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Public funds, private funds, and medical innovation: how managed care affects public funds for clinical research

Article Abstract:

Academic medical centers (AMC) in the US have been suffering from inadequate financial resources, as the growth of managed care institutions continue to increase. Although AMCs have been receiving ample financial assistance from the government, these institutions have struggled to obtain funding from the National Health Institute for clinical researches. Results gathered from the analysis further showed a marked increase in health maintenance organization (HMO) enrollment, which reflects the dynamic structure of clinical research in the country.

Author: Hellerstein, Judith K.
Publisher: American Economic Association
Publication Name: American Economic Review
Subject: Economics
ISSN: 0002-8282
Year: 1998
Finance, Hospitals, University, University hospitals

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Managed care, consolidation among health care providers, and health care: evidence from mammography

Article Abstract:

The effects of managed-care on the structure of the health care delivery system are analyzed. The analysis focuses on consolidation among health care providers induced by managed-care. Further, the relationship between health maintenance organization (HMO) market share and mammography providers is examined. Evidence of consolidation is observed showing increases in HMO activity which are associated with reductions in the number of mammography providers and with increases in the number of services produced by remaining providers.

Author: Baker, Laurence C., Brown, Martin L.
Publisher: Rand, Journal of Economics
Publication Name: RAND Journal of Economics
Subject: Economics
ISSN: 0741-6261
Year: 1999
Services, Health care industry, Market share, Mammography

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HMO penetration and the cost of health care: market discipline or market segmentation?

Article Abstract:

The effect of health maintenance organizations (HMOs) on traditional insurance costs, insurance premiums and price-cost margins of traditional insurance firms are evaluated using econometric analysis. Results indicate that HMO activities improve consumer welfare by lowering premiums in areas with a ten to 15% market share. On the other hand, areas above ten to 15% show a direct relationship between rising HMO activity and rising premiums.

Author: Baker, Laurence C., Corts, Kenneth S.
Publisher: American Economic Association
Publication Name: American Economic Review
Subject: Economics
ISSN: 0002-8282
Year: 1996
Insurance, Insurance Carriers and Related Activities, INSURANCE CARRIERS, Models, Insurance industry, Health insurance

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Subjects list: Medical care, Managed care plans (Medical care), Health maintenance organizations
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