[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2002.013466_0.html
   My bibliography  Save this article

Health expenditures for privately insured adults enrolled in managed care gatekeeping vs indemnity plans

Author

Listed:
  • Pati, S.
  • Shea, S.
  • Rabinowitz, D.
  • Carrasquillo, O.
Abstract
Objectives. We assessed the ability of managed care gatekeeping strategies (i.e., requiring a designated primary care provider to authorize referrals) to control health care costs in the mid-1990s. Methods. We analyzed expenditure data from 8195 privately insured adults sampled in the nationally representative 1996 Medical Expenditure Panel Survey. Managed care gatekeeping plan encollees included those in health maintenance organizations and other plans requiring a primary care gatekeeper. All others were considered indemnity plan enrollees. Results. In 1996, total per capita annual health expenditures for adult gatekeeping enrollees were about $50 less than those of indemnity enrollees, primarily owing to lower out-of-pocket expenditures. After multivariate adjustment, mean per capita expenditures were approximately 6% lower for gatekeeping enrollees than for indemnity enrollees. Conclusions. In the private sector, gatekeeping strategies resulted in modest cost savings over indemnity plans.

Suggested Citation

  • Pati, S. & Shea, S. & Rabinowitz, D. & Carrasquillo, O., 2005. "Health expenditures for privately insured adults enrolled in managed care gatekeeping vs indemnity plans," American Journal of Public Health, American Public Health Association, vol. 95(2), pages 286-291.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2002.013466_0
    DOI: 10.2105/AJPH.2002.013466
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2002.013466
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2002.013466?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sebastian Gechert, 2010. "Supplementary Private Health Insurance in Selected Countries: Lessons for EU Governments?," CESifo Economic Studies, CESifo Group, vol. 56(3), pages 444-464, September.
    2. Eva Hromadkova, 2009. "Gatekeeping – Open Door to Effective Medical Care Utilisation?," CERGE-EI Working Papers wp400, The Center for Economic Research and Graduate Education - Economics Institute, Prague.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2002.013466_0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.