Do for-profit health plans restrict access to high-cost procedures?

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)116-118
Number of pages3
JournalEvidence-Based Healthcare
Volume8
Issue number3
DOIs
Publication statusPublished - Jun 2004
Externally publishedYes

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Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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