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Paul Ginsburg

Title(s)Professor of the Practice of Public Policy
SchoolSol Price School of Public Policy
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    Paul Ginsburg is Norman Topping Chair in Medicine and Public Policy at the University of Southern California. Continuing to be based in the Washington, DC area, he teaches graduate health administration courses and conducts health policy research. From 1995 through the end of 2013 he was President of the Center for Studying Health System Change (HSC). Founded with core support from the Robert Wood Johnson Foundation, HSC conducted research to inform policymakers and other audiences about changes in organization, financing and delivery of care and their effects on people. HSC was widely known for the objectivity and technical quality of its research and its success in communicating it to policy makers, industry and the media as well as to the research community. It enjoys particular respect for its knowledge of developments in communities and health care markets.

    Prior to his founding HSC, Ginsburg served as the founding Executive Director of the Physician Payment Review Commission (now the Medicare Payment Advisory Commission). Widely regarded as highly influential, the Commission developed the Medicare physician payment reform proposal that was enacted by the Congress in 1989. Ginsburg was a Senior Economist at RAND and served as Deputy Assistant Director at the Congressional Budget Office (CBO). Before that, he served on the faculties of Duke and Michigan State Universities. He earned his doctorate in economics from Harvard University.

    Ginsburg is a noted speaker and consultant on the changes in the financing and delivery of health care, particularly on the evolution of health care markets. In addition to presentations on the overall direction of change, recent topics have included cost trends and drivers, consumer driven health care, provider payment reform, future of employer-based health insurance and competition in health care. As a consultant to the Bipartisan Policy Center, he has contributed to reports on reducing federal spending on health care (2010) and on a strategy to contain health care costs (2013). He has been named to Modern Healthcare’s “100 Most Influential Persons in Health Care” eight times. He received the first annual HSR Impact Award from AcademyHealth. He is a founding member of the National Academy of Social Insurance, a Public Trustee of the American Academy of Ophthalmology, served two elected terms on the Board of AcademyHealth, served on CBO’s Panel of Health Advisors and serves on Health Affairs’ editorial board.

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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    1. Berenson RA, Ginsburg PB. Improving The Medicare Physician Fee Schedule: Make It Part Of Value-Based Payment. Health Aff (Millwood). 2019 Feb; 38(2):246-252. PMID: 30715978.
      View in: PubMed
    2. Hall MA, Adler L, Ginsburg PB, Trish E. Reducing Unfair Out-of-Network Billing - Integrated Approaches to Protecting Patients. N Engl J Med. 2019 Jan 16. PMID: 30650002.
      View in: PubMed
    3. Pham H, Ginsburg PB. Payment and Delivery-System Reform - The Next Phase. N Engl J Med. 2018 Oct 25; 379(17):1594-1596. PMID: 30230961.
      View in: PubMed
    4. Sachs RE, Ginsburg PB, Goldman DP. Encouraging New Uses for Old Drugs. JAMA. 2017 Dec 26; 318(24):2421-2422. PMID: 29204602.
      View in: PubMed
    5. Adler L, Aaron HJ, Ginsburg PB, Fiedler M. The Graham-Cassidy Plan - The Most Harmful ACA-Repeal Bill Yet. N Engl J Med. 2017 Oct 19; 377(16):e23. PMID: 28937928.
      View in: PubMed
    6. Trish E, Ginsburg P, Gascue L, Joyce G. Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance. JAMA Intern Med. 2017 09 01; 177(9):1287-1295. PMID: 28692718.
      View in: PubMed
    7. Ginsburg PB, Patel KK. Physician Payment Reform - Progress to Date. N Engl J Med. 2017 Jul 20; 377(3):285-292. PMID: 28723320.
      View in: PubMed
    8. Aaron HJ, Fiedler M, Ginsburg PB, Adler L, Rivlin AM. Turmoil in the Individual Insurance Market - Where It Came From and How to Fix It. N Engl J Med. 2017 Jul 27; 377(4):314-315. PMID: 28636481.
      View in: PubMed
    9. Fiedler M, Aaron HJ, Adler L, Ginsburg PB. Moving in the Wrong Direction - Health Care under the AHCA. N Engl J Med. 2017 Jun 22; 376(25):2405-2407. PMID: 28562176.
      View in: PubMed
    10. Gaynor M, Mostashari F, Ginsburg PB. Making Health Care Markets Work: Competition Policy for Health Care. JAMA. 2017 04 04; 317(13):1313-1314. PMID: 28253376.
      View in: PubMed
    11. Ederhof M, Ginsburg PB. Improving Hospital Incentives with Better Cost Data. N Engl J Med. 2017 Mar 16; 376(11):1010-1011. PMID: 28296605.
      View in: PubMed
    12. Ginsburg PB. Consumer-Oriented Approaches to Cost Containment. JAMA Intern Med. 2016 09 01; 176(9):1359-60. PMID: 27454284.
      View in: PubMed
    13. Ginsburg PB, Rivlin AM. Challenges for Medicare at 50. N Engl J Med. 2015 Nov 19; 373(21):1993-5. PMID: 26422645.
      View in: PubMed
    14. Ginsburg PB. Accountable care organizations 2.0: linking beneficiaries. JAMA Intern Med. 2014 Jun; 174(6):945-6. PMID: 24756410.
      View in: PubMed
    15. Ginsburg PB, Pawlson LG. Seeking lower prices where providers are consolidated: an examination of market and policy strategies. Health Aff (Millwood). 2014 Jun; 33(6):1067-75. PMID: 24841883.
      View in: PubMed
    16. Ginsburg PB. Using science to shape Medicare physician payment. JAMA Intern Med. 2013 Oct 14; 173(18):1737-8. PMID: 23939013.
      View in: PubMed
    17. Ginsburg PB. Achieving health care cost containment through provider payment reform that engages patients and providers. Health Aff (Millwood). 2013 May; 32(5):929-34. PMID: 23650327.
      View in: PubMed
    18. Ginsburg PB. Bending the health care cost curve. N Engl J Med. 2012 12 20; 367(25):2454-5. PMID: 23252543.
      View in: PubMed
    19. Ginsburg PB. Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment. Health Aff (Millwood). 2012 Sep; 31(9):1977-83. PMID: 22949446.
      View in: PubMed
    20. Yee T, Christianson JB, Ginsburg PB. Small employers and self-insured health benefits: too small to succeed? Issue Brief Cent Stud Health Syst Change. 2012 Jul; (138):1-4. PMID: 22812029.
      View in: PubMed
    21. Berenson RA, Ginsburg PB, Christianson JB, Yee T. The growing power of some providers to win steep payment increases from insurers suggests policy remedies may be needed. Health Aff (Millwood). 2012 May; 31(5):973-81. PMID: 22566436.
      View in: PubMed
    22. White C, Ginsburg PB. Slower growth in Medicare spending--is this the new normal? N Engl J Med. 2012 Mar 22; 366(12):1073-5. PMID: 22397631.
      View in: PubMed
    23. Ginsburg PB, White C. Health care's role in deficit reduction--guiding principles. N Engl J Med. 2011 Oct 27; 365(17):1559-61. PMID: 22029975.
      View in: PubMed
    24. Ginsburg PB. Reforming provider payment--the price side of the equation. N Engl J Med. 2011 Oct 06; 365(14):1268-70. PMID: 21991947.
      View in: PubMed
    25. Felland LE, Ginsburg PB, Kishbauch GM. Improving health care access for low-income people: lessons from ascension health's community collaboratives. Health Aff (Millwood). 2011 Jul; 30(7):1290-8. PMID: 21734203.
      View in: PubMed
    26. Ginsburg PB. Spending to save--ACOs and the Medicare Shared Savings Program. N Engl J Med. 2011 Jun 02; 364(22):2085-6. PMID: 21612463.
      View in: PubMed
    27. Ginsburg PB. Rapidly evolving physician-payment policy--more than the SGR. N Engl J Med. 2011 Jan 13; 364(2):172-6. PMID: 21142529.
      View in: PubMed
    28. Cunningham PJ, Felland LE, Ginsburg PB, Pham HH. Qualitative methods: a crucial tool for understanding changes in health systems and health care delivery. Med Care Res Rev. 2011 Feb; 68(1):34-40. PMID: 21075752.
      View in: PubMed
    29. Ginsburg PB. Wide variation in hospital and physician payment rates evidence of provider market power. Res Brief. 2010 Nov; (16):1-11. PMID: 21117341.
      View in: PubMed
    30. Berenson RA, Ginsburg PB, Kemper N. Unchecked provider clout in California foreshadows challenges to health reform. Health Aff (Millwood). 2010 Apr; 29(4):699-705. PMID: 20185503.
      View in: PubMed
    31. Ginsburg PB. Getting to the real issues in health care reform. N Engl J Med. 2009 Nov 26; 361(22):2107-9. PMID: 19907036.
      View in: PubMed
    32. November EA, Cohen GR, Ginsburg PB, Quinn BC. Individual insurance: health insurers try to tap potential market growth. Res Brief. 2009 Nov; (14):1-8. PMID: 19899193.
      View in: PubMed
    33. Aaron HJ, Ginsburg PB. Is health spending excessive? If so, what can we do about it? Health Aff (Millwood). 2009 Sep-Oct; 28(5):1260-75. PMID: 19738241.
      View in: PubMed
    34. Pham HH, Ginsburg PB, Verdier JM. Medicare governance and provider payment policy. Health Aff (Millwood). 2009 Sep-Oct; 28(5):1382-94. PMID: 19738256.
      View in: PubMed
    35. Robinson JC, Ginsburg PB. Consumer-driven health care: promise and performance. Health Aff (Millwood). 2009 Mar-Apr; 28(2):w272-81. PMID: 19174389.
      View in: PubMed
    36. Christianson JB, Ginsburg PB, Draper DA. The transition from managed care to consumerism: a community-level status report. Health Aff (Millwood). 2008 Sep-Oct; 27(5):1362-70. PMID: 18780926.
      View in: PubMed
    37. Ginsburg PB. Employment-based health benefits under universal coverage. Health Aff (Millwood). 2008 May-Jun; 27(3):675-85. PMID: 18474955.
      View in: PubMed
    38. Ginsburg PB. Paying hospitals on the basis of nursing intensity: policy and political considerations. Policy Polit Nurs Pract. 2008 May; 9(2):118-20. PMID: 18650416.
      View in: PubMed
    39. Ginsburg PB. Don't break out the champagne: continued slowing of health care spending growth unlikely to last. Health Aff (Millwood). 2008 Jan-Feb; 27(1):30-2. PMID: 18180477.
      View in: PubMed
    40. Pham HH, Ginsburg PB. Unhealthy trends: the future of physician services. Health Aff (Millwood). 2007 Nov-Dec; 26(6):1586-98. PMID: 17978379.
      View in: PubMed
    41. Draper DA, Ginsburg PB. Health care cost and access challenges persist: initial findings from HSC's 2007 site visits. Issue Brief Cent Stud Health Syst Change. 2007 Oct; (114):1-6. PMID: 17922543.
      View in: PubMed
    42. Pham HH, Ginsburg PB, McKenzie K, Milstein A. Redesigning care delivery in response to a high-performance network: the Virginia Mason Medical Center. Health Aff (Millwood). 2007 Jul-Aug; 26(4):w532-44. PMID: 17623687.
      View in: PubMed
    43. Ginsburg PB, Pham HH, McKenzie K, Milstein A. Distorted payment system undermines business case for health quality and efficiency gains. Issue Brief Cent Stud Health Syst Change. 2007 Jul; (112):1-4. PMID: 17649612.
      View in: PubMed
    44. O'Malley AS, Pham HH, Ginsburg PB. Coverage expansion needs cost containment - but States cannot do it alone. J Ambul Care Manage. 2007 Jul-Sep; 30(3):202. PMID: 17581429.
      View in: PubMed
    45. Ginsburg PB. Financing change. Hospital relationships with physicians. Hosp Health Netw. 2007 May; 81(5):suppl 10. PMID: 17569455.
      View in: PubMed
    46. Ginsburg PB, Berenson RA. Revising Medicare's physician fee schedule--much activity, little change. N Engl J Med. 2007 Mar 22; 356(12):1201-3. PMID: 17377156.
      View in: PubMed
    47. Ginsburg PB. Shopping for price in medical care. Health Aff (Millwood). 2007 Mar-Apr; 26(2):w208-16. PMID: 17284467.
      View in: PubMed
    48. Berenson RA, Ginsburg PB, May JH. Hospital-physicians relations: cooperation, competition, or separation? Health Aff (Millwood). 2007 Jan-Feb; 26(1):w31-43. PMID: 17148489.
      View in: PubMed
    49. Ginsburg PB. Recalibrating Medicare payments for inpatient care. N Engl J Med. 2006 Nov 16; 355(20):2061-4. PMID: 17108339.
      View in: PubMed
    50. Ginsburg PB, Strunk BC, Banker MI, Cookson JP. Tracking health care costs: continued stability but at high rates in 2005. Health Aff (Millwood). 2006 Nov-Dec; 25(6):w486-95. PMID: 17018565.
      View in: PubMed
    51. Tu HT, Ginsburg PB. Losing ground: physician income, 1995-2003. Track Rep. 2006 Jun; (15):1-8. PMID: 16791996.
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    52. Lesser CS, Ginsburg PB. Strategies to enhance price and quality competition in health care: lessons learned from tracking local markets. J Health Polit Policy Law. 2006 Jun; 31(3):557-67. PMID: 16785297.
      View in: PubMed
    53. Reschovsky JD, Strunk BC, Ginsburg P. Why employer-sponsored insurance coverage changed, 1997-2003. Health Aff (Millwood). 2006 May-Jun; 25(3):774-82. PMID: 16684743.
      View in: PubMed
    54. Strunk BC, Ginsburg PB, Banker MI. The effect of population aging on future hospital demand. Health Aff (Millwood). 2006 May-Jun; 25(3):w141-9. PMID: 16569646.
      View in: PubMed
    55. Cunningham P, Staiti A, Ginsburg PB. Physician acceptance of new Medicare patients stabilizes in 2004-05. Track Rep. 2006 Jan; (12):1-4. PMID: 16400754.
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    56. Ginsburg PB. Competition in health care: its evolution over the past decade. Health Aff (Millwood). 2005 Nov-Dec; 24(6):1512-22. PMID: 16284023.
      View in: PubMed
    57. Lesser CS, Ginsburg PB, Felland LE. Initial findings from HSC's 2005 site visits: stage set for growing health care cost and access problems. Issue Brief Cent Stud Health Syst Change. 2005 Aug; (97):1-4. PMID: 16118916.
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    58. Ginsburg PB, Grossman JM. When the price isn't right: how inadvertent payment incentives drive medical care. Health Aff (Millwood). 2005 Jul-Dec; Suppl Web Exclusives:W5-376-84. PMID: 16091408.
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    59. Strunk BC, Ginsburg PB, Cookson JP. Tracking health care costs: spending growth stabilizes at high rate in 2004. Data Bull (Cent Stud Health Syst Change). 2005 Jun; (29):1-4. PMID: 15973793.
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    60. Strunk BC, Ginsburg PB, Cookson JP. Tracking health care costs: declining growth trend pauses in 2004. Health Aff (Millwood). 2005 Jan-Jun; Suppl Web Exclusives:W5-286-W5-295. PMID: 16006407.
      View in: PubMed
    61. Grossman JM, Ginsburg PB. As the health insurance underwriting cycle turns: what next? Health Aff (Millwood). 2004 Nov-Dec; 23(6):91-102. PMID: 15584102.
      View in: PubMed
    62. Ginsburg PB. Controlling health care costs. N Engl J Med. 2004 Oct 14; 351(16):1591-3. PMID: 15483273.
      View in: PubMed
    63. Nichols LM, Ginsburg PB, Berenson RA, Christianson J, Hurley RE. Are market forces strong enough to deliver efficient health care systems? Confidence is waning. Health Aff (Millwood). 2004 Mar-Apr; 23(2):8-21. PMID: 15046126.
      View in: PubMed
    64. Ginsburg P. Tax-free but of little account. Without changes, health savings plans unlikely to achieve lofty goals. Mod Healthc. 2004 Feb 16; 34(7):21. PMID: 15015472.
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    65. Ginsburg PB. Hospital spending. Health Aff (Millwood). 2004 Jan-Feb; 23(1):273; author reply 274. PMID: 15002651.
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    66. Strunk BC, Ginsburg PB. Tracking health care costs: trends turn downward in 2003. Health Aff (Millwood). 2004 Jan-Jun; Suppl Web Exclusives:W4-354-62. PMID: 15451957.
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    67. Strunk BC, Ginsburg PB. Tracking health care costs: trends slow in first half of 2003. Data Bull (Cent Stud Health Syst Change). 2003 Dec; (26):1-2. PMID: 14696650.
      View in: PubMed
    68. Ginsburg PB. Can hospitals and physicians shift the effects of cuts in Medicare reimbursement to private payers? Health Aff (Millwood). 2003 Jul-Dec; Suppl Web Exclusives:W3-472-9. PMID: 15506151.
      View in: PubMed
    69. Devers KJ, Brewster LR, Ginsburg PB. Specialty hospitals: focused factories or cream skimmers? Issue Brief Cent Stud Health Syst Change. 2003 Apr; (62):1-4. PMID: 12705277.
      View in: PubMed
    70. Altman SH, Ginsburg P, Reinhardt UE, Weissert WG. Political insight: contemplating Medicare reform. Interview by Eric C. Reese. Healthc Financ Manage. 2003 Mar; 57(3):80-6. PMID: 12747057.
      View in: PubMed
    71. Lesser CS, Ginsburg PB, Devers KJ. The end of an era: what became of the "managed care revolution" in 2001? Health Serv Res. 2003 Feb; 38(1 Pt 2):337-55. PMID: 12650370.
      View in: PubMed
    72. Strunk BC, Ginsburg PB. Tracking health care costs: trends stabilize but remain high in 2002. Health Aff (Millwood). 2003 Jan-Jun; Suppl Web Exclusives:W3-266-74. PMID: 14527260.
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    73. Strunk BC, Ginsburg PB. Aging plays limited role in health care cost trends. Data Bull (Cent Stud Health Syst Change). 2002 Sep; (23):1-2. PMID: 12580148.
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    74. Trude S, Ginsburg PB. Growing physician access problems complicate Medicare payment debate. Issue Brief Cent Stud Health Syst Change. 2002 Sep; (55):1-4. PMID: 12229929.
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    75. Strunk BC, Ginsburg PB, Gabel JR. Tracking health care costs: growth accelerates again in 2001. Health Aff (Millwood). 2002 Jul-Dec; Suppl Web Exclusives:W299-310. PMID: 12703586.
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    76. Howell EM, Richardson D, Ginsburg P, Foot B. Deregionalization of neonatal intensive care in urban areas. Am J Public Health. 2002 Jan; 92(1):119-24. PMID: 11772774; PMCID: PMC1447400.
    77. Strunk BC, Ginsburg PB, Gabel JR. Tracking health care costs. Health Aff (Millwood). 2001; Suppl Web Exclusives:W39-50. PMID: 11911324.
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