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Int J Health Care Finance Econ. 2004 Dec;4(4):327-42.

The impact of ownership conversions on HMO performance.

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  • 1Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Mayo Mail Code 729, 420 Delaware St. SE, Minneapolis MN 55455, USA. rjtown@umn.edu

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.

PMID:
15467408
[PubMed - indexed for MEDLINE]
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