The impact of ownership conversions on HMO performance.

Robert Town, Roger D Feldman, Douglas R Wholey

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)327-342
Number of pages16
JournalInternational journal of health care finance and economics
Volume4
Issue number4
DOIs
StatePublished - Dec 2004

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