Aileen Devlin

Rising health care costs are a perennial concern for the U.S. health care system. Increasing the degree to which health care is funded via prospective payment is a frequently mentioned proposal for slowing health care cost growth. Under prospective payment, providers are paid a fixed amount per...

One of the key terms in contracts between hospitals and insurers is how the parties apportion the financial risk of treating unexpectedly costly patients. Prospective payment contracts give hospitals a lump-sum amount, depending on the medical condition of the patient, with limited adjustment for...