Ku L, Hoag S
Urban Institute, Washington, DC 20037, USA.
Inquiry. 1998 Fall;35(3):332-45.
In 1994 and 1995, Tennessee, Hawaii, Rhode Island, and Oklahoma began massive expansions of Medicaid managed care, growing from three health plans covering a few enrollees to 27 plans covering the great majority a year later. Some firms aggressively pursued expansion, while others had very limited business objectives. Although established insurers often dominated the Medicaid markets, newly developed firms, some provider-sponsored, were also important. Despite the relatively low Medicaid capitation rates in the 1996-97 period, Medicaid plans in three states had an average 1% net profit margin.
1994年和1995年，田纳西州、夏威夷州、罗德岛州和俄克拉荷马州开始大规模扩张医疗补助管理式医疗，从覆盖少数参保人的三家健康计划发展到一年后覆盖绝大多数人的27家计划。一些公司积极寻求扩张，而另一些公司的商业目标则非常有限。尽管老牌保险公司在医疗补助市场往往占据主导地位，但新成立的公司，包括一些由医疗服务提供者发起的公司，也很重要。尽管在1996 - 1997年期间医疗补助的人均付费率相对较低，但三个州的医疗补助计划平均净利润率为1%。
