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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w10127 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w10127 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/567755 |
推荐引用方式 GB/T 7714 | Nancy Dean Beaulieu. Health Plan Conversions: Are They in the Public Interest?. 2003. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w10127.pdf(338KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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