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Original Articles

HMO plans, self-selection and utilization of health care services

&
Pages 2769-2784 | Published online: 11 Apr 2011

References

  • Anderson , R and Aday , LA . 1978 . Access to medical care in the US: realized and potential . Medical Care , 16 : 533 – 46 .
  • Buchanan , J and Cretin , S . 1986 . Risk selection of families electing HMO membership . Medical Care , 24 : 39 – 51 .
  • Cameron , AC , Trivedi , PK , Milne , F and Piggott , J . 1988 . A microeconometric model of the demand for health care and health insurance in Australia . Review of Economic Studies , 55 : 85 – 106 .
  • Cao , H . 2006 . “ Moral hazard versus self-selection: evidence from the supplemental medicare insurance market ” . Department of Economics, University of California at Los Angeles .
  • Cutler , DM and Zeckhauser , RJ . 2000 . “ The anatomy of health insurance ” . In Handbook of Health Economics , Edited by: Culyer , A. J. and Newhouse , J. P. 563 – 644 . North-Holland .
  • Deb , P and Trivedi , PK . 2002 . “ Gatekeeping, self-selection and utilization of curative and preventive health care services ” . Hunter College . Working Paper
  • DeLia , D , Cantor , JC and Sandman , D . 2001 . Medicaid managed care in New York city: recent performance and coming challenges . American Journal of Public Health , 91 : 458 – 60 .
  • Dowd , B , Feldman , R , Cassou , S and Finch , M . 1991 . Health plan choice and the utilization of health care services . Review of Economics and Statistics , 73 : 85 – 93 .
  • Experton , B , Li , Z , Branch , LG , Ozminkowski , RJ and Mellon-Lacey , DM . 1997 . The impacts of payer/provider type on health care use and expenditures among the frail elderly . American Journal of Public Health , 87 : 210 – 6 .
  • Feldstein , PJ . 2002 . Health Care Economics , 5th , Thomson Delmar-Learning .
  • Folland , S , Goodman , AC and Stano , M . 2004 . The Economics of Health and Health Care , 4th , Pearson Prentice Hall .
  • Fuchs , VR . 1986 . The Health Economy , Cambridge, Massachusetts : Harvard University Press .
  • Gilleskie , D . 1998 . Dynamic stochastic model of medical care use and work absence . Econometrica , 66 : 45
  • Glied , SA . 2000 . “ Managed care ” . In Handbook of Health Economics , Edited by: Culyer , A. J. and Newhouse , J. P. 707 – 45 . North-Holland .
  • Grossman , M . 1972 . On the concept of health capital and the demand for health . Journal of Political Economy , 80 : 223 – 55 .
  • Health, United States (2003) National Center for Health Statistics, Centers for Disease Control and Prevent, Department of Health and Human Services
  • Henderson , JM . 2005 . Health Economics & Policy , 3rd , Thomson South-Western .
  • Hunt-McCool , J , Kiker , BF and Ng , YC . 1994 . Estimates of the demand for medical care under different functional forms . Journal of Applied Econometrics , 9 : 201 – 18 .
  • Hurd , M and McGarry , K . 1997 . Medical insurance and the use of health care services by the elderly . Journal of Health Economics , 16 : 129 – 54 .
  • Jackson-Beeck , M and Kleinman , JH . 1983 . Evidence for self-selection among health maintenance organization enrollees . Journal of the American Medical Association , 250 : 2826 – 9 .
  • Kennel , DS and Terza , JV . 2001 . The effect of physician advice on alcohol consumption: count regression with an endogenous treatment effect . Journal of Applied Econometrics , 16 : 165 – 84 .
  • Kerby , JB , Machlin , SR and Cohen , JW . 2003 . Has the increase in HMO enrollment within the medicaid population changed the pattern of health service use and expenditures? . Medical Care , 41 : 24 – 34 .
  • Ligon , J . 1993 . The effect of health insurance cost sharing within episodes of medical care . Journal of Risk and Insurance , 60 : 105 – 18 .
  • Ligon , J . 1994 . Fee-for-service versus HMO outpatient expenditure patterns . Journal of Risk and Insurance , 61 : 96 – 106 .
  • Long , SK and Coughlin , TA . 2001 . Impacts of medicaid managed care on children . Health Services Research , 36 : 7 – 23 .
  • Manning , WG , Newhouse , JP , Duan , N , Keeler , EB and Leibowiz , A . 1987 . Health insurance and the demand for medical care: evidence from a randomized experiment . American Economic Review , 77 : 251 – 77 .
  • McFadden , D . 1980 . Econometric models for probabilistic choice among products . Journal of Business , 53 : S13 – 29 .
  • Mello , M , Stearns , S and Norton , E . 2002 . Do medicare HMOs still reduce health services use after controlling for selection bias? . Health Economics , 11 : 323 – 40 .
  • Miller , RH and Luft , HS . 1994 . Managed care plan performance since 1980: a literature analysis . Journal of the American Medical Association , 271 : 1512 – 9 .
  • Miller , RH and Luft , HS . 2002 . HMO performance update: an analysis of the literature 1997–2001 . Health Affairs , 21 : 63 – 86 .
  • Olsen , RN . 1993 . The impact of health maintenance organizations on health and health care costs . Applied Economics , 25 : 1451 – 65 .
  • Pauly , M . 2004 . Medicare drug coverage and moral hazard . Health Affairs , 23 : 113 – 22 .
  • Phillips , KA , Fernyak , S , Potosky , A , Egorin , M and Schauffler , H . 2000 . Do managed care plans provide more preventive services than nonmanaged care plans? an updated perspective . Health Affairs , 19 : 102 – 16 .
  • Santerre , RE and Neun , SP . 2004 . Health Economics Theories, Insights, and Industry Studies , 3rd , Thomson South-Western .
  • Sapelli , C and Vial , B . 2001 . “ Self-selection and moral hazard in Chilean health insurance, IE-PUC No. 196 ” . Instituto de Economia, Pontificia Universidad Catolica de Chile .
  • Taylor , AK , Beauregard , KM and Vistnes , JP . 1995 . Who belongs to HMOs: a comparison of fee-for-service versus HMO enrollees . Medical Care Research and Review , 52 : 389 – 408 .
  • Tu , HT , Kemper , P and Wong , HJ . 1999 . Do HMOs make a difference? use of health services . Inquiry-The Journal of Health Care Organization Provision and Financing , 36 : 400 – 10 .
  • Vella , F . 1993 . A simple estimator for simultaneous model with censored endogenous regressors . International Economic Review , 34 : 441 – 57 .
  • Vella , F . 1998 . Estimating models with sample selection bias: a survey . Journal of Human Resources , 33 : 127 – 69 .

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