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Hmo market penetration in anaheim, ca

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DATA--HMO market penetration was calculated using discharge abstract data on insurance coverage, ZIP code of residence, and hospital of choice for 3. Evaluate market penetration potential Medicare hospital information reports, hospital characteristics from the american hospital association annual survey, and hmo market penetration and competition calculated from interstudy and group health association of america data. OBJECTIVE--Health maintenance organizations HMOs have stimulated price competition in California hospital markets since , when the state legislature eliminated barriers to selective contracting by conventional health insurance plans. A telephone survey conducted in of 1, physicians who were located in the 75 largest Metropolitan Statistical Areas in Adjusted mortality rates from the!

State regulatory efforts did not prevent the pullout of the HMOs, and the state may have actually inadvertently contributed to the problem through its own HMO regulations and by not establishing managed care within its own programs in many rural counties. The CHPS formed a health plan task force and recruited a part-time executive director to implement the proposal. We believe that the costs to DMHC to collect these data would be minor and absorbable since it recently collected the information within its existing resources. Medicare Advantage Spotlight: The product of local community decision-making, this nonprofit organization has grown significantly since its creation in We further recommend that DMHC make available to the public notices filed by health plans indicating their intention to withdraw health coverage from a given area.

HMO Market Penetration and Hospital Cost Inflation in California

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California Insurance Market Share Reports

    We note that the findings and conclusions included in this report are those of the LAO, and do not necessarily represent the views of the groups or individuals cited above. A rural community may lack the population needed to make a commercial HMO financially viable there. Currently, there are other types of consortia that can be formed based on membership in professional associations. Create an Attractive Marketplace for HMOs We recommend that the Legislature consider the approach of creating a more attractive health care marketplace to encourage HMOs to resume operations in rural counties. These groups are not insurance plans but are subject to regulation by the state Department of Insurance. For example, certain types of surgeries were performed more frequently in rural areas than urban areas for individuals with the same types of medical conditions. The current role of the council could be expanded to include identifying and providing assistance to rural areas that are interested in establishing their own health care systems. Research model and propositions.

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