Managed care, consolidation among health care providers, and health care: evidence from mammography

被引：56

作者：

Baker, LC ^{[1
]}

Brown, ML

机构：

[1] Stanford Univ, Stanford, CA 94305 USA

[2] NBER, Cambridge, MA 02138 USA

[3] NCI, Bethesda, MD 20892 USA

来源：

RAND JOURNAL OF ECONOMICS | 1999年 / 30卷 / 02期

关键词：

D O I：

10.2307/2556084

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

We discuss the effects of managed care on the structure of the health care delivery system, focusing on managed-care-induced consolidation among health care providers. We empirically investigate the relationship between HMO market share and mammography providers. We find evidence of consolidation: increases in HMO activity are associated with reductions in the number of mammography providers and with increases in the number of services produced by remaining providers. We also find that increases in HMO market share are associated with reductions in costs for mammography and with increases in waiting times for appointments, but not with worse health outcomes.

引用

页码：351 / U2

页数：25

共 48 条

[1]

Baker L.C., 1995, 5356 NBER

[2]

Baker LC, 1996, AM ECON REV, V86, P389

[3] The effect of HMOs on fee-for-service health care expenditures: Evidence from Medicare [J].