professor and Chair, Emory University
  • Health Reform in the 2004 Election: An Overview of the Plans, Jeanne M. Lambrew, Ph.D., Associate Professor, Department of Health Policy, George Washington University School of Public Health and Health Service
  • How Federalism Could Spur Bipartisan Action on the Uninsured, Henry J. Aaron, Ph.D., Senior Fellow, The Brookings Institution and Stuart Butler, Ph.D., Vice President of Domestic Policy, The Heritage Foundation
  • Health Insurance Coverage Returns to the National Agenda: The Health Insurance Expansion Proposals of the 2004 Presidential Candidates, Sara R. Collins, Senior Program Officer, The Commonwealth Fund; Karen Davis, Ph.D., President, The Commonwealth Fund; Jeanne M. Lambrew, Ph.D., Associate Professor, George Washington University
  • Issue Brief prepared by Michael Doonan, David Shactman

Princeton Conference X: Regional Disparities in Health Spending: Implications for the Private Market and Medicare

  • Issue Brief prepared by Michael Doonan, David Shactman and Stuart H. Altman.
  • Regional Disparities in Health Spending: Implications for the Private Market and Medicare, Nancy W. Dickey, M.D., President and Vice Chancellor, The Texas A&M University System Health Science Center

Medical Malpractice in Crisis: Health Care Policy Options (March 2003)

  • Background paper prepared by Council research associate, Brian P. Rosman.
  • Issue Brief prepared by David Shactman, Michael Doonan and Brian P. Rosman.
  • Understanding The First Malpractice Crisis Of The 21st Century, William Sage, Professor of Law, Columbia Law School
  • The Medical Malpractice "Crisis": Recent Trends and the Impact of State Tort Reforms, Kenneth E. Thorpe, Robert W. Woodruff Professor and Chair, Dep't of Health Policy & Management, Rollins School of Public Health, Emory University
  • Malpractice Liability and Medical Error Prevention: Strange Bedfellows?, Michelle M. Mello, Assistant Professor of Health Policy and Law, Harvard School of Public Health

Reimagining Medicaid: The Evolving Federal Role in Medicaid (September 2002)

  • Council Policy Brief
  • Background paper prepared by Council research associate, Michael Doonan, Ph.D.
  • Reimagining Medicaid?, Trish Riley, Executive Director, National Academy of State Health Policy

Can Health Care Spending Be Contained? (June 2002)

  • Can Health Care Spending Be Contained? - A compilation of papers published in Health Affairs Web Exclusives and the Council Policy Brief summarizing the meeting. [note: large download]
  • Council Policy Brief

Overcrowded Emergency Rooms: Do We Need More Capacity Or Fewer Patients? (Jan. 2002)

  • Utilization and Overcrowding of Hospital Emergency Departments, David Shactman (meeting background paper)
  • What is the Role of Primary Care in Emergency Department Overcrowding?, Robin Weinick, John Billings and Helen Burstin

The Future of the American Hospital (Dec. 2001)

  • The Future of the American Hospital: The Structure of the Hospital and the Industry, Brian Rosman (meeting background paper)
  • The Hospital Nurse Workforce: Problems and Prospects, Linda Aiken
  • Demographics of the Register Nurse Workforce: Trouble Now, Big Trouble Ahead, Peter Buerhaus

The Economics of Prescription Drug Pricing (March 2001)

  • Background Paper: The Economics of Prescription Drug Pricing, Michael Doonan

 Renewed Health Care Spending Growth: Implications and Policy Options (January 2001)

  • Outlook for Health Care Trends, John P. Cookson
  • Rising Health Care Costs and Numbers of People Without Health Insurance, Katherine Swartz

Expanding Health Insurance / Strengthening the Safety Net: Policy Options and Trade-Offs (April 2000)

  • Purchasing Health Care for the Uninsured, Paul Offner
  • Net Gains & Losses: State Perspectives On The Coverage vs. Direct Care Debate, Trish Riley

Using Tax Credits to Reduce the Number of Uninsured (December, 1999)

  • Background Paper: Using Tax Credits to Reduce the Number of Uninsured, Brian P. Rosman
  • Cutting Taxes for Insuring: Options and Effects of Tax Credits for Health Insurance, Mark Pauly and Bradley Herring
  • Transcending Employer-Based Health Insurance, Stuart Butler
  • Assessing Employment-Based Insurance and its Alternatives, Henry Aaron

 Technological Change and the Cost of Health Care (Feb. 1999)

  • Health Status, Technological Innovation, and Health Care Expenditures, Cindy Parks Thomas

Older Materials:

  • Back to the Future or Forward to the Past? The Near-Term Outlook for Private Health Insurance Spending, Thorpe, Kenneth E. (September, 1998)  [Click here to view or download the associated slide presentation]
  • Health Insurance for the Near Elderly, Shactman, David, Altman, Stuart H., & Thomas, Cindy P. (May 1998).
  • Health Coverage for the Near Elderly: Testimony before the Senate Committee on Labor and Human Resources, Shactman, David (June 1998).
  • The Conversion of Hospitals from Not-for-Profit to For-Profit Status, Shactman, David, & Altman Stuart H. (September 1996).
  • State Regulation of Health Industry Conversions From Not-for-Profit to For-Profit Status, Shactman, David & Fishman, Andrea (December 1996).
  • A Study of the Decline in Employment Based Health Insurance, Shactman, David & Altman, Stuart H. (May 1995).
  • The Combined Impact on Hospitals of Reduced Spending for Medicare, Medicaid and Employer Sponsored Insurance, Thorpe, Kenneth E., Shactman, David, Altman, Stuart H., & Shields, Alexandra E. (November 1995).
  • Mergers, Consolidation and Antitrust: Charting an Appropriate Public Policy, Shactman, D. & Altman, S.H. (September 1995)
  • Market Concentration, Antitrust, and Public Policy in the Health Care Industry, Shactman, D. (November 1994).

Other Council Reports:

  • "Anticipating the Number of Uninsured Americans and the Demand for Uncompensated Care:  The Combined Impact of Proposed Medicaid Reductions and Erosion of Employer Sponsored Insurance." Thorpe, K.E., Shields, A.E., Gold, H., Altman, S.H., and Shactman, D. (1995).
  • Examining the Decline in Employment Based Health Insurance." Shactman, D. & Altman, S.H.,  Compensation & Benefits Management (Spring, 1996).   
  • Policy Options for Reforming the Medicare Program - Papers from The Princeton Conference on Medicare Reform.  Edited by Stuart H. Altman, Ph.D., Uwe Reinhardt, Ph.D., and David Shactman, M.P.A., M.B.A.

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