Medicaid enrollee switching among managed care plans

Journal of Health Care for the Poor and Underserved

Volumn 16, Issue 4, 2005, Pages 760-779

  Brandon, William P ^a   Troyer, Jennifer L ^a   Sundaram, Rajeshwari ^a   Schoeps, Nancy ^a   Sun, Yanqing ^a   Walsh, Betsy J ^b  

^a UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE   (United States)

^b Novant Health Inc   (United States)

Author keywords

Consumer choice; Disenrollment; Enrollment; Health care plan; Health maintenance organizations; Insurance; Managed care; Medicaid; Switching

Indexed keywords

EID: 29244472815     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.2005.0088     Document Type: Article

References (42)

1. Sorenson AA, Wersinger RP. Factors influencing disenrollment from an HMO. Med Care 1981 Jul;19(7):766-73.
2. Mechanic D, Weiss N, Cleary PD. The growth of HMOs: issues of enrollment and disenrollment. Med Care 1983 Mar;21(3):338-47.
3. Wrightson W Jr, Genuardi J, Stephens S. Demographic and utilization characteristics of HMO disenrollees. GHAA J 1987 Summer;8(1):23-42.
4. Wintringham K, Bice TW. The Effects of Turnover on Use of Services by Medicaid Beneficiaries in a Health Maintenance Organization. Group Health J 1985 Spring;6(1):12-8.
5. Carasquillo O, Himmelstein DU, Woolhandler S, et al. Can Medicaid managed care provide continuity of care to new Medicaid enrollees? An analysis of tenure and Medicaid. Am J Public Health 1998 Mar;88(3):464-6.
6. Welch WP. HMO enrollment and Medicaid. Survival analysis with a Weibull function. Med Care 1988 Jan;26(1):45-52.
7. Chaudry RV, Brandon WP, Thompson CR, et al. Caring for patients under Medicaid mandatory Managed care: perspectives of primary care physicians. Qual Health Res 2003 Jan;13(1):37-56.
8. Wolstadt LJ, Shapiro S, Bice TW. Disenrollment from a prepaid group practice: an actuarial and demographic discussion. Inquiry 1978 Jun;15(2):142-50.
9. Schlesinger M, Druss B, Thomas T. No Exit? The effect of health status on dissatisfaction and disenrollment in health plans. Health ServRes 1999 Jun;34(2):547-76.
10. Hirschmann AO. Exit, voice, and loyalty: responses to decline in firms, organizations and states. Cambridge: Harvard University Press, 1970.
11. Grazier KL, Richardson WC, Martin DP, et al. Factors affecting choice of health care plans. Health Serv Res 1986 Feb;20(6 Pt 1):659-82.
12. Allen HM Jr, Darling H, McNeill DN, et al. The Employee Health Care Value Survey: round one. Health Aff (Millwood) 1994 Fall;3(4):25-41.
13. Altman D, Cutler DM, Zeckhauser R. Adverse Selection and Adverse Retention. Am Econ Rev 1998;88(2):122-126.
14. Harris K, Schultz J, Feldman R. Measuring consumer perceptions of quality differences among competing health benefit plans. J Health Econ 2002 Jan;21(1):1-17.
15. Feldman R, Finch M, Dowd B, et al. The demand for employment-based health insurance plans. J Hum Resour 1989 Winter;24(1):115-42.
16. Cunningham PJ, Kohn L. Health plan switching: choice or circumstance? Health Aff (Millwood) 2000 May-Jun;19(3):158-64.
17. Buchmeller TC, Feldstein PJ. The effect of price on switching among health plans. J Health Econ 1997 Apr;16(2):231-47.
18. Strombom BA, Buchmeller TC, Feldstein PJ. Switching costs, price sensitivity and health plan choice. J Health Econ 2002 Jan;21(1):89-116.
19. Royalty AB, Solomon N. Health plan choice: price elasticities in a managed competition setting. J Hum Resour 1999 Winter;34(1):1-41.
20. Scanlon DP, Chernew M, Lave JR. Consumer health plan choice: current knowledge and future directions. Annu Rev Public Health 1997;18:507-28.
21. Beaulieu ND. Quality information and consumer health plan choices. J Health Econ 2002 Jan;21(1):43-63.
22. Travis M, Russell G, Cronin S. Determinants of voluntary HMO disenrollment: an examination of consumer behavior. J Health Care Mark 1989 Mar;9(1):75-6.
23. Hennelly VD, Boxerman SB. Disenrollment from a prepaid group plan. A mulitvariate analysis. Med Care 1983 Dec;21(12):1154-67.
24. Wersinger RP, Sorenson AA. Demographic characteristics and prior utilization experience of HMO disenrollees compared with total membership. Med Care 1982 Dec;20(12):1188-96.
25. Forthofer RN, Glasser JH, Light N. Life table analysis of membership in an HMO retention. J Comm Health 1979 Fall;5(1):46-53.
26. Fairbrother G, Jain A, Park HL, et al. Churning in Medicaid managed care and its effect on accountability. J Health Care Poor Underserved 2004 Feb;15(1):30-41.
27. th ed. Gaithersburg, MD: Aspen, 2001: 684-702.
28. Williams S. Denver Demonstration Test Use of Enrollment Broker. Medicine and Health 1997 March 1;51.
29. Scholle SH, Kelleher KJ, Childs G, et al. Changes in Medicaid managed care enrollment among children. Health Aff (Millwood) 1997 Mar-Apr;16(2):164-70.
30. Fraser I, Chait E, Brach C. Promoting choice: lessons from managed Medicaid. Health Aff (Millwood) 1998 Sep-Oct;17(5):165-74.
31. Chaudry RV, Brandon WP, Schoeps NP. Medicaid recipients' experiences under mandatory managed care. Am J Manag Care 1999 Apr;5(4):413-26.
32. Schoeps NB, Chaudry RV, Brandon WP. Interim evaluation of Health Care Connection: access, satisfaction, utilization, and cost in a mandatory managed care demonstration project in Mecklenburg County, NC. (Policy Report Np. 5) Charlotte: UNC-Charlotte, 1998.
33. North Carolina Department of Health and Human Services (NCDHHS), Division of Medical Assistance (DMA). Medicaid in North Carolina: Annual Report, State Fiscal Year 1997. Raleigh: DHHS, DMA, 1997.
34. North Carolina Department of Health and Human Services, Division of Medical Assistance. Medicaid in North Carolina: Annual Report, State Fiscal Year 1998. Raleigh: DHHS, DMA, 1998.
35. Felt-Lisk S, Yang S. Changes in health plans Serving Medicaid, 1993-1996. Health Aff (Millwood) 1997 Sep-Oct;16(5):125-33.
36. Cutler DM, Reber S, Paying for health insurance: the trade-off between competition and adverse Selection. Q J Econ1998 May;108(2):433-66.
37. Marshall GN, Hays RD. The Patient Satisfaction Questionnaire Short Form (PSQ-18). (RAND Documents, P-7865). Santa Monica: The RAND Corporation, 1994.
38. Marshall GN, Hays RD, Sherbourne CD. The structure of patient satisfaction with outpatient medical care. Psychol Assess 1993;5(4):477-83.
39. th Annual Meeting of the American Public Health Association, Boston (MA), November 12-16.
40. Price JR, Mays JW. Biased selection in the Federal Employees Health Benefits Program. Inquiry 1985 Spring;22(1):67-77.
41. Griffith MJ, Baloff N, Spitznagel EL. Utilization Patterns of Health Maintenance Organization Disenrollees. Med Care 1984 Sep;22(9):827-34.
42. Sofaer S, Hurwicz ML. When medical group and HMO part company: disenrollment decisions in Medicare HMOs. Med Care 1993 Sep;31(9):808-21.