It is well known that mergers often occur in waves, and this paper develops a new mechanism for merger waves: expectations over industry shocks. We develop a simple test of this explanation and use it to explore the role of expectations in the context of the 1990s hospital merger wave. Managed care such as Health Maintenance Organizations (HMOs) started to become popular in the late 1980s and u...

Monarch HealthCare, a physician-led independent practice association in Orange County, Calif., is one of the provider groups participating in the Brookings– Dartmouth ACO Pilot Program to form accountable care organizations, which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved. This case study explores the characteristics of...

This article analyzes the financial structures of the prevailing public and private health insurance mechanisms. Based on this analysis, it was concluded that the financial structures of health insurance mechanisms are deficient in that they neither produce efficiency in the consumption of health services, nor generate efficiency in the production of health services. On the other hand, closed-e...

INTRODUCTION In the majority of developing countries, the volume of medical insurance services, provided by social insurance organizations is inadequate. Thus, supplementary medical insurance is proposed as a means to address inadequacy of medical insurance. Accordingly, in this article, we attempted to provide the context for expansion of this important branch of insurance through identificati...

nowadays, the idea of creating virtual organizations has been presented by scholars as a new method of collaboration and managing the collaboration and has been known as an applicable approach in insurance industry. based on above applicability, this idea has been considered in this paper for a virtual insurer organization and according to efficiency and effectiveness of enterprise architecture...

America's health care system is characterized by rising costs, increasing numbers of Americans who lack health insurance coverage, and poor quality of health care delivery. The convergence of these factors is adversely affecting not only the health of Americans but also the ability of businesses to compete successfully in a global marketplace. AARP and other nonprofit organizations are collabor...

This article estimates the extent to which private insurance supplements affect use of services by Medicare enrollees. Three types of supplements to Medicare's coverage are examined--Health Maintenance Organizations (HMOs), medigap (MGP) plans, and employment-based indemnity (EBI) plans. While each kind of supplement reduces cost sharing on Medicare-covered services, only HMOs do so without inc...

INTRODUCTION The purpose was to examine whether health-promotion programs offered by California health plans are a serious attempt to improve health status or a marketing device used in an increasingly competitive marketplace. The research examined differences in the coverage, availability, utilization, and evaluation of health-promotion programs in California health plans. METHODS A mail sur...