Abstract
Question. Do for-profit health plans restrict access to high-cost procedures compared with not-for-profit health plans? Study design. Cohort study. Main results. In unadjusted analyses, for-profit health plan beneficiaries had higher rates of all high-cost procedures than not-for-profit health plan beneficiaries; the difference was significant for 4 out of 12 procedures (see Table 1). Rates of usage remained higher in for-profit plans after adjustment for participants' sociodemographic factors, county of residence, and health plan characteristics (see Table 1). Authors' conclusions. There is no evidence that for-profit heath plan beneficiaries are less likely to receive high-cost procedures than not-for-profit health plan beneficiaries.
Original language | English (US) |
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Pages (from-to) | 116-118 |
Number of pages | 3 |
Journal | Evidence-Based Healthcare |
Volume | 8 |
Issue number | 3 |
DOIs |
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State | Published - Jun 2004 |
Externally published | Yes |
Keywords
- Cohort study
- Health care surveys
- Health economics
- Health insurance
- Medicare
ASJC Scopus subject areas
- General Medicine