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Kansas Blue Cross/Blue Shield Outpatient Benefits Experiment

Bibliographic Data

ID9099194
AuthorsDaniel B Hill (Blue Cross Blue Shield Association, corresponding author), James E Veney (College of Wooster)
Year1970
Volume8
Issue2
Pages143-158
Publication date1970-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197008020-00009
PMID5445500
OpenAlexW2040029337
LanguageEN
Citations received2

A widely held, but unproven assumption holds that health insurance which financed more comprehensive services for ambulatory patients would significantly lower the rate of hospital admissions. This study reports on an attempt to test this assumption through a statistically controlled experiment. The Kansas Blue Cross/Blue Shield Plan provided free out-of-hospital benefits to an experimental group of 5,000 contracts for eight months during 1968. This group's inpatient claims experience was tested for significant changes by comparisons with prior experience and with a control group of 10,000 contracts. While the experimental benefits did not significantly alter the experimental group's total inpatient utilization rates, further analysis suggests that the benefits might have affected the distribution of inpatient care

Actuarial science · Ambulatory · Ambulatory care · Business · Family medicine · Health care · Health insurance · Health plan · Inpatient care · Political science · Test (biology) · Emergency Medicine · Global Health Care Issues · Healthcare Policy and Management · Law · Medicine · Primary Care and Health Outcomes · Surgery

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Unique citing works2
Citations per year0,04
Citation span1977 - 1977 (1)
Citation velocityhistorical
Highly citedNo

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