Title

Do For-Profit Health Plans Restrict Access To High-Cost Procedures?

Keywords

Cohort study; Health care surveys; Health economics; Health insurance; Medicare

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. © 2004 Elsevier Ltd. All right reserved.

Publication Date

1-1-2004

Publication Title

Evidence-Based Healthcare

Volume

8

Issue

3

Number of Pages

116-118

Document Type

Note

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/j.ehbc.2004.03.021

Socpus ID

13244287693 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/13244287693

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