We use data across states to examine the relation between HMO enrollment and medical
spending. We find that increased managed care enrollment significantly reduces hospital …

Through the 1980s, health expenditures in California and throughout the United States grew
rapidly, outpacing the annual rate of growth in the economy as a whole. More recently …

Although managed care plans reduce health care expenditures at any point in time, less is
known about whether such plans control health care cost growth. Because use of new …

Increases in the activity of managed care organizations may have" spillover effects,"
influencing the entire health care delivery system's performance, so that care for both …

Managed care in general and HMOs in particular have become the vehicle of choice for
controlling health care spending in the private sector. By several accounts, managed care …

▪ Abstract In addition to influencing care for patients enrolled in managed care plans, growth
in managed care could lead to broad changes in the structure and functioning of the health …

This paper investigates the impact of Medicare HMO penetration on the medical care
expenditures incurred by Medicare fee-for-service (FFS) enrollees. We find that increasing …

Abstract By 1993, over 70% of all Americans with health insurance were enrolled in some
form of managed care plan. The term managed care encompasses a diverse array of …

As health care costs increase, cost-control mechanisms become more widespread and it is
crucial to understand their implications for the health care market. This paper examines the …

Many recent health-care reform proposals seek to reduce health-care expenditures by
shifting the delivery of services toward managed-care organizations like HMO's. Pro-ponents …