The Effects of Market Structure and Payment Rate on the Entry of Private Health Plans into the Medicare Market.
Private insurance firms participating in Medicare can offer up to three principal plan types: coordinated care plans (CCPs), prescription drug plans (PDPs), and private fee-for-service (PFFS) plans. Firms can make entry and marketing decisions separately across plan types and geographic regions. In...
| Published in: | Inquiry (00469580) Vol. 49; no. 1; pp. 15 - 37 |
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| Main Authors: | , , |
| Format: | Article |
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Sage Publications Inc.
Spring2012
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=75195947&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 75195947 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: Spring2012 vid: 49 iid: 1 pid: 344 pub: Sage Publications Inc. artinfo: ui: 75195947 10.5034/inquiryjrnl_49.01.03 ppf: 15 ppct: 22 formats: tig: atl: The Effects of Market Structure and Payment Rate on the Entry of Private Health Plans into the Medicare Market. aug: au: Frakt, Austin B. Pizer, Steven D. Feldman, Roger affil: Health economist, Health Care Financing & Economics, VA Boston Healthcare System Assistant professor, Boston University's School of Medicine and School of Public Health Associate professor of health policy and management, Boston University School of Public Health Blue Cross Professor of Health Insurance, University of Minnesota School of Public Health su: Economic impact Medicare Marketing Economic competition Computer simulation Statistical correlation Cost control Forecasting Insurance Health insurance Pharmaceutical services insurance Managed care programs Mathematical models Medical needs assessment Medical care costs Population geography Profit Regression analysis Research Research funding Risk management in business Statistics Private sector Eligibility (Social aspects) Fee for service (Medical fees) Patient Protection & Affordable Care Act United States sug: subj: United States Economic impact Medicare Marketing Economic competition Computer simulation Statistical correlation Cost control Forecasting Insurance Health insurance Pharmaceutical services insurance Managed care programs Mathematical models Medical needs assessment Medical care costs Population geography Profit Regression analysis Research Research funding Risk management in business Statistics Private sector Eligibility (Social aspects) Fee for service (Medical fees) Patient Protection & Affordable Care Act ab: Private insurance firms participating in Medicare can offer up to three principal plan types: coordinated care plans (CCPs), prescription drug plans (PDPs), and private fee-for-service (PFFS) plans. Firms can make entry and marketing decisions separately across plan types and geographic regions. In this study, we estimate firm-level models of Medicare private plan entry using data from the years 2007 to 2009. Our models include a measure of market structure and separately identify CCP, PDP, and PFFS entry. We find evidence that entry barriers associated with CCP market concentration affect all three product types. We also find evidence of cross-product competition and common cost or demand factors that make entry with certain product combinations more likely. We predict that the market presence of CCPs and PFFS plans will decrease and that of PDPs will increase in response to payment reductions included in the new health reform law. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2012 holdings: @attributes: islocal: N |
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