McGlynn, E. A., S. M. Asch, J. Adams, J. Keesey, J. Hicks, A. DeCristofaro, and E. A. Kerr. 2003. The quality of health care delivered to adults in the United States. New England Journal of Medicine 348(26):2635-2645.
MedPAC (Medicare Payment Advisory Commission). 2011. June 2011 report to the Congress: Medicare and the health care delivery system. Washington, DC: Medicare Payment Advisory Commission.
Milstein, A. 1997. Managing utilization management: A purchaser’s view. Health Affairs 16(3):87-90.
Mokdad, A. H., J. S. Marks, D. F. Stroup, and J. L. Gerberding. 2004. Actual causes of death in the United States, 2000. Journal of the American Medical Association 291(10):1238-1245.
______. 2005. Correction: Actual causes of death in the United States, 2000. Journal of the American Medical Association 293(3):293-294.
NCQA (National Committee for Quality Assurance). 2007. Special needs plan (SNP) phase 1—draft stucture and process requirements glossary. http://www.ncqa.org/portals/0/publiccomment/SNP/SNP_Glossary.pdf (accessed June 26, 2011).
NEHI (New England Healthcare Institute). 2008. How many more studies will it take? Cambridge, MA: New England Healthcare Institute.
Newhouse, J. P. 1992. Medical care costs: How much welfare loss? Journal of Economic Perspectives 6(3):3-21.
Nussbaum, S. 2011. Health insurance plan variance in coverage (inclusions, exclusions, networks) and benefit design for quality improvement. PowerPoint Presentation to the IOM Committee on the Determination of Essential Health Benefits by Sam Nussbaum, Executive Vice-President, Clinical Policy and Chief Medical Officer, Wellpoint, Inc., Costa Mesa, CA, March 2.
Oregon Health Services Commission. 2010. Value-based services: Proposed “barrier-free” services for use within a value-based benefit package. http://www.oregon.gov/OHA/OHPR/HSC/docs/VBS.pdf (accessed August 4, 2011).
______. 2011a. The prioritized list. http://www.oregon.gov/OHA/healthplan/priorlist/main.shtml (accessed June 27, 2011).
______. 2011b. Prioritized list of health services: April 1, 2011. http://www.oregon.gov/OHA/OHPR/HSC/docs/L/Apr11List.pdf (accessed May 10, 2011).
______. 2011c. Value-based services. http://www.oregon.gov/OHA/OHPR/HSC/VBS.shtml (accessed June 26, 2011).
PwC (PricewaterhouseCoopers) Health Research Institute. 2011. Behind the numbers: Medical cost trends for 2012. New York: PricewaterhouseCoopers.
Rosen, A. K. 2010. Are we getting better at measuring patient safety? http://www.webmm.ahrq.gov/perspective.aspx?perspectiveID=94 (accessed June 26, 2011).
Rosenblatt, R., S.A. Law, and S. Rosenbaum. 1997. Law & the American health care system. New York: Foundation Press.
Saha, S., D. D. Coffman, and A. K. Smits. 2010. Giving teeth to comparative-effectiveness research—the Oregon experience. New England Journal of Medicine 362(7):e18.
Schuster, M. A., E. A. McGlynn, and R. H. Brook. 2005. How good is the quality of health care in the United States? Milbank Quarterly 83(4):843-895.
Simpson, K. R. 2010. Reconsideration of the costs of convenience: Quality, operational, and fiscal strategies to minimize elective labor induction. Journal of Perinatal & Neonatal Nursing 24(1):43-52.
Singer, S., L. Bergthold, C. Vorhaus, S. Olson, I. Mutchnick, Y. Y. Goh, S. Zimmerman, and A. Enthoven. 1999. Decreasing variation in medical necessity decision making. Appendix B. Model language developed at the “Decreasing Variation in Medical Necessity Decision Making” Decision Maker Workshop in Sacramento, CA, March 11-13, 1999.
Smith, J., and S. Saha. 2011. Oregon’s value based benefits package. PowerPoint Presentation to the IOM Committee on the Determination of Essential Health Benefits by Jeanene Smith, Administrator, Office for Oregon Health Policy and Research and Somnath Saha, Staff Physician, Portland VA Medical Center and Chair, Oregon Health Services Commission, Costa Mesa, CA, March 2.
Smith, S. D., S. K. Heffler, and M. S. Freeland. 2000. The impact of technological change on health care cost spending: An evaluation of the literature. https://www.cms.gov/NationalHealthExpendData/downloads/tech_2000_0810.pdf (accessed September 12, 2011).
Smith, S., J. P. Newhouse, and M. S. Freeland. 2009. Income, insurance, and technology: Why does health spending outpace economic growth? Health Affairs 28(5):1276-1284.
Stacey, D., C. L. Bennett, M. J. Barry, N. F. Col, K. B. Eden, M. Holmes-Rouner, H. Llewellyn-Thomas, A. Lyddiatt, F. Légaré, and R. 2011. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews (10): CD001431.
Thompson, J. 2011. Health care that works: Evidence-based Medicaid. PowerPoint Presentation to the IOM Committee on the Determination of Essential Health Benefits by Jeffery Thompson, Chief Medical Officer, Washington Medicaid Program, Washington State Department of Social and Health Services, Costa Mesa, CA, March 2.
URAC. 2011. What is care management? http://www.urac.org/resources/careManagement.aspx (accessed June 26, 2011).
Wennberg, J. E. 2011. Time to tackle unwarranted variations in practice. British Medical Journal 342:687-690.
White, D. B., V. L. Bonham, J. Jenkins, N. Stevens, and C. M. McBride. 2008. Too many referrals of low-risk women for BRCA1/2 genetic services by family physicians. Cancer Epidemiology Biomarkers & Prevention 17(11):2980-2986.
Wickizer, T. M., and D. Lessler. 2002. Utilization management: Issues, effects, and future prospects. Annual Review of Public Health 23:233-254.
Wright, A. 2011. Testimony to the IOM Committee on the Determination of Essential Health Benefits by Anthony Wright, Executive Director, Health Access California, Costa Mesa, CA, March 2.
Yu, W. W., and T. M. Ezzati-Rice. 2005. Statistical brief #81: Concentration of health care expenditures in the U.S. civilian noninstitutionalized population. http://www.meps.ahrq.gov/mepsweb/data_files/publications/st81/stat81.shtml (accessed June 26, 2011).