Utilization Patterns of Health Maintenance Organization Disenrollees

This article addresses several questions about the effect of disenrollment on the start-up phenomenon in health maintenance organizations that were raised in a recent exchange of articles and comments in this journal. The results show that disenrollees, like continuous enrollees, go through a start-up phase of utilization that decreases over duration of membership to a stable lower level. The study also differentiates between voluntary and involuntary disenrollees, both of which go through start-ups. The different characteristics of the start-ups of both groups of disenrollees are contrasted with those of continuous enrollees. The implications of these findings for planners and administrators are discussed, and a future research agenda is recommended

Business · Duration (music) · Economics · Health care · Health maintenance · Management · Operations management · Phenomenon · Political science · Turnover · Occupational Health and Safety Research · Psychology

• Risk Selection of Families Electing HMO Membership

  Joan L Buchanan, Shan Cretin•Medical Care•1986

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• Employee Premiums, Availability of Alternative Plans, and HMO Disenrollment

  Stephen H Long, Russell F Settle et al.•Medical Care•1988

  Incluir item

• Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program

  Open Access•Thomas C Buchmueller, Todd Gilmer et al.•INQUIRY The Journal of Health…•2004

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• Start-up Utilization by Disenrollees

  Nicholas Baloff, Mary Jane Griffith•Medical Care•1982

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• Disenrollment Effects in Insurer-Based Utilization Studies

  Bryan E Dowd, Bryan Dowd et al.•Medical Care•1982

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• Factors Influencing Disenrollment From an HMO

  Andrew A Sorensen, Richard P Wersinger•Medical Care•1981

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• The Growth of HMOs

  David Mechanic, Norma Weiss et al.•Medical Care•1983

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• Membership Duration and Utilization Rates in a Prepaid Group Practice

  Mary Jane Griffith, Nicholas Baloff•Medical Care•1981

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• The Effect of Length of Membership Upon the Utilization of Ambulatory Care Services

  John P Mullooly, Donald K Freeborn•Medical Care•1979

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• Demographic Characteristics and Prior Utilization Experience of HMO Disenrollees Compared With Total Membership

  Richard P Wersinger, Andrew A Sorensen•Medical Care•1982

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• Out-of-Plan Use and Disenrollment

  Virginia D Hennelly, Stuart B Boxerman•Medical Care•1983

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• Consumer Satisfaction in a Health Maintenance Organization

  Clyde R Pope•Journal of Health and Social…•1978

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