Research Catalog

Participation and satisfaction in employer plans with preferrred provider organization options / Susan D. Hosek, M. Susan Marquis.

Title
Participation and satisfaction in employer plans with preferrred provider organization options / Susan D. Hosek, M. Susan Marquis.
Author
Hosek, Susan D.
Publication
Santa Monica, Calif. : Rand Corporation, 1990.

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Details

Additional Authors
  • Marquis, M. Susan
  • United States. Department of Health and Human Services
  • National Institute of Mental Health (U.S.)
  • Rand Corporation.
Description
xii, 60 p.; 23 cm.
Summary
Preferred provider organizations (PPOs) are growing rapidly in number and enrollment as an alternative to health maintenance organizations (HMOs) and traditional indemnity plans. Through their selective contracting and patient channeling mechanisms, PPOs may become an important competitive force in the health market. Their competitive impact will depend on whether they are successful in channeling a representative cross-section of patients to selected providers. Using data from five employers who offer their employees PPOs, this report investigates (1) levels of employee participation in the PPO option; (2) selection effects in the choice of health maintenance organization (HMO) vs. indemnity plans and, among those covered by an indemnity plan PPO vs. non-PPO options; and (3) satisfaction for PPO vs. non-PPO and HMO participants. The results suggest that PPOs can achieve significant patient channeling without experiencing strong adverse or favorable selection. If they can also contain costs, they should continue to grow and affect competition among health care providers.
Subject
  • Preferred Provider Organizations > utilization
  • Health Benefit Plans, Employee
  • Consumer Behavior
  • Preferred Provider Organizations
  • Insurance, Health
  • Preferred provider organizations (Medical care) > United States
  • Consumer Behavior > United States
  • United States
Note
  • "February 1990".
  • "R-3799-HHS/NIMH."
  • "Supported by the U.S. Department of Health and Human Services, [and the] National Institute of Mental Health".
Bibliography (note)
  • Includes bibliographical references (p. 59-60).
Processing Action (note)
  • committed to retain
ISBN
0833009850
OCLC
  • 24110042
  • SCSB-10268231
Owning Institutions
Harvard Library