Do HMO and its for-profit expansion jeopardize the survival of hospital safety net services?

Health Economics

Volumn 18, Issue 3, 2009, Pages 305-320

  Shen, Yu Chu ^a,b  

^a NAVAL POSTGRADUATE SCHOOL   (United States)

^b NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

Author keywords

For profit ownership; Hospital safety net services; Managed care; Proportional hazard models

Indexed keywords

ARTICLE; CONTROLLED STUDY; HEALTH MAINTENANCE ORGANIZATION; HEALTH SURVEY; HOSPITAL COST; HOSPITAL MANAGEMENT; HOSPITAL PLANNING; HOSPITAL POLICY; HOSPITAL SERVICE; MEDICARE; OCCUPATIONAL HAZARD; PRIORITY JOURNAL; PRIVATE HOSPITAL; RISK MANAGEMENT; SURVIVAL RATE; UNITED STATES; COST CONTROL; ECONOMICS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH SERVICES RESEARCH; HOSPITAL; HOSPITAL DEPARTMENT; HUMAN; MEDICINE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PROPORTIONAL HAZARDS MODEL; STATISTICAL MODEL; STATISTICS; UTILIZATION REVIEW;

COST CONTROL; DECISION MAKING, ORGANIZATIONAL; HEALTH CARE SECTOR; HEALTH FACILITY CLOSURE; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES RESEARCH; HOSPITAL DEPARTMENTS; HOSPITALS, URBAN; HUMANS; MEDICARE; MODELS, ECONOMIC; OWNERSHIP; PROPORTIONAL HAZARDS MODELS; SPECIALTIES, MEDICAL; UNITED STATES;

EID: 65349125895     PISSN: 10579230     EISSN: 10991050     Source Type: Journal    
DOI: 10.1002/hec.1366     Document Type: Article

References (21)

1. American College of Emergency Physicians. 2006. Emergency Medicine Quick Facts. Available at http://www.acep.org/ pressroom.aspx?id=25214#pay (last access: 16 April 2008).
2. Baker LC. 1997. The effect of HMOs on fee-for-service health care expenditures: evidence from Medicare. The Journal of Health Economics 16: 453-481.
3. Baker LC. 2001. Managed care and technology adoption in health care: evidence from magnetic resonance imaging. The Journal of Health Economics 20(3): 395-421.
4. Baker LC, Phibbs CS. 2002. Managed care, technology adoption, and health care: the adoption of neonatal intensive care. RAND Journal of Economics 33(3): 524-548.
5. Baker LC, Spetz J. 1998. Managed care and medical technology growth. In Frontiers in Health Policy Research, Garber AM (ed.), vol. 2. MIT Press: Cambridge, MA.
6. Baker LC, Wheeler SK. 1998. Managed care and technology diffusion: the case of MRI. Health Affairs 17(5): 195-207.
7. Bamezai A, Zwanziger J, Melnick GA, Mann JM. 1999. Price competition and hospital cost growth in the United States (1989-1994). Health Economics 8(3): 233-243.
8. Cleves MA, Gould WW, Gutierrez RG. 2004. An Introduction to Survival Analysis Using Stata. A Stata Corporation: College Station, TX.
9. Cutler DM, McClellan M. 1996. The determinants of technological change in heart attack treatment. NBER Working Paper 5751.
10. Cutler DM, Sheiner L. 1997. Managed care and the growth of medical expenditures. NBER Working Paper #6140.
11. Dranove D, Simon CJ, White WD. 2002. Is managed care leading to consolidation in health-care markets? Health Services Research 37(3): 573-594.
12. Draper DA, Hurley RE, Lesser CS, Strunk BC. 2002. The changing face of managed care. Health Affairs 21(1): 11-23.
13. Gaskin DJ, Hadley J. 1997. The impact of HMO penetration on the rate of hospital cost inflation, 1985-1993. Inquiry 34(fall): 205-216.
14. Hogan CM, Levine JH. 1998. The substance abuse treatment system: what does it look like and whom does it serve? Preliminary findings from the alcohol and drug services study. In Bridging the Gap Between Practice and Research: Forging Partnerships with Community-based Drug and Alcohol Treatment, Lamb S, Greenlick MR, McCarty D (eds). Institute of Medicine, Washington, DC.
15. Hymen DA, Kovacic WE. 2004. Monopoly, monopsony, and market definition: an antitrust perspective on market concentration among health insurers. Health Affairs 23(6): 25-28.
16. Institute of Medicine. 2000. America's health care safety net: intact but endangered, Institute of Medicine.
17. Morrisey MA. 2001. Competition in hospital and health insurance markets: a review and research agenda. Health Services Research 36(1, Part II): 191-221.
18. Prentice R, Gloeckler L. 1978. Regression analysis of grouped survival data with application to breast cancer data. Biometrics 34: 57-67.
19. Shen Y, Melnick GA. 2004. The effects of HMO ownership on hospital costs and revenues: is there a difference between for-profit and not-for-profit plan? Inquiry 41(3): 255-267.
20. Shen Y, Melnick GA. 2007. Is managed care still an effective cost containment device? Forum of Health Economics and Policy (Frontiers in Health Policy Research) 9(1): 1-22. Available at http:// www.bepress.com/fhep/9/1/3.
21. Zuckerman S, Bazzoli G, Davidoff A, LoSasso A. 2001 How did safety-net hospitals cope in the 1990s? Health Affairs 20(4): 159-168.