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Hospital-insurer bargaining: an empirical investigation of appendectomy pricing

Article Abstract:

A theoretical bargaining model was used to analyze the interaction of health care providers and insurers during the arrangement of bargaining deals. Using appendectomy as the control variable, it was established that the bargaining power of US health institutions has diminished over time, as a result of the development of medical databases. It was also concluded that institutional arrangements, infiltration of hospital maintenance organizations and hospital concentration tend to increase a hospital's bargaining effectiveness.

Author: Brooks, John M., Wong, Herbert S., Dor, Avi
Publisher: Elsevier B.V.
Publication Name: Journal of Health Economics
Subject: Health care industry
ISSN: 0167-6296
Year: 1997
Hospitals, Models, Management, Economic aspects, Medical care, Cost of, Health care costs, Negotiation, Negotiations, Health maintenance organizations, Appendectomy

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Differences in private health insurance coverage for working male Hispanics

Article Abstract:

The private health insurance coverage for male Cuban-Americans is better than the coverage for Mexican-Americans and Puerto Ricans. Male Cuban-Americans have higher rates of insurance coverage than other Hispanics due to their higher hourly wage rates and better education. The number of older Cuban-Americans is also higher compared with Mexican-Americans and Puerto Ricans. The percentage of Cuban-Americans working in occupational settings with higher coverage rates is greater compared with other Hispanics.

Author: Fronstin, Paul, Goldberg, Lawrence G., Robins, Philip K.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1997
United States, Insurance, Mexican Americans, Cuban Americans, Puerto Ricans, Puerto Ricans in the United States

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The marginal benefits of invasive treatments for acute myocardial infarction: does insurance coverage matter?

Article Abstract:

The health insurance payment system had a major effect on invasive treatments for marginal acute myocardial infarction.

Author: Brooks, John M., McClellan, Mark, Wong, Herbert S.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2000
Research and Development in the Physical, Engineering, and Life Sciences, Research and Testing Services, Washington, Heart & Cardiovascular R&D, Care and treatment, Statistical Data Included, Heart attack, Cardiovascular research

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Subjects list: Health insurance, Research, Health insurance industry
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