TY - JOUR
T1 - The impact of ownership conversions on HMO performance.
AU - Town, Robert
AU - Feldman, Roger D
AU - Wholey, Douglas R
PY - 2004/12
Y1 - 2004/12
N2 - Recently, several Blue Cross plans that sponsor Health Maintenance Organizations (HMOs), among other insurance products, have sought regulatory approval to convert from a not-for-profit to a for-profit entity. We examine the impact of not-for-profit HMOs converting to for-profit status in a fixed-effects framework using HMO level data from InterStudy. Our findings indicate conversions to for-profit status do not significantly impact HMO prices, profit margins, use of hospital days or ambulatory visits, and the provision of Medicare and Medicaid products.
AB - Recently, several Blue Cross plans that sponsor Health Maintenance Organizations (HMOs), among other insurance products, have sought regulatory approval to convert from a not-for-profit to a for-profit entity. We examine the impact of not-for-profit HMOs converting to for-profit status in a fixed-effects framework using HMO level data from InterStudy. Our findings indicate conversions to for-profit status do not significantly impact HMO prices, profit margins, use of hospital days or ambulatory visits, and the provision of Medicare and Medicaid products.
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U2 - 10.1023/B:IHFE.0000043761.95636.96
DO - 10.1023/B:IHFE.0000043761.95636.96
M3 - Article
C2 - 15467408
AN - SCOPUS:16644401359
SN - 1389-6563
VL - 4
SP - 327
EP - 342
JO - International journal of health care finance and economics
JF - International journal of health care finance and economics
IS - 4
ER -
