Hannah T. Neprash

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IMPORTANCE Financial integration between physicians and hospitals may help health care provider organizations meet the challenges of new payment models but also may enhance the bargaining power of provider organizations, leading to higher prices and spending in commercial health care markets. OBJECTIVE To assess the association between recent increases in(More)
OBJECTIVE To compare methods of price measurement in health care markets. DATA SOURCES Truven Health Analytics MarketScan commercial claims. STUDY DESIGN We constructed medical prices indices using three approaches: (1) a "sentinel" service approach based on a single common service in a specific clinical domain, (2) a market basket approach, and (3) a(More)
We thank Colleen Carey, Joshua Gottlieb, and Amanda Kowalski for serving as discussants, as well as seminar participants at the 2014 Annual Health Economics Conference, the 2014 American Society of Health Economists Meeting, the BU/Harvard/MIT Health Economics Seminar, Boston University, Harvard Medical School, the NBER Public Economics Meeting 2015, the(More)
Provider consolidation has been associated with higher health care prices and spending. The prevailing wisdom is that payment reform will accelerate consolidation, especially between physicians and hospitals and among physician groups, as providers position themselves to bear financial risk for the full continuum of patient care. Drawing on data from a(More)
Many physicians face increasing stress to see more patients in the same or less time. This leads to crowded appointment schedules and increased schedule disruptions. I examine how physicians respond to schedule disruptions, instrumenting for appointment start time with the office arrival time of the physician’s previous patient. I use novel data from(More)
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