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dc.creatorSchlesinger, Marken
dc.creatorGray, Bradforden
dc.creatorBradley, Elizabethen
dc.date.accessioned2015-05-05T19:00:55Zen
dc.date.available2015-05-05T19:00:55Zen
dc.date.created1996en
dc.date.issued1996en
dc.identifier10.1215/03616878-21-4-697en
dc.identifier.bibliographicCitationJournal of Health Politics, Policy and Law. 1996 Winter; 21(4): 697-751.en
dc.identifier.issn0361-6878en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Charity+and+Community:+the+Role+of+Nonprofit+Ownership+in+a+Managed+health+Care+System&title=Journal+of+Health+Politics,+Policy+and+Law.++&volume=21&issue=4&pages=697-751&date=1996&au=Schlesinger,+Marken
dc.identifier.urihttp://dx.doi.org/10.1215/03616878-21-4-697en
dc.identifier.urihttp://hdl.handle.net/10822/751844en
dc.description.abstractAs American medicine has been transformed by the growth of managed care, so too have questions about the appropriate role of nonprofit ownership in the health care system. The standards for community benefit that are increasingly applied to nonprofit hospitals are, at best, only partially relevant to expectations for nonprofit managed care plans. Can we expect nonprofit ownership to substantially affect the behavior of an increasingly competitive managed care industry dealing with insured populations? Drawing from historical interpretations of tax exemption in health care and from the theoretical literature on the implications of ownership for organizational behavior, we identify five forms of community benefit that might be associated with nonprofit forms of managed care. Using data from a national survey of firms providing third-party utilization review services in 1993, we test for ownership-related differences in these five dimensions. Nonprofit utilization review firms generally provide more public goods, such as information dissemination, and are more "community oriented" than proprietary firms, but they are not distinguishable from their for-profit counterparts in addressing the implications of medical quality or the cost of the review process. However, a subgroup of nonprofit review organizations with medical origins are more likely to address quality issues than are either for-profit firms or other nonprofit agencies. Evidence on responses to information asymmetries is mixed but suggests that some ownership-related differences exist.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:KIE/51886en
dc.subjectCommon Gooden
dc.subjectCommunity Servicesen
dc.subjectComparative Studiesen
dc.subjectEconomicsen
dc.subjectEducationen
dc.subjectFederal Governmenten
dc.subjectFinancial Supporten
dc.subjectFormsen
dc.subjectGovernmenten
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectHealth Care Deliveryen
dc.subjectHealth Educationen
dc.subjectHealth Insuranceen
dc.subjectHealth Maintenance Organizationsen
dc.subjectHistorical Aspectsen
dc.subjectHospitalsen
dc.subjectIndigentsen
dc.subjectIndustryen
dc.subjectInformation Disseminationen
dc.subjectInsuranceen
dc.subjectLegal Aspectsen
dc.subjectLiteratureen
dc.subjectManaged Care Programsen
dc.subjectMedicineen
dc.subjectManaged Careen
dc.subjectOrganization and Administrationen
dc.subjectOrganizationsen
dc.subjectOwnershipen
dc.subjectPublic Participationen
dc.subjectPublic Policyen
dc.subjectQuality of Health Careen
dc.subjectReviewen
dc.subjectSocial Impacten
dc.subjectStandardsen
dc.subjectState Governmenten
dc.subjectSurveyen
dc.subjectTaxesen
dc.titleCharity and Community: The Role of Nonprofit Ownership in a Managed Health Care Systemen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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