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Medical Liability, Managed Care, and Defensive Medicine

Kessler, Daniel P. - 2000

Because the optimal level of medical malpractice liability depends on the incentives provided by the health insurance system, the rise of managed care in the 1990s may affect the relationship between liability reform and defensive medicine. In this paper, we assess empirically the extent to...

Persistent link: https://www.econbiz.de/10012471238

Enter at Your Own Risk : HMO Participation and Enrollment in the MedicareRisk Market

Abraham, Jean - 1999

We examine HMO participation and enrollment in the Medicare risk market for the years 1990 to 1995. We develop a profit- maximization model of HMO behavior, which explicitly considers potential linkages between an HMO's production decision in the commercial enrollee market and its participation...

Persistent link: https://www.econbiz.de/10012471400

Managed Care

Glied, Sherry - 1999

By 1993, over 70% of all Americans with health insurance were enrolled in some form of managed care plan. The term managed care encompasses a diverse array of institutional arrangements, which combine various sets of mechanisms, that, in turn, have changed over time. The chapter reviews these...

Persistent link: https://www.econbiz.de/10012471583

Economics and Mental Health

Frank, Richard G. - 1999

This paper is concerned with the economics of mental health. We argue that mental health economics is like health economics only more so: uncertainty and variation in treatments are greater; the assumption of patient self-interested behavior is more dubious; response to financial incentives such...

Persistent link: https://www.econbiz.de/10012471749

Are All Managed Care Plans Created Equal? Evidence from Random Plan Assignment in Medicaid

Geruso, Michael - 2020

Exploiting random assignment of Medicaid beneficiaries to managed care plans, we identify plan-specific effects on healthcare utilization. Auto-assignment to the lowest-spending plan generates 30% lower spending than if the same enrollee were assigned to the highest-spending plan, despite...

Persistent link: https://www.econbiz.de/10012481310

The Changing Effect of HMO Market Structure : An Analysis of Penetration, Concentration, and Ownership Between 1994-2005

Shen, Yu-Chu - 2008

We analyze the role of three aspects of HMO market structure -- HMO penetration, HMO plan concentration, and HMO for-profit share on explaining hospital cost and revenue growth during the HMO expansion period (1994-1999) and backlash period (2000-2005). We find that HMO penetration effects...

Persistent link: https://www.econbiz.de/10012464872

Managed Care and Medical Expenditures of Medicare Beneficiaries

Chernew, Michael - 2008

This paper investigates the impact of Medicare HMO penetration on the medical care expenditures incurred by Medicare fee-for-service enrollees. We find that increasing penetration leads to reduced health care spending on fee-for-service beneficiaries. In particular, a one percentage point...

Persistent link: https://www.econbiz.de/10012464901

Information Technology and Medical Missteps : Evidence from a Randomized Trial

Javitt, Jonathan C. - 2007

We analyze the effect of a decision support tool designed to help physicians detect and correct medical "missteps". The data comes from a randomized trial of the technology on a population of commercial HMO patients. The key findings are that the new information technology lowers average charges...

Persistent link: https://www.econbiz.de/10012465153

Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions : Evidence From Three States

Escarce, José J. - 2006

states' history with managed care, these findings suggest that hospitals in highly competitive markets compete on quality …

Persistent link: https://www.econbiz.de/10012466330

Insurer-Provider Networks in the Medical Care Market

Ho, Katherine - 2005

Managed care health insurers in the US restrict their enrollees' choice of hospitals to specific networks. This paper … 63 per cent of the observed contracts between insurers and hospitals. I estimate a model that includes an additional … effect: hospitals that do not need to contract with all insurance plans to secure demand (for example, providers that are …

Persistent link: https://www.econbiz.de/10012466849