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We estimate a bargaining model of competition between hospitals and managed care organizations (MCOs) and use the … hospitals. We show that increasing patient coinsurance tenfold would reduce prices by 16%. We find that a proposed hospital …
Persistent link: https://www.econbiz.de/10010233156
Findings suggest that many hospitals' negotiating leverage significantly increased after years of decline. Today, many … hospitals are viewed as having the greatest leverage in local markets. Changes in three areas—the policy and purchasing … context, managed care plan market, and hospital market—appear to explain why hospitals' leverage increased, particularly …
Persistent link: https://www.econbiz.de/10010609587
Persistent link: https://www.econbiz.de/10004257924
are age and number of diagnoses. Under the current NHS fixed price payment system, there are incentives for hospitals to …
Persistent link: https://www.econbiz.de/10005695786
for women not enrolled in TennCare. Variation in outcomes across managed care organizations is probably due to risk …
Persistent link: https://www.econbiz.de/10010609131
Reviews Tennessee's experience setting, monitoring, and updating capitation rates for Medicaid managed behavioral health care and draws lessons for other states. Finds that the initial behavioral health rate was inadequate, primarily because of the way available information was used, rather than...
Persistent link: https://www.econbiz.de/10011100554
first three years of Tennessee's Medicaid managed care program, TennCare. Using claims data containing fee …
Persistent link: https://www.econbiz.de/10011167140
Although financial indicators are most often used to measure organizational efficiency, contemporary research suggests that more consideration should be given to non-material factors that can be enveloped by different non-parametric techniques. However, there is no method powerful enough to...
Persistent link: https://www.econbiz.de/10011920433
This paper develops a novel model of agent behavior in organizations in order to compare the efficiency of “open” versus “closed” organizations. Closed organizations “screen” potential agents before admitting them while open organizations do not. Both have the option to “sort”...
Persistent link: https://www.econbiz.de/10005802117
In its Conceptual Framework (CF), the Financial Accounting Standards Board (FASB) has not identified the observable phenomena and was not able to identify a single measurement property in financial accounting. While identifying aspects of the observable phenomena in financial accounting, the...
Persistent link: https://www.econbiz.de/10005134657