The cost of health insurance administration in California: estimates for insurers, physicians, and hospitals.

Insurance departments may regulate some managed care arrangements.

W ith the healthcare ministry moving toward managed care, hospitals are becoming increasingly involved in alternative arrangements with other hospitals, physicians, insurers, and employers looking for cost-efficient healthcare services. There are many alternative arrangements, integrated delivery networks ( IDNs) , integrated provider o rgan iza t ions ( I P O s ) , in tegra ted provider arrang...

Costs of Health Care Administration in the United States and Canada

methods For the United States and Canada, we calculated the administrative costs of health insurers, employers’ health benefit programs, hospitals, practitioners’ offices, nursing homes, and home care agencies in 1999. We analyzed published data, surveys of physicians, employment data, and detailed cost reports filed by hospitals, nursing homes, and home care agencies. In calculating the admini...

Hospital Choices, Hospital Prices, and Financial Incentives to Physicians.

We estimate an insurer-specific preference function which rationalizes hospital referrals for privately insured births in California. The function is additively separable in: a hospital price paid by the insurer, the distance traveled, and plan- and severity-specific hospital fixed effects (capturing hospital quality). We use an inequality estimator that allows for errors in price and detailed ...

The relation between insurance funds of medical service insurance and heart inpatients costs in Karaj hospitals (Iran)

  Nowadays in Iran the majority of health and medical budget is spent on uncontagious diseases, especially in the field of heart disease diagnosis. This research aimed at surveying the relation between insurance funds of medical service and heart inpatients costs in the second half of the year 1388. The research is through applied method and its methodology is descriptive analysis in which nine...

Hospitals, Physicians, and Health Insurers: Guarding Against Implied Agreements in the Health Care Context