Managed care and changing health care markets:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Washington, D.C.
AEI Press
1998
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XVIII, 201 S. graph. Darst. |
| ISBN: | 0844740381 |
Staff View
MARC
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| 245 | 1 | 0 | |a Managed care and changing health care markets |c Michael A. Morrisey, ed. |
| 264 | 1 | |a Washington, D.C. |b AEI Press |c 1998 | |
| 300 | |a XVIII, 201 S. |b graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
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| 650 | 4 | |a Health insurance |z United States | |
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| 650 | 4 | |a Managed Care Programs |x trends |z United States | |
| 650 | 4 | |a Managed care plans (Medical care) |z United States | |
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Record in the Search Index
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|---|---|
| adam_text | Contents
Foreword, Robert B. Helms xi
Acknowledgments xiii
Contributors xv
1 Introduction, Michael A. Morrisey 1
Managed Care 3
Managed Care and Employers 4
Managed Care and Providers 10
Antitrust and Managed Care 15
References 22
O Employer Premium Contributions and Health
Insurance Costs, Bryan Dowd and Roger D. Feldman 24
Theory 26
Data 29
Methods 32
Results 34
Discussion 41
References 53
*X Managed Care and the Small Group Market, Gail A.
Jensen and Michael A. Morrisey 55
Data and Methods 56
The Provision of Health Benefits 58
Long Run Trends in Coverage 58
The Switch to Managed Care among Small Firms 62
Improved Employer Access to Insurance 64
Improved Worker Access to Insurance in Small Firms
That Offer Coverage 67
Changes in Employee Cost Sharing 69
Discussion 72
References 75
v
CONTENTS
A Strategic Factors in Hospital Selection for HMO and
PPO Networks, Jack Zwanziger and Adam Meirowitz 77
Background 78
Data and Methods 81
Results 83
Discussion and Implications 87
References 92
K Managed Care and the Physician Marketplace, Carol f.
Simon, William D. White, Patricia Born, and David
Dranove 95
Background 96
Data 100
Physician Earnings and Managed Care 102
Managed Care and Physician Location 111
Evidence on Specialty Choice 113
Discussion 115
References 118
A Market Definition in Antitrust Analysis and
Applications to Health Care, David Dranove 121
Some Basics of Market Definition 122
Product Market Definition 124
Geographic Market Definition 129
A Managed Care Environment 131
A Simple Model of Pricing by a Local Monopolist 133
Conclusions 139
References 139
y Vertical Relations in Health Care Markets, Martin
Gaynor and Deborah Haas Wilson 140
Managed Care and Vertical Associations 143
Economic Thinking on Vertical Associations 144
Vertical Integration 151
Exclusive Dealing Agreements or Exclusive
Contracts 154
Most Favored Nation Contract Clauses 156
Conclusions 160
References 160
vi
CONTENTS
ft The Effects of Horizontal Hospital Mergers on
Nonmerging Hospitals, Robert A. Connor and Roger D.
Feldman 164
Methodological Framework 165
Market Concentration 166
Merger Performance 169
Effects on Merger Rivals 171
Data 172
Methods 173
Results 178
Conclusion 186
References 187
List of Tables
1 1 Hospital Use in an HMO Market Area 12
1 2 Hospitals with Physician Organizational Arrangements,
1993 19
2 1 Employers Method of Contribution to Health Insurance
Premiums, 1994 35
2 2 Relationship between Employers Methods of
Contribution to Health Insurance for Single and Family
Coverage, 1994 36
2 3 Employers Method of Contribution to Health Insurance
Premiums by Region of the Country, 1994 37
A l Variable Definitions Used in Analysis 43
A 2 Means of Variables in the Analysis by Single Coverage
Premium Contribution and by Family Premium
Contribution Method 45
A 3 Probit Analysis Showing Determinants of Single Coverage
Premium Contribution Method 47
A 4 Single Coverage Average Premium Equation 49
A 5 Family Coverage Average Premium Equation 51
A 6 Coefficients on Level Dollar Controlling for Variables
Shown in Table A 4 and A 5 52
3 1 Prevalence of Health Benefits among Small Firms,
1989 1995 59
3 2 Small Firms Options for Health Insurance, 1993 and 1995 62
3 3 Problems in Qualifying for Insurance Faced by Small
Firms Not Offering Health Insurance, 1993 and 1995 66
3 4 Exclusion of Workers or Dependents from Health Plans
Because of Poor Health among Small Firms, 1993 and 1995 68
vii
CONTENTS
3 5 Eligibility and Waiting Periods for Plan Enrollment and
Preexisting Condition Clauses among Small Firms
Providing Insurance, 1993 and 1995 70
3 6 Premium Sharing for Employer sponsored Health
Insurance in Small Firms, 1993 and 1995 71
3 7 Cost Sharing at the Point of Purchase in Small Firms, 1993
and 1995 73
4 1 Hospitals, Health Care Plans, and Contracts in Thirteen
SMSAs, 1993 84
4 2 Percentage of Hospitals in Plan Networks and Percentage
of Plans in Hospital Networks in Thirteen SMSAs, 1993 85
4 3 Characteristics of Hospitals and Health Care Plans for
Thirteen SMSAs, 1993 86
4 4 Logistic Regression Models of Hospitals and Health Care
Plans for Thirteen SMSAs, 1993 87
4 5 Odds Ratio in Logistic Regression Models of Hospitals and
Health Care Plans for Thirteen SMSAs, 1993 88
4 6 Split Cost Regression of Hospitals and Health Care
Plans for Thirteen SMSAs, 1993 89
4 7 Odds Ratio from Split Cost Regression of Hospitals and
Health Care Plans for Thirteen SMSAs, 1993 90
5 1 Managed Care Penetration by Quartile, 1985 1994 107
5 2 Annual Growth Rate and Dollar Change in Median State
Level Physician Income, by Managed Care Penetration
Quartile and by Specialty Group, 1985 1993 and
1993 1994 109
5 3 Effects of Sociodemographic Control Variables on
Regression Estimates for Primary Care, Subspecialists, and
RAPs 110
5 4 Annual Growth Rate of State Level Managed Care
Penetration and Changes in Physician Supply, by
Specialty Group, 1985 1994 112
5 5 Selected Specialty PGY 1 and PGY 2 Positions Offered and
Filled by U.S. Medical School Graduates, 1989 1997 114
8 1 Hypothesis Testing Comparing Different Sets 165
8 2 Area and Hospital Characteristics of Merger Rival
Hospitals and Nonrivals 179
8 3 Models for Logs of Expense per Admission, Revenue per
Admission, and Revenue to Expense, 1994 181
8 4 Effects of Hospital Merger on the Change in Logs of
Expense per Admission, Revenue per Admission, and
Revenue to Expense of Nonmerging Rivals, 1986 1994 183
viii
CONTENTS
8 5 Alternative Models for Change in Logs of Expense per
Admission, Revenue per Admission, and Revenue to
Expense, 1986 1994 186
List of Figures
1 1 Percentage Increase in Health Insurance Premiums,
1989 1996 2
1 2 Percentage of All Employees and HMO Enrollees
Switching Health Plans by Increase in Monthly
Contributions, 1993 1994 7
3 1 Reasons Small Firms Give for Not Offering Health
Insurance, 1993 and 1995 65
5 1 Distribution of Values of State Level Managed Care
Penetration, 1985 and 1994 102
5 2 Increase in Average Physician Income, 1985 1994 103
5 3 Income Distribution of Primary Care Physicians,
1985 1994 104
5 4 Income Distribution of Specialists, 1985 1994 105
5 5 Income Distribution of RAPs, 1985 1994 106
6 1 Profit under Traditional Pricing 134
6 2 Convex Demand for Access 136
Index 193
ix
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| spelling | Managed care and changing health care markets Michael A. Morrisey, ed. Washington, D.C. AEI Press 1998 XVIII, 201 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Health insurance United States Insurance, Health economics United States Managed Care Programs economics United States Managed Care Programs trends United States Managed care plans (Medical care) United States Medical care United States Marketing Managed Care (DE-588)4461436-6 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf USA (DE-588)4078704-7 g Managed Care (DE-588)4461436-6 s DE-604 Morrisey, Michael A. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008188870&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Managed care and changing health care markets Health insurance United States Insurance, Health economics United States Managed Care Programs economics United States Managed Care Programs trends United States Managed care plans (Medical care) United States Medical care United States Marketing Managed Care (DE-588)4461436-6 gnd |
| subject_GND | (DE-588)4461436-6 (DE-588)4078704-7 |
| title | Managed care and changing health care markets |
| title_auth | Managed care and changing health care markets |
| title_exact_search | Managed care and changing health care markets |
| title_full | Managed care and changing health care markets Michael A. Morrisey, ed. |
| title_fullStr | Managed care and changing health care markets Michael A. Morrisey, ed. |
| title_full_unstemmed | Managed care and changing health care markets Michael A. Morrisey, ed. |
| title_short | Managed care and changing health care markets |
| title_sort | managed care and changing health care markets |
| topic | Health insurance United States Insurance, Health economics United States Managed Care Programs economics United States Managed Care Programs trends United States Managed care plans (Medical care) United States Medical care United States Marketing Managed Care (DE-588)4461436-6 gnd |
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