The effect of market structure on HMO premiums
作者： Douglas Wholey , Roger Feldman , Jon B. Christianson
DOI: 10.1016/0167-6296(94)00039-7
关键词: Population 、 Labour economics 、 Managed Competition 、 Market penetration 、 Market structure 、 Business 、 Health care 、 Competition (economics) 、 Health services research 、 Market area 、 Public Health, Environmental and Occupational Health 、 Health policy
摘要: We examine the effects of HMO market structure on premiums from 1988 to 1991. More competition, measured by number HMOs in area, reduces premiums. Although this effect does not appear for IPAs before highest level competition is reached, it appears throughout competitive range Group HMOs. penetration, percent area population enrolled HMOs, IPAs. Since goal managed reduce health care costs creating among plans, our results offer encouragement advocates.
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sci-hub.se 参考文章(45)
McLaughlin Cg, Brown Ld, Zellers Wk, Health care coalitions: characteristics, activities, and prospects. Inquiry : a journal of medical care organization, provision and financing. ,vol. 26, pp. 72- 83 ,(1989)
B Dowd, R Feldman, G Gifford, The effect of HMOs on premiums in employment-based health plans. Health Services Research. ,vol. 27, pp. 779- 811 ,(1993)
Richard J. Arnould, Competitive Approaches to Health Care Reform The Urban Institute. ,(1993)
Peter E. Kennedy, Estimation with correctly interpreted dummy variables in semilogarithmic equations ,(1981)
Thomas W. Grannemann, Randall S. Brown, Mark V. Pauly, Estimating hospital costs. A multiple-output analysis. Journal of Health Economics. ,vol. 5, pp. 107- 127 ,(1986) , 10.1016/0167-6296(86)90001-9
Jeffrey M. Perloff, Dennis W. Carlton, Modern Industrial Organization ,(1990)
Patricia Munch Danzon, Hospital 'profits': the effects of reimbursement policies. Journal of Health Economics. ,vol. 1, pp. 29- 52 ,(1982) , 10.1016/0167-6296(82)90020-0
Roger Feldman, Michael Finch, Bryan Dowd, Steven Cassou, The Demand for Employment-Based Health Insurance Plans Journal of Human Resources. ,vol. 24, pp. 115- 142 ,(1989) , 10.2307/145935
M V Pauly, Nonprofit firms in medical markets. The American Economic Review. ,vol. 77, pp. 257- 262 ,(1987)
Peter E Kennedy, Estimation with Correctly Interpreted Dummy Variables in Semilogarithmic Equations [The Interpretation of Dummy Variables in Semilogarithmic Equations] The American Economic Review. ,vol. 71, pp. 801- 801 ,(1981)