Town Robert, Feldman Roger, Wholey Douglas
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Mayo Mail Code 729, 420 Delaware St. SE, Minneapolis MN 55455, USA.
Int J Health Care Finance Econ. 2004 Dec;4(4):327-42. doi: 10.1023/B:IHFE.0000043761.95636.96.
Recently, several Blue Cross plans that sponsor Health Maintenance Organizations (HMOs), among other insurance products, have sought regulatory approval to convert from a not-for-profit to a for-profit entity. We examine the impact of not-for-profit HMOs converting to for-profit status in a fixed-effects framework using HMO level data from InterStudy. Our findings indicate conversions to for-profit status do not significantly impact HMO prices, profit margins, use of hospital days or ambulatory visits, and the provision of Medicare and Medicaid products.
最近，几家赞助健康维护组织（HMO）及其他保险产品的蓝十字计划已寻求监管批准，以从非营利性实体转变为营利性实体。我们使用来自InterStudy的HMO层面数据，在固定效应框架下研究非营利性HMO转变为营利性状态的影响。我们的研究结果表明，转变为营利性状态并不会对HMO的价格、利润率、住院天数或门诊就诊次数的使用，以及医疗保险和医疗补助产品的提供产生显著影响。
