Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy

Advanced Search Instructions

You can refine your search with the following modifiers:

* Use an to perform a wildcard search.Example: prescript* would return "prescription", "prescriptions" etc.
"" Use quotes to match a phrase.Example: "prescription drug" only returns results where the words are next to each other.
+ Use a plus sign to perform a search where the additional term MUST be part of the page.Example: prescription +drug
- Use a minus sign to perform a search where the additional term SHOULD NOT be part of the page.Example: prescription -drug
< > Use a < > sign to perform a search where the additional term should be of greater or lesser importance in the search.Example: prescription >drug
Find pages with the word precription with additional importance for the word drug.
( ) Use parentheses to group different search terms together.Example: prescription (+medicare -drug)
 

Insurance Coverage & Costs Access to Care Uninsured and Low-Income Racial/Ethnic Disparities Safety Net Providers Community Health Centers Hospitals Physicians Insured People Quality & Care Delivery Health Care Markets Issue Briefs Data Bulletins Research Briefs Policy Analyses Community Reports Journal Articles Other Publications Surveys Site Visits Design and Methods Data Files


 
 

Peter Kemper

 
 

James D. Reschovsky

 
     
 
 

Managed Care Woes:

May 1998
Issue Brief No. 13
 
 

Do HMOs Make a Difference?

Winter 1999/2000
Inquiry
 
 

Do HMOs Make a Difference?

Winter 1999/2000
Inquiry
 
 

Do HMOs Make a Difference?

Winter 1999/2000
Inquiry
 
 

Do HMOs Make a Difference?

Winter 1999/2000
Inquiry
 
 

Do HMOs Make a Difference?

Winter 1999/2000
Inquiry
 
 

Managed Care Backlash:

October 1999
Journal of Health Policy, Politics and Law
 
     
 
 

Do HMOs Make a Difference?

Comparing Access, Service Use and Satisfaction Between Consumers in HMOs and Non-HMOs
 
     

Do HMOs Make a Difference?

Introduction

Winter 1999/2000
Inquiry, vol.36, no.4 (Winter 1999/2000): 374-377
James D. Reschovsky, Peter Kemper

he study presented in this and the following five papers analyzes how health maintenance organizations (HMOs) affect privately insured individuals’ access to health care, use of services, and assessments of care. Using a common data source and methodology, the study examines differences in a braod range of measures between HMOs and other types of insurance, controlling for health status and an extensive set of other individual characteristics and market location. HMO/non-HMO differences also are examined across population subgroups defined by health status, income, race and age. Data come from the Community Tracking Study Household Survey, a recent, large national survey. Findings show that a person’s type of health insurance coverage has little effect on the likelihood of unmet or delayed needs for medical care in the aggregate, but the types of access problems faced by HMO and non-HMO enrollees differ. HMO enrollees are less likely to face financial barriers to care, but more likely to face barriers related to the organization of care delivery. HMO enrollees use more ambulatory and preventive care, but results show no differences in hospital, surgery, and emergency room use. Compared with other types of insurance, physician visits under HMOs are more likely to be to primary care physicians than to specialists. Finally, across nearly all measures of patients’ satisfaction, ratings of their last doctor’s visit, and trust in their physicians, HMO enrollees’ assessments of care are lower than those of people not in HMOs. Across all measure, the study finds few subgroup differences.

For a full copy please visit Inquiry.

 

Back to Top