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Health Care Markets/Managed Care

Cost Shifting Under Managed Behavioral Health Care. S. Zuvekas, A. Rupp, G. Norquist, Psychiatric Services 58(1): January 2007, 100-108. Examines whether a managed behavioral health care organization shifted mental health treatment costs from specialty care to primary care treatment or prescription drugs. (AHRQ 07-R036)

Do Different Measures of Hospital Competition Matter in Empirical Investigations of Hospital Behavior? H. Wong, C. Zhan, R. Mutter, Review of Industrial Organization 26:2005, 61-87. Reviews the literature on hospital competition measures, recreates versions and evaluates these measures, and assesses whether different measures of hospital competition matter in empirical investigations of hospital behavior. (AHRQ 05-R050)

Do HMOs Reduce Preventable Hospitalizations for Medicare Beneficiaries? J. Basu, L. Mobley, Medical Care Research and Review 64(5): October 2007, 544-567. Uses 2001 hospital discharge abstracts for Medicare enrollees to assess the association of HMO enrollment with preventable hospitalizations among the elderly in four States: New York, Pennsylvania, Florida, and California. (AHRQ 08-R005)

Have State Caps on Malpractice Awards Increased the Supply of Physicians? W. Encinosa, F. Hellinger, Health Affairs May 2005, 250-258. Uses county-level data from all 50 States from 1985 to 2000 to examine whether laws that cap payment for noneconomic damages in malpractice cases have increased the supply of physicians. (AHRQ 06-R001)

Health Plan Liability and ERISA: The Expanding Scope of State Legislation. F. Hellinger, G. Young, American Journal of Public Health 95(2): February 2005, 217-223. Examines the intent, scope, and impact of recent laws passed in 10 States attempting to expand the legal rights of health plan enrollees to sue their plans. (AHRQ 05-R039)

The Impact of State Laws Limiting Malpractice Damage Awards on Health Care Expenditures. F. Hellinger, W. Encinosa, American Journal of Public Health August 2006, 1375-1381. Examines the impact of State tort reform laws that directly limit malpractice damage payments on health care expenditures. (AHRQ 06-R073).

The Impacts of Mental Health Parity and Managed Care in One Large Employer Group: A Reexamination. S. Zuvekas, A. Rupp, G. Norquist, Health Affairs 24(6): November/December 2005, 1668-1671. Reexamines a study published by S. Zuvekas and colleagues, which found that the number of people receiving mental health/substance abuse treatment increased by almost 50 percent after the introduction of mental health parity and a managed behavioral health care organization. Reexamines the data using multivariate panel data methods to determine the extent to which secular trends might explain the increases. (AHRQ 06-R016)

Responses of Israeli HMOs to Environmental Change Following the National Health Insurance Law: Opening the Black Box. R. Gross, M. Harrison, Health Policy 76:2006, 213-232. Highlights how the interaction among organizational history, managerial choice, and environmental constraints creates divergence in organizational responses to national policy initiatives. (AHRQ 06-R041)

Sustaining and Improving Hospital Performance: The Effects of Organizational and Market Forces. H. Jiang, B. Friedman, J. Begun, Health Care Management Review 31(3): July-September 2006, 188-196. Using data from hospitals in 10 States, examines the effects of organizational and market factors on the likelihood of becoming high-quality/low-cost providers during the period of 1997-2001. Highlights the role of previous performance, internal operations, and market competition in hospital performance improvements. (AHRQ 06-R067)

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