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Daniel P. Kessler
Journal Articles

ACA Marketplace Premiums and Competition Among Hospitals and Physician Practices

Maria Polyakova, M. Kate Bundorf, Daniel P. Kessler, Laurence C. Baker
The American Journal of Managed Care , 2018

In this study published in the American Journal of Managed Care, the authors found that premiums for ACA Marketplace plans were higher in rating areas in which physician, hospital, and insurance markets were less competitive.

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Journal Articles

HMO coverage reduces variations in the use of health care among patients under age sixty-five

Laurence Baker, M. Kate Bundorf, Daniel Kessler
Health Affairs (Project Hope) , 2010
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Journal Articles

Do markets respond to quality information? the case of fertility clinics

M. Kate Bundorf, Chun, N., Goda, G. S., Daniel Kessler
Journal of Health Economics , 2009

Although policymakers have increasingly turned to provider report cards as a tool to improve health care quality, existing studies provide mixed evidence that they influence consumer choices. We examine the effects of providing consumers with quality information in the context of fertility clinics providing Assisted Reproductive Therapies (ART). We report three main findings. First, clinics with higher birthrates had larger market shares after relative to before the adoption of report cards.

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Books

Technological Change in Health Care: A Global Analysis of Heart Attack

Mark B McClellan, Daniel P Kessler
University of Michigan Press , 2002

Evidence from the United States suggests that technological change is a key factor in understanding both medical expenditure growth and recent dramatic improvements in the health of people with serious illnesses. Yet little international research has examined how the causes and consequences of technological change in health care differ worldwide. Seeking to illuminate these issues, this volume documents how use of high-technology treatments for heart attack changed in fifteen developed countries over the 1980s and 1990s.

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Journal Articles

Trends in the Use of Technology for Heart Attacks and Stroke, the US Experience in Light of the TECH Research Network

Mark B McClellan, Daniel P Kessler, Kathryn M McDonald
Presented with Panel Session: Bridging the Gaps in the International Analysis of Health Care Systems: The Recent Experience of the OECD. Academy for Health Services Research and Health Policy , 2002
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Journal Articles

Is Hospital Competition Socially Wasteful?

Daniel P Kessler, Mark B McClellan
Quarterly Journal of Economics , 2000
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Working Papers

Medical Liability, Managed Care, and Defensive Medicine

Daniel P. Kessler, Mark B. McClellan
NBER , 2000

Because the optimal level of medical malpractice liability depends on the incentives provided by the health insurance system, the rise of managed care in the 1990s may affect the relationship between liability reform and defensive medicine. In this paper, we assess empirically the extent to which managed care and liability reform interact to affect the cost of care and health outcomes of elderly Medicare beneficiaries with cardiac illness.

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Working Papers

How Liability Law Affects Medical Productivity

Daniel P. Kessler, Mark B. McClellan
NBER , 2000

Previous research suggests that "direct" reforms to the liability system - reforms designed to reduce the level of compensation to potential claimants - reduce medical expenditures without important consequences for patient health outcomes. We extend this research by identifying the mechanisms through which reforms affect the behavior of health care providers.

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Working Papers

Effects of Health Care 'Report Cards' on Health Care Providers, The

David Dranove, Daniel P. Kessler, Mark B. McClellan, Mark Satterthwaite
NBER , 1999

Health care report cards - public disclosure of patient health outcomes at the level of the individual physician and/or hospital - may address important informational asymmetries in markets for health care, but they may also give doctors and hospitals incentives to decline to treat more difficult, severely ill patients. Whether report cards are good for patients and for society depends on whether their financial and health benefits outweigh their costs in terms of the quantity, quality, and appropriateness of medical treatment that they induce.

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Journal Articles

Global Analysis of Technological Change in Health Care: The Case of Heart Attacks, A

Mark B. McClellan, Daniel P. Kessler, for the TECH investigators
Health Affairs , 1999

This preliminary report analyzes the spread of health technology in 16 nations with widely divergent health care systems, using treatment of heart attacks as a case study.

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Books

Designing Hospital Antitrust Policy to Promote Social Welfare

Daniel P. Kessler, Mark B. McClellan
MIT Press in Garber A, Ed., "Frontiers in Health Policy Research" , 1998
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Journal Articles

Link between Liability Reforms and Productivity: Some Empirical Evidence, The

T Campbell, Daniel P Kessler, G Shepherd
Brookings Papers on Economic Activity: Microeconomics , 1998
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Journal Articles

Role of Discretion in the Criminal Justice System, The

Daniel P. Kessler, AM Piehl
Journal of Law, Economics, and Organization, , 1998
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Journal Articles

Effects of Malpractice Pressure and Liability Reforms on Physicians' Perceptions of Medical Care, The

Daniel P. Kessler, Mark B. McClellan
Law and Contemporary Problems , 1997

We present four findings. First, physicians from states enacting liability reforms that directly reduce malpractice pressure experience lower growth over time in malpractice claims rates and in real malpractice insurance premiums. Second, physicians from reforming states report significant relative declines in the perceived impact of malpractice pressure on practice patterns.

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Journal Articles

Do Doctors Practice Defensive Medicine?

Daniel P. Kessler, Mark B. McClellan
Quarterly Journal of Economics , 1996

"Defensive medicine" is a potentially serious social problem: if fear of liability drives health care providers to administer treatments that do not have worthwhile medical benefits, then the current liability system may generate inefficiencies many times greater than the costs of compensating malpractice claimants. To obtain direct empirical evidence on this question, we analyze the effects of malpractice liability reforms using data on all elderly Medicare beneficiaries treated for serious heart disease in 1984, 1987, and 1990.

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