| Potential effects of managed competition in rural areas. | |
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MedLine Citation:
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PMID: 10165706 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article assesses the extent to which managed competition could be successful in rural areas. Using 1990 Medicare hospital patient origin data, over 8 million rural residents were found to live in areas potentially without provider choice. Almost all of these areas were served by providers who compete for other segments of their market. Restricting use of out-of-State providers would severely limit opportunities for choice. These findings suggest that most residents of rural States would receive cost benefits from a managed competition system if purchasing alliances are carefully defined, but consideration should be given to boundary issues when forming alliances. |
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Authors:
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R T Slifkin; T C Ricketts; H A Howard |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Health care financing review Volume: 17 ISSN: 0195-8631 ISO Abbreviation: Health Care Financ Rev Publication Date: 1996 |
Date Detail:
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Created Date: 1997-04-24 Completed Date: 1997-04-24 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7909994 Medline TA: Health Care Financ Rev Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 143-56 Citation Subset: H |
Affiliation:
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Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill 27599, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Catchment Area (Health)
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economics* Consumer Participation Group Purchasing Health Care Surveys / methods Health Services Accessibility Hospitals, Rural / utilization Insurance Pools Managed Competition / utilization* Medicare / economics, utilization* Quality of Health Care Rural Health Services / economics, standards, utilization* United States |
| Grant Support | |
ID/Acronym/Agency:
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CRS000002/RS/DRS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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