Exploring State‐Level Change in Health Care Value Over Three Decades in the United States, 1991–2020
In contrast to the prior two decades, health care delivery system value scores declined over the last decade. This decline was associated with reduced competition among hospitals and health insurers, increased for-profit hospital ownership, and was partly mitigated by wider insurance coverage.
Authors
- Theresa A. McHugh
- Emily K. Johnson (ORCID: https://orcid.org/0000-0001-9213-9533)
- Azalea Thomson (ORCID: https://orcid.org/0000-0001-6237-230X)
- Mark R. Beauchamp (ORCID: https://orcid.org/0000-0001-8909-3896)
- Arnold Milstein (ORCID: https://orcid.org/0000-0002-2794-2378)
- Sawyer W Crosby
- Haley Lescinsky
- Joseph L. Dieleman (ORCID: https://orcid.org/0000-0001-7976-7412)
- Kevin Alan Schulman (ORCID: https://orcid.org/0000-0002-8926-5085)
- John W. Scott (ORCID: https://orcid.org/0000-0002-9916-6523)
- Maitreyi Sahu (ORCID: https://orcid.org/0000-0002-1593-0193)
- Maxwell Weil
Institutions
- Palo Alto University (US)
- University of Southern Denmark (DK)
- University of Washington (US)
- Institute for Health Metrics and Evaluation (US)
Publication Details
- Journal
- Health Services Research
- Published
- 2025-10-09
- DOI
- https://doi.org/10.1111/1475-6773.70054
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00