Health Insurance and Public Policy: Risk, Allocation, and Equity

By Miriam K. Mills; Robert H. Blank | Go to book overview
2.
Information from Employee Benefit Research Institute as reported in Faltermayer, 1990.
3.
The most recent data show that Medicaid costs for medical services were $45.1 billion in 1987, up from $16.2 billion a decade earlier.
4.
The other two types of asset specificity are site specificity and human asset specificity. Although human asset specificity can account for the choice of vertical integration to organize direct providers ( Alchian and Demsetz, 1972; Jacobson, 1988), the analysis of the Arizona program does not show that it plays a role in the vertical integration of the financing function.
5.
Information was collected from published description studies, articles printed in Arizona newspapers, and discussions with AHCCCS personnel.
6.
Managed care plans are prepayment health plans. They are termed "managed" care because they intervene in the day-to-day management of medical treatment and provide treatment on a budget that has already been set.
7.
An IPA is different from a group practice HMO in that the individual doctors remain in their own private practices. Also, as owners of the plan, the physicians are collectively at risk for the costs incurred.

REFERENCES

Alchian Armen A. and Harold Demsetz. 1972. "Production, Information Costs and Economic Organization." American Economic Review 62 (December):777- 95.

Aleshire Peter. 1990. "Arizona Will Try Small-firm Insurance," Arizona Republic, March 5:C1, C2.

Christianson Jon B. and Diane G. Hillman. 1986. Health Care for the Indigent and Competitive Contracts: The Arizona Experience. Ann Arbor, MI: Health Administration Press.

Christianson Jon B., Bradford L. Kirkman-Liff, Teddylen A. Guffey, and James R. Beeler . 1987. "Nonprofit Hospitals in a Competitive Environment: Behavior in the Arizona Indigent Care Experiment." Hospital and Health Services Administration, November:475-91.

Doeringer Peter B. and Michael J. Piore. 1971. "Theories of Low-wage Labor Worker." In Readings in Labor Economics and Labor Relations, L. G. Reynolds , S. H. Masters, and C. H. Moser, Englewood Cliffs, NJ: Prentice-Hall.

Faltermayer Edmund. 1990. "How to Close the Health Care Gap." Fortune, May 21:123-34.

Jacobson Carol K. 1988. "Strategic Linkages Between Hospitals and Physicians: A Transaction Cost Analysis." Unpublished doctoral dissertation.

Jones Gareth R. and Charles W. L. Hill. 1988. "Transaction Cost Analysis of Strategy-structure Choice." Strategic Management Journal 9 (March- April):159-72.

Kirkman-Liff, Bradford L., Jon B. Christianson, and Diane G. Hillman. 1985. "An Analysis of Competitive Bidding by Providers for Indigent Medical Care Contracts." Health Service Research 20(5):549-77.

Kirkman-Liff, Bradford L., Jon B. Christianson, and Tracy Kirkman-Liff. 1987. "The Evolution of Arizona's Indigent Care System." Health Affairs, Winter:46-58.

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