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The Competitive Response of Blue Cross and Blue Shield to the Health Maintenance Organization in Northern California and Hawaii

Bibliographic Data

ID9103540
AuthorsLawrence G Goldberg (0000-0001-5991-4761, New York University, corresponding author), Warren Greenberg (Johns Hopkins University)
Year1979
Volume17
Issue10
Pages1019-1028
Publication date1979-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197910000-00005
PMID491781
OpenAlexW2008322457
LanguageEN
Citations received2
References cited3

The health maintenance organization (HMO) can provide an alternative to the predominant form of health care delivery in the United States, fee-for-service. Although market penetration of the HMO is relatively low in most parts of the country, the HMO has achieved a significant market share in a number of states. This paper examines the competitive response of Blue Cross and Blue Shield to the introduction of the HMO in two geographic regions with significant HMO activity, northern California and Hawaii. The evidence obtained from extensive interviews indicates that Blue Cross and Blue Shield plans have responded to HMO competitive pressure by establishing their own HMOs and by altering traditional procedures. HMO competition has stimulated Blue Cross and Blue Shield to make greater cost control efforts and to offer larger benefit packages. These results can have important policy implications for the role that HMOs are to play in cost containment

Business · Competition (biology) · Economic growth · Economics · Environmental health · Health care · Health maintenance · Managed care · Business Strategies and Innovation · Healthcare Policy and Management · Medicine · Service and Product Innovation

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    Harold S Luft•Medical Care•1985

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    Douglas R Wholey, Jon B Christianson et al.•American Journal of Sociology•1993

  • Federal employees health benefits program. 3. Utilization of hospital services

    G ST J Perrott, G S Perrott•American Journal of Public Health…•1966

  • Comparison of Prematurity and Perinatal Mortality in a General Population and in the Population of a Prepaid Group Practice, Medical Care Plan

    Sam Shapiro, Louis Weiner et al.•American Journal of Public Health…•1958

  • The Impact of Prepaid Group Practice on American Medical Care

    Open Access•Merwyn R Greenlick•The Annals of the American…•1972

Unique citing works2
Citations per year0,05
Citation span1985 - 1993 (9)
Citation velocityhistorical
Highly citedNo

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