The effects of hmo and its for-profit expansion on the survival of specialized hospital services
By: Yu-Chu Shen
Contributors: National Bureau of Economic Research
Series: NBER working paper series -- working paper 12374; Working paper series (National Bureau of Economic Research : Online) -- working paper no. 12374.
Publisher: National Bureau of Economic Research
Published: 2006
Place of publication: Cambridge, MA
Language: eng
Format: [electronic resource] /
Description: "This study examines the effect of HMO and for-profit HMO share on the survival of safety net services and profitable services in hospitals.  Using data from 1990-2003 and proportional hazard models, I find that hospitals in high HMO markets started out having lower hazard of shutting down services in 1990-1994 than those in low HMO markets, but their hazard rates increase over time.  By 2000-2003, hospitals in high HMO markets ended up with higher risk of shutting down profitable services than those in low HMO markets.  Conditional on overall HMO penetration, markets with higher for-profit share of HMOs have higher hazard of shutting down services, and the gap in survival between high and low for-profit HMO markets is bigger in high HMO areas.  Lastly, I find that the hazard rate of shutting down profitable services is comparable among not-for-profit, for-profit, and government hospitals, while the hazard of shutting down safety net services is the highest in for-profit hospitals and lowest in government hospitals"--National Bureau of Economic Research web site.
Notes: Title from PDF file as viewed on 7/26/2006.

Includes bibliographical references.

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Mode of access: World Wide Web.