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Employee Premiums, Availability of Alternative Plans, and HMO Disenrollment

Datos Bibliográficos

ID9104941
AutoresStephen H Long (Congressional Budget Office, autor de correspondencia), Russell F Settle (University of Delaware), Charles W Wrightson (Actuarial Research Corporation)
Año1988
Volumen26
Número10
Páginas927-938
Fecha de publicación1988-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198810000-00001
PMID3172866
OpenAlexW2019826219
IdiomaEN
Citas recibidas6
Referencias citadas10

The notion that greater competition among health plans helps contain health-care costs presumes that consumers respond to economic incentives. This article tests that proposition through an examination of the factors that cause individuals to disenroll from health maintenance organizations (HMOs). The study relies upon a multivariate probit model of disenrollment behavior, estimated with data on 1,553 subscribers in three Minneapolis-St. Paul HMOs in 1984. The results indicate that disenrollments are a function largely of economic factors; disenrollments rise significantly with increases both in relative premiums and in the number of plan choices available to consumers. To illustrate, a +5.00 increase in the employee's monthly premium for one HMO, relative to the average change in the employees' premiums for all other available plans, would lead to a two thirds increase in that HMO's disenrollment rate

Actuarial science · Business · Competition (biology) · Econometrics · Economic growth · Economics · Health care · Health maintenance · Health plan · Incentive · Managed care · Microeconomics · Multivariate probit model · Multivariate statistics · Ordered probit · Preferred provider organization · Probit model · Statistics · Economic and Environmental Valuation · Global Health Care Issues · Healthcare Policy and Management

  • HMO Enrollment by Medicare Beneficiaries in Heterogeneous Communities

    Kris Siddharthan•Medical Care•1990

  • 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

  • Consumer behavior and insurer plan offering with expanded premium subsidy in U. S. individual health insurance market

    Open Access•Yu Lei, Lei Yu•Frontiers in Public Health•2025

  • Consumer choice of social health insurance in managed competition

    Open Access•Jan J Kerssens, Peter P Groenewegen et al.•Health Expectations•2003

  • Risk Factors for Early Disenrollment From Colorado’s Affordable Care Act Marketplace

    Sarah H Gordon, Benjamin D Sommers et al.•Medical Care•2019

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    Open Access•Frederik T Schut, Erik Schut•Social Science & Medicine•1992

  • The Estimation of Choice Probabilities from Choice Based Samples

    Charles F Manski, Steven R Lerman•Econometrica•1977

  • Factors Influencing Disenrollment From an HMO

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

  • Utilization Patterns of Health Maintenance Organization Disenrollees

    Mary Jane Griffith, Nicholas Baloff et al.•Medical Care•1984

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

  • The Growth of HMOs

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

  • Price and Membership in a Prepaid Group Medical Practice

    Thomas G Mcguire•Medical Care•1981

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

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

  • Risk Selection of Families Electing HMO Membership

    Joan L Buchanan, Shan Cretin•Medical Care•1986

  • Out-of-Plan Use and Disenrollment

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

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Obras citantes distintas6
Citas por año0,17
Intervalo de citas1990 - 2025 (36)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 5
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