Managed care or carefully managed? Management of underwriting profitability by health insurers

2021 ◽  
Author(s):  
Patricia H. Born ◽  
Evan M. Eastman ◽  
E. Tice Sirmans
Keyword(s):  
Managed Care ◽  
Health Insurers

Managed Care and Financial Risks of Health Insurers Under PPACA

2015 ◽  
Author(s):  
Etti G. Baranoff ◽  
Thomas W. Sager ◽  
Bo Shi ◽  
Dalit Baranoff
Keyword(s):  
Managed Care ◽  
Financial Risks ◽  
Health Insurers

scholarly journals Insurer-Provider Networks in the Medical Care Market

2009 ◽  
Vol 99 (1) ◽  
pp. 393-430 ◽  
Author(s):  
Katherine Ho
Keyword(s):  
Managed Care ◽  
Medical Care ◽  
Profit Maximization ◽  
Investment Incentives ◽  
Hospital Mergers ◽  
Provider Networks ◽  
Hospital Networks ◽  
Care Health ◽  
Capacity Constrained ◽  
Health Insurers

I use data on the hospital networks offered by managed care health insurers to estimate the expected division of profits between insurers and providers. I include a simple profit-maximization framework and an additional effect: hospitals that can secure demand without contracting with all insurers (e.g., those most attractive to consumers and those that are capacity constrained) may demand high prices that some insurers refuse to pay. Hospital mergers may also affect price bargaining. I estimate that all three types of hospitals capture higher markups than other providers. These results provide information on the hospital investment incentives generated by bargaining. (JEL G22, G34, I11, L25)

Management Issues: Ethics and Clinical Productivity Pressures Under Managed Care

1997 ◽  
Vol 7 (3) ◽  
pp. 8-10 ◽  
Author(s):  
Becky Sutherland-Cornett ◽  
Bernard P. Henri ◽  
Brooke Hallowell
Keyword(s):  
Managed Care ◽  
Management Issues

Manual Explains Autism Law to Health Insurers

ASHA Leader ◽  
2011 ◽  
Vol 16 (1) ◽  
pp. 19-19
Author(s):  
Carol Polovoy
Keyword(s):  
Health Insurers

Managed Care Rules Aim to Boost Medicaid Quality, Ease of Participation

ASHA Leader ◽  
2016 ◽  
Vol 21 (8) ◽  
pp. 24-25
Author(s):  
Havens Laurie Alban
Keyword(s):  
Managed Care

1438: Benign Prostatic Hyperplasia Outcomes 12 Months after Initiating Medical Management: An Analysis of Managed Care Data

2006 ◽  
Vol 175 (4S) ◽  
pp. 464-465
Author(s):  
Michael J. Naslund ◽  
Muta M. Issa ◽  
Libby Black ◽  
Michael Eaddy ◽  
Manan Shah
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Managed Care ◽  
Medical Management ◽  
Prostatic Hyperplasia
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