Competition between Managed Care Organizations and Indemnity Plans in Health Insurance Markets
نویسندگان
چکیده
منابع مشابه
Competition between health maintenance organizations and nonintegrated health insurance companies in health insurance markets
This article examines a model of competition between two types of health insurer: Health Maintenance Organizations (HMOs) and nonintegrated insurers. HMOs vertically integrate health care providers and pay them at a competitive price, while nonintegrated health insurers work as indemnity plans and pay the health care providers freely chosen by policyholders at a wholesale price. Such difference...
متن کاملChronic disease medication use in managed care and indemnity insurance plans.
OBJECTIVE To evaluate the impact of managed care on the use of chronic disease medications. DATA SOURCE Claims data from 1997 from two indemnity and three independent practice association (IPA) model managed care insurance plans. RESEARCH DESIGN Cross-sectional analysis of claims data. DATA COLLECTION Adult patients with diabetes mellitus (DM, n = 26,444), congestive heart failure (CHF, n...
متن کاملHealth Insurance and Competition in Health Care Markets
I study duopolistic market for differentiated medical products. Medical providers decide whether to sell on the spot market to sick consumers or to sell through competitive insurance market to healthy consumers. While shopping for insurance consumers know only the distribution of possible medical needs they may have if they get sick. Only when getting sick their actual medical need reveals and ...
متن کاملManaged Competition in Health Insurance
Rising healthcare costs have sparked debate about the best way to provide high-quality affordable health insurance. We discuss the potential for regulated insurance markets to outperform single-payer public insurance. We use as an example the private Medicare plans that now provide insurance to almost a third of seniors in the United States. The evidence suggests that private plans can limit co...
متن کاملQuality Competition, Insurance, and Consumer Choice in Health Care Markets
In this model, insurance offering a choice of hospitals is valued because consumers are uncertain which hospital they will prefer ex post. A competitive insurance market facilitates tacit price collusion between hospitals; high margins induce hospitals to compete for customers through overinvestment in quality. Incentives may exist to lock in market share via managed-care plans with less choice...
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ژورنال
عنوان ژورنال: SSRN Electronic Journal
سال: 2012
ISSN: 1556-5068
DOI: 10.2139/ssrn.2104413