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来源类型Working Paper
规范类型报告
DOI10.3386/w10127
来源IDWorking Paper 10127
Health Plan Conversions: Are They in the Public Interest?
Nancy Dean Beaulieu
发表日期2003-12-08
出版年2003
语种英语
摘要Recently, not-for-profit health plans have been converting to for-profit status and these conversions have frequently occurred as steps to facilitate merger or acquisition with a for-profit company. Some industry observers attribute these managed care market place trends to an industry shake out resulting from increased competition in the sector. At the same time, the perceived competitive pressures have led to questions about the long run viability of non-profit health plans. Furthermore, some industry and government leaders believe that some non-profits are already conducting themselves like for-profit health plans and question the state premium tax exemption ordinarily accorded to such plans. This paper develops a framework for evaluating health plan conversions and examines related health policy issues through the lens of a case study of the proposed conversion of the CareFirst Blue Cross Blue Shield Company. Analyses demonstrate that CareFirst wields substantial market power in some segments of its local market, that it is unlikely to realize cost savings through expanded economies of scale, and that quality of care appears to be lower in the plans typically acquiring converting health plans.
主题Health, Education, and Welfare ; Health ; Industrial Organization ; Nonprofits
URLhttps://www.nber.org/papers/w10127
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/567755
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Nancy Dean Beaulieu. Health Plan Conversions: Are They in the Public Interest?. 2003.
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