In this Health Affairs Forefront blog, the authors examine new data from the AHRQ Compendium of U.S. Health Systems to describe how the landscape of health systems changed from 2018 to 2021, highlighting key trends in system formation and their implications.
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Consolidation and Mergers Among Health Systems in 2021: New Data from the AHRQ CompendiumJun 20, 2023
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Head Impact Exposures Among Youth Tackle and Flag American Football AthletesSep 01, 2021
Promoted as a safer alternative to tackle football, there has been an increase in flag football participation in recent years.
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One-Third of U.S. Health Systems Offered a Health Plan in 2018Aug 23, 2021
This analysis leverages new data from the Agency for Healthcare Research and Quality Compendium of U.S. Health Systems to describe the percentage of health systems that offered a health plan in 2018 and the system characteristics associated with offering any health plan and by type of plan.
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Health System Participation in Medicare Alternative Payment Models in 2018Aug 23, 2021
This brief examines health system and provider participation in alternative payment models in 2018 using data from the Agency for Healthcare Research and Quality Compendium of U.S. Health Systems.
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Employment of Advanced Practice Clinicians in Vertically Integrated Health Systems Reflects Larger Trends Toward ConsolidationAug 23, 2021
This brief examines the intersection of two important trends in health care delivery using the AHRQ Compendium of U.S. Health Systems: rapid growth in employment of nurse practitioners and physician assistants and consolidation of providers and hospitals into vertically integrated health systems.
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Differences in Head Impact Exposures Between Youth Tackle and Flag Football Games and Practices: Potential Implications for Prevention StrategiesJul 01, 2021
Interventions designed to reduce the risk for head impacts and concussion in youth football have increased over the past decade; however, understanding of the role of regular game play on head impact exposure among youth tackle and flag football athletes is currently limited.
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The Pass‐Through of a Tax on Sugar‐Sweetened Beverages in Boulder, ColoradoMay 01, 2021
This paper estimates the pass-through of the largest tax on sugar-sweetened beverages enacted in the U.S., which is two cents per ounce in Boulder, Colorado. We find consistent evidence that the tax was largely, but not completely, passed through to consumers.
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Geographic Variation in the Consolidation of Physicians into Health Systems, 2016–18Jan 06, 2021
We found physician consolidation into health systems increased in nearly all metropolitan statistical areas (MSAs) from 2016 to 2018. Of 382 MSAs, 113 had more than half of their physicians in systems in 2018. Consolidation was most notable in the Midwest and Northeast and in small-to-midsize MSAs.
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Health System Integration with Physician Specialties Varies Across Markets and System TypesDec 07, 2020
In this paper, we examine system integration with physician specialties across markets and the association between local system characteristics and their patterns of physician integration.
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The Impact of Sugar‐Sweetened Beverage Taxes on Purchases: Evidence from Four City‐Level Taxes in the United StatesOct 01, 2020
Since 2017, many US cities have implemented taxes on sugar‐sweetened beverages to decrease consumption of sugary beverages and raise revenue.
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Consolidation of Providers Into Health Systems Increased Substantially, 2016–18Aug 03, 2020
We found substantial consolidation of physicians and hospitals into vertically integrated health systems from 2016 to 2018. The share of physicians affiliated with health systems increased from 40 percent to 51 percent in just two years.
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Can Vertically Integrated Health Systems Provide Greater Value: The Case of Hospitals Under the Comprehensive Care for Joint Replacement Model?Aug 01, 2020
The authors aim to assess whether system providers perform better than nonsystem providers under an alternative payment model that incentivizes high‐quality, cost‐efficient care.
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Landscape of Health Systems in the United StatesAug 01, 2020
Despite the prevalence of vertical integration, data and research focused on identifying and describing health systems are sparse.
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The Impact of the Philadelphia Beverage Tax on Prices and Product AvailabilityJun 30, 2020
This paper examines the impact of Philadelphia’s beverage tax, enacted in 2017, on the prices and availability of both taxed and untaxed beverages. We find that, on average, distributors and retailers fully passed through the tax to consumers. We also find that the tax reduced the availability of taxed...
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Oakland’s Sugar-Sweetened Beverage Tax: Impacts on Prices, Purchases and Consumption by Adults and Children (Journal Article)May 01, 2020
In this paper, we estimate the impact of the tax on retail prices, product availability, purchases, and child and adult consumption of taxed beverages in Oakland, as well as of potential substitute beverages.
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Marijuana Legalization: Public Health, Safety, and Economic Factors for States to ConsiderDec 16, 2019
This brief discusses several factors and unknowns that states should consider when deciding whether to legalize marijuana. Drawing from our research for the Massachusetts Marijuana Baseline Health Study, we summarize potential impacts on tax revenue, public health, public safety, and regulation.
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Multi-City Study Shows Beverage Taxes Raise Prices, Reduce and Shift PurchasesOct 21, 2019
This issue brief synthesizes findings on beverage taxes in Philadelphia and Oakland, specifically on the taxes’ impacts on purchases, consumption, and retailer business strategies. It also reports new findings from national consumer receipt data comparing purchases in four U.S. cities.
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The Impact of Sugar-Sweetened Beverage Taxes on Purchases: Evidence from Four City-Level Taxes in the U.S.Oct 21, 2019
This study uses household receipt data to examine the impact of sweetened beverage taxes on household purchases of taxed and untaxed beverages in the four largest cities currently with such taxes: Philadelphia, Pennsylvania; San Francisco, California; Seattle, Washington; and Oakland, California.
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The Impact of the Philadelphia Beverage Tax on Purchases and Consumption by Adults and ChildrenSep 26, 2019
In this paper, the authors examine the effects of Philadelphia’s tax of 1.5 cents per ounce of sweetened beverages, including regular and diet soda, which went into effect January 1, 2017.
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How Retailers Responded to Taxes on Sweetened Beverages: A Tale of Two CitiesSep 16, 2019
This issue brief discusses how beverage retailers in Philadelphia, Pennsylvania, and Oakland, California, implemented excise taxes on the distribution of sweetened beverages and how they responded to the taxes by changing product prices, store inventory, and marketing strategies.
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Oakland's Sugar-Sweetened Beverage Tax: Impacts on Prices, Purchases and Consumption by Adults and ChildrenSep 16, 2019
This study examines the effects of Oakland’s sugar-sweetened beverage tax on prices, purchases, and consumption among adults and children.
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Safety Net Hospitals in Health Systems: Variation in ACO Participation and Other CharacteristicsJul 03, 2019
This research brief uses data from the Agency for Healthcare Research and Quality’s Compendium of U.S. Health Systems to examine how the characteristics of safety net hospitals vary based on whether they are part of systems and, if they are, on the size of those systems.
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A Systematic Review of Vertical Integration and Quality of Care, Efficiency, and Patient-Centered OutcomesApr 02, 2019
Recent evidence suggests the trend toward vertical integration will likely continue as providers respond to changing payment models and market factors.
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The Impact of the Philadelphia Beverage Tax on Prices and Product AvailabilitySep 30, 2018
In this paper, the authors examine the impact of Philadelphia’s beverage tax, enacted in 2017, on the prices and availability of taxed beverages and untaxed beverages that may be substitutes for consumers.
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The Impact of the Philadelphia Beverage Tax on Purchases and Consumption by Adults and ChildrenSep 30, 2018
In this paper, the authors examine the effects of the beverage tax of 1.5 cents per ounce that was implemented in Philadelphia starting January 1, 2017.
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Leveraging Diverse Data Sources to Identify and Describe U.S. Health Care Delivery SystemsDec 30, 2017
Researchers assess available data sources to identify and describe health care delivery systems, including system members and their relationships. They summarize strengths and limitations for identifying and describing systems due to varied content, linkages across data sources, and data collection.
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Hospital Characteristics and the Agency for Healthcare Research and Quality Inpatient Quality Indicators: A Systematic ReviewSep 01, 2016
The Agency for Healthcare Research and Quality Inpatient Quality Indicators (IQIs) include inpatient mortality for selected procedures and medical conditions.
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Study of Access and Quality of Care in For-Profit PACEOct 11, 2013
This report summarizes a study to address quality of and access to care for participants of for-profit Programs of All-Inclusive Care for the Elderly (PACE) organizations.
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Characterizing Food Access in America: Considering the Role of Emergency Food Pantries in Areas without SupermarketsSep 01, 2013
This study provides a more comprehensive depiction of the environment in which low-income households and other vulnerable populations acquire and purchase food by considering access to emergency food pantries in areas lacking supermarkets.
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Economic and Geographic Access to Food Retailers and Emergency Food PantriesJun 01, 2012
This study describes the environment in which low-income households acquire and purchase food by examining the local population characteristics of areas with and without emergency food pantries and by examining the locations of food pantries in relation to the retail food environment.
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Food Security and Food Access Among Emergency Food Pantry HouseholdsJun 01, 2012
This study characterizes the food security and food access of households that receive food from emergency food pantries.
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Primary Prevention and Health Outcomes: Treatment of Residential Lead-Based Paint Hazards and the Prevalence of Childhood Lead PoisoningJan 02, 2012
Childhood lead poisoning presents an interesting case study of the potential of preventive care in reducing the prevalence of a disease.
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Projected Health Care Spending in Minnesota: 2009-2019Jun 29, 2011
This report projects health care spending in Minnesota from 2009 to 2019, updating Mathematica's earlier projections completed in 2009 and 2010. The updated projection models incorporate methods to account for the impacts of the recession and national health care reform.
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Projected Health Care Spending in MinnesotaJul 26, 2010
This report projects health care spending in Minnesota from 2008 to 2018, updating Mathematica’s earlier projections completed in 2009. Changes to the input data are documented, as are changes to the methodology to account for the recession’s spending impacts and health care reform.