Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy


Insurance Coverage & Costs Access to Care Quality & Care Delivery Health Care Markets Employers/Consumers Health Plans Hospitals Physicians Issue Briefs Data Bulletins Research Briefs Policy Analyses Community Reports Journal Articles Other Publications Surveys Site Visits Design and Methods Data Files

Are HMO Enrollees Healthier Than Others? Results from the Community Tracking Study

Not Necessarily. Cost Considerations and Age Can be More Important Than Health Status in Decisions to Enroll in an HMO

May/June 2002
Health Affairs, Vol. 21, No. 3
Elizabeth Schaefer, James D. Reschovsky

his study begins by addressing the question of whether nonelderly privately insured HMO enrollees tend to be healthier than enrollees in other types of plans by using recent, nationally representative data from the CTS. Contrary to the conventional view that HMOs receive favorable selection, the study shows that among the privately insured, HMO enrollees are not healthier and may be slightly less healthy. To help understand that result, evidence is presented suggesting that other factors, including cost considerations, may be more important than health when people are deciding whether to enroll in an HMO.

Free access to this article is available at the Health Affairs Web site.


Back to Top
Site Last Updated: 9/15/2014             Privacy Policy
The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.