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Title
Potential effects of managed competition in rural areas.
First Author
Slifkin, Rebecca T
Date of Pub
1996 Summer
Pages
143-156
Volume
17
Issue
4
Other Authors
Howard, Hilda A; Ricketts 3d, Thomas C
Abstract
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.
Abstract Continued
N/A
MeSH
Catchment Area (Health)/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 : Support, U.S. Gov't, P.H.S. : United States
NTIS Number
PB97-104087