Publications

To determine the relative importance of enrollee, physician, medical group, and healthcare plan characteristics as determinants of healthcare use and expenditures in commercially insured children <18 years of age enrolled in managed care health plans. We focused on the effects of age and benefit level, the two most important predictors of cost and utilization in our study of adults.

This study addresses two questions: (1) Does privatization affect the amount of un- compensated care provided by public hospitals? (2) Does privatization to nonprofit status have a different impact on the provision of uncompensated care than does privatization to for-profit status?

In this article, the researchers describe findings from their evaluation of the first four years’ experience of the Individual Health Coverage Program.

Risk adjustment may be a sensible strategy to reduce selection bias because it links managed care payment directly to the costs of providing services.