Segmentation of hospital markets: where do HMO enrollees get care?
Health Aff (Millwood)
; 16(6): 181-92, 1997.
Article
en En
| MEDLINE
| ID: mdl-9444826
ABSTRACT
Commercially insured and Medicare patients who are not in health maintenance organizations (HMOs) tend to use different hospitals than HMO patients use. This phenomenon, called market segmentation, raises important questions about how hospitals that treat many HMO patients differ from those that treat few HMO patients, especially with regard to quality of care. This study of patients undergoing coronary artery bypass graft surgery found no evidence that HMOs in southeast Florida systematically channel their patients to high-volume or low-mortality hospitals. These findings are consistent with other evidence that in many areas of the country, incentives for managed care plans to reduce costs may outweigh incentives to improve quality.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Sistemas Prepagos de Salud
/
Puente de Arteria Coronaria
/
Mortalidad Hospitalaria
/
Hospitales
Tipo de estudio:
Clinical_trials
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Aff (Millwood)
Año:
1997
Tipo del documento:
Article
País de afiliación:
Estados Unidos