… enrollment and medical spending. We find that increased managed care enrollment significantly
… that managed care has reduced the diffusion of medical technologies. States with high …

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 …

… Medicare expenditure files to explore 3 main issues. First, what is the influence of managed
care on the use of hospice care? In particular, within states, are managed care organization (…

… In the present study, however, we found that total direct medical expenditures alone in 1996
were equivalent to 2.5% of the Gross Domestic Product for that year (48), suggesting that the …

… that managed care has slowed the growth of medical costs. States with high managed-care
enrollment have significantly lower cost growth than states with lower managed-care …

… If the correlation between the demand for these services and total health care expenditures
… financial risks of medical care use. This risk, borne across all types of medical services, gives …

… the effect of Medicaid managed care on expenditures, and found that HMO-… care spending,
the authors needed to simulate it using data from another source (the Medical Expenditure …

… suggest that managed care may also be able to influence expenditures and care for non–managed
care patients outside Medicare. The same changes in the health care system that I …

… CONCLUSIONS — To our knowledge, this is the first study to report total and excess
expenditures for diabetic patients in a managed care setting. Annual costs of providing care were …

… B fee-for-service expenditures. The fact that managed care can influence expenditures for
this … the direct effects of managed care, suggests that managed-care activity can have broad …