The Effects of Health Insurance on Access to New Medical Technologies
Ramsey, Scott D.
Hillman, Alan L.
Pauly, Mark V.
International Journal of Technology Assessment in Health Care. 1997 Spring; 13(2): 357-367.
We examined the use of percutaneous transluminal coronary angioplasty, kidney stone lithotripsy, and bone marrow transplant among patients with different health insurance plans in California. HMO enrollees were less likely to receive these procedures compared with fee-for-service patients. Our results have implications for the inflationary effects of technology under managed care.
Biomedical Technologies; Bone Marrow; Comparative Studies; Economics; Health; Health Care; Health Insurance; Health Maintenance Organizations; Heart Diseases; Insurance; Kidney Diseases; Leukemia; Managed Care; Organizations; Patient Care; Patients; Research; Review; Selection for Treatment; Statistics; Technology; Transplantation;
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How Do Financial Incentives Affect Physicians' Clinical Decisions and the Financial Performance of Health Maintenance Organizations? Hillman, Alan L.; Pauly, Mark V.; Kerstein, Joseph J. (1989-07-13)Data from a survey of health maintenance organizations (HMOs) were examined to determine whether the use of financial incentives by HMOs changes physicians' behavior toward individual patients. A regression analysis of data ...