Are factor substitutions in HMO industry operations cost saving?

Southern Economic Journal

Volumn 69, Issue 4, 2003, Pages 800-821

  Okunade, Albert A ^a  

^a UNIVERSITY OF MEMPHIS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 0038674453     PISSN: 00384038     EISSN: None     Source Type: Journal    
DOI: 10.2307/1061652     Document Type: Article

References (52)

1. American Benefits Council. 2001. Summary of H.R. 2563, "The Bipartisan Patient Protection Act" as passed by the House of Representatives on August 2, 2001. Accessed on December 7, 2001. Available http://www.americanbenefitscouncil.org/documents/summary_hr2563.pdf.
2. Baker, Laurence C., and Martin L. Brown. 1999. Managed care, consolidation among health care providers, and health care: Evidence from mammography. RAND Journal of Economics 30:351-74.
3. Blackorby, Charles, and Robert R. Russell. 1989. Will the real elasticity of substitution please stand up? (A comparison of the Allen/Uzawa and Morishima elasticities). American Economic Review 79:882-8.
4. Blumberg, Linda J., and Alison Evans. 1998. Reform of the Medicare AAPCC: Learning from previous proposals. Inquiry 35:62-77.
5. Born Patricia, and Rosalie Pacula. 1998. Does HMO spending on medical services change as HMOs grow and mature? NBER Working Paper No. 6423.
6. Bothwell, James L., and Thomas F. Cooley. 1980. Efficiency in the provision of health care: An analysis of health maintenance organizations. Southern Economic Journal 47:970-84.
7. Cowing, Thomas, and Alphonse Holtmann. 1983. A multiproduct short-run hospital cost functions: Empirical evidence and policy implications from cross-sectional data. Southern Economic Journal 49:637-53.
8. Davis, George C., and Jean Gauger. 1996. Measuring substitution in money-asset demand systems. Journal of Business and Economic Statistics 14:203-8.
9. Donaldson, G. 1999. Humana says higher medical costs hit profits; will back off Medicare HMO sales. Managed Care Week 9:1.
10. Eastaugh, Steven R. 1990. Hospital nursing technical efficiency: Nurse extenders and enhanced productivity. Hospital and Health Services Administration 25:561-73.
11. Escarce, Jose J., and Mark V. Pauly. 1998. Physician opportunity costs in physician practice cost functions. Journal of Health Economics 17:129-51.
12. Etheredge, Lynn, Stanley B. Jones, and Lawrence Lewin. 1996. What is driving health system change? Health Affairs 15: 93-104.
13. Feldman, Roger, and Ruth S. Given. 1998. HMO mergers and Medicare: The antitrust issues. Health Economics 7:171-4.
14. Feldman, Roger, Douglas Wholey, and Jon Christianson. 1996. Economic and organizational determinants of HMO mergers and failures. Inquiry 33:118-32.
15. Feldstein, Paul J. 1993. Health care economics. 5th edition. New York: Delmar.
16. Fleissig, Adrian R. 1997. The dynamic Laurent flexible form and the demand for money. Journal of Applied Econometrics 12:687-99.
17. Flood, Ann Barry, Allen M. Fremont, Kinam Jin, David M. Bott, Jiao Ding, and Robert C. Parker, Jr. 1998. How do HMOs achieve cost savings? The effectiveness of one organization's strategies. Health Services Research 33:79-99.
18. Fox, Peter D. 1997. Applying managed care techniques in traditional Medicare. Health Affairs 16:44-57.
19. Freund, Deborah A., Don Willison, Grant Reeher, Jarod Cosby, Amy Ferraro, and Bernie O'Brien. 2000. Outpatient pharmaceuticals and the elderly: Policies in seven nations. Update. Health Affairs 19:259-656
20. Getzen, Thomas E. 1997. Health economics: Fundamentals and flow of funds. New York: John Wiley & Sons.
21. Given, Ruth S. 1996a. Ensuring competition in the market for managed care. In Competitive managed care, edited by J. D. Wilkerson, K. Devers, and R. S. Given. San Francisco, CA: Jossey-Bass, Ch. 8.
22. Given, Ruth S. 1996b. Economies of scale and scope as an explanation of merger and output diversification activities in the health maintenance organization industry. Journal of Health Economics 15:685-713.
23. Hamermesh, Daniel S., and Albert Rees. 1988. The economics of work and pay. New York: Harper & Row.
24. Hart, L. Gary, Edward Wagner, Sarmad Pirzada, Andrew F. Nelson, and Roger Rosenblatt. 1997. Physician staffing ratios in staff-model HMOs: A cautionary tale. Health Affairs 21:55-70.
25. Henderson, James. 1999. Health economics and policy. Cincinnati, OH: Southwestern.
26. Holahan, John, Stephen Zuckerman, Alison Evans, and Suresh Rangarajan. 1998. Medicaid managed care in thirteen states. Health Affairs 17:43-63.
27. Kongstvedt, Peter R. 1997. Essentials of managed care. Gaithersburg, MD: Aspen.
28. Lamphere, Jo Ann, Patricia Neuman, Kathryn Langwell, and Daniel Sherman. 1997. The surge in Medicare managed care: An update. Health Affairs 16:127-33.
29. McClellan, Mark. 2000. Medicare reform: Fundamental problems, incremental steps. Journal of Economic Perspectives 14: 21-44.
30. McFadden, D. 1963. Further results on CES production. Review of Economic Studies 30:73-83.
31. Mello, Michelle M., Sally C. Stearns, and Edward C. Norton. 2002. Do Medicare HMOs still reduce health services use after controlling for selection bias? Health Economics 11:323-40.
32. Merisalo, Laura J. 1998. The managed care payment advisor. Capitation and alternative compensation methods. Gaithersburg, MD: Aspen.
33. Miller, Robert H., and Harold S. Luft. 1997. Does managed care lead to better or worse quality of care? Health Affairs 16:7-25.
34. Mundlak, Yair. 1968. Elasticities of substitution and the theory of derived demand. Review of Economic Studies 35:225-36.
35. Nicholson, Walter. 1998. Microeconomic theory. Basic principles and extensions. 7th edition. Fort Worth, TX: Dryden Press.
36. Okunade, Albert A. 1993. Production cost structure of US hospital pharmacies: Time-series, cross-sectional bed size evidence. Journal of Applied Econometrics 8:277-94.
37. Okunade, Albert A. 1998. Financing structure dynamics and other determinants of Medicaid pharmaceutical expenditures, 1993-1996. Journal of Health Care Finance 25:59-71.
38. Okunade, Albert A. 1999. Will the real elasticity of substitution 'in Norwegian dentistry' please stand up? Health Economics 8:221-32.
39. Okunade, Albert A. 2001. Cost-output relation, technological progress, and clinical activity mix of US hospital pharmacies. Journal of Productivity Analysis 16:167-93.
40. Okunade, Albert A., and Aronoff, J. B. 2000. Determinants of specialty physician practice management integration. Managed Care Quarterly 8:61-71.
41. Okunade, Albert A., and V. N. R. Murthy. 2002. Technology as a 'major driver' of health care costs: A cointegration analysis of the Newhouse conjecture. Journal of Health Economics 21:147-59.
42. Okunade, Albert A., and Chutima Suraratdecha. 1998. Cost efficiency, factor interchange, and technical progress in US hospital pharmacies. Health Economics 7:363-71.
43. Riportella-Muller, Roberta, Donald Libby, and David Kindig. 1995. The substitution of physician assistants and nurse practitioners for physician residents in teaching hospitals. Health Affairs 14:181-91.
44. Sachs, Michael A. 1997. Managed care: The next generation. FRONTIERS of Health Services Management 14:3-27.
45. Schlesinger, Mark, David Blumenthal, and Eric Schlesinger. 1986. Profits under pressure: The economic performance of investor-owned and nonprofit health maintenance organizations. Medical Care 24:615-27.
46. Segerson, Kathleen, and Subhash C. Ray. 1989. On the equivalence of alternative measures of the elasticity of substitution. Bulletin of Economic Research 41:207-21.
47. Strunk, Bradley C., Paul B. Ginsburg, and Jon R. Gabel. 2001. Tracking health care costs. Health Affairs 20. Available at http://www.healthaffairs.org/.
48. Thorpe, Kenneth, and Adam Atherly. 2001. Reforming Medicare: Impacts of federal spending and choice of health plans. Health Affairs 20. Available at http://www.healthaffairs.org/.
49. Wholey, Douglas, Jon B. Christianson, John Engberg, and C. Bryce. 1997. HMO market structure and performance: 1985-1995. Health Affairs 16:75-84.
50. Wholey, Douglas, Roger Feldman, Jon B. Christianson, and John Engberg. 1996. Scale and scope economies among health maintenance organizations. Journal of Health Economics 15:657-84.
51. Zellner, Arnold J. 1962. An efficient method for estimating seemingly unrelated regressions and tests for aggregation bias. Journal of the American Statistical Association 57:585-612.
52. Zelver, N. 1998. Health care price index. Update on monthly price changes in medical care. Bozeman, MT: Price Index Communications.