Do "any willing provider" and "freedom of choice" laws affect HMO market share?

The Effect of Any Willing Provider and Freedom of Choice Laws on Prescription Drug Expenditures

Any Willing Provider and Freedom of Choice laws restrict the ability of managed care entities, including pharmacy benefit managers, to selectively contract with providers. The managed care entities argue this limits their ability to generate cost savings, while proponents of the laws suggest that such selective contracts limit competition, leading to an increase in aggregate costs. We examine t...

Any-willing-provider and freedom-of-choice laws: an economic assessment.

Regulatory restrictions on selective contracting: an empirical analysis of "any-willing-provider" regulations.

"Any-willing-provider" (AWP) laws compel managed care plans to accept any provider willing to accept the plan's terms and conditions, potentially undermining managed care's ability to constrain spending. However. AWP laws potentially respond to inefficient risk-selection by providers of managed care. With risk selection, observed reductions in expenditures in the managed care sector may be offs...

Health maintenance organization environments in the 1980s and beyond

Throughout the past decade, health maintenance organizations (HMOs) were buffeted by dramatic regulatory and competitive changes. In this article, literature of the 1980s is reviewed to update our knowledge on the HMO industry and to suggest future research. The influence of intensified competition on these organizations and the determinants of market entry, expansion, and exit are examined. Th...

Economic valuation: Is the society willing to pay for conservation of Hoor-al-Azim Wetland?

Examining society’s preferences for any change in the status of wetlands, can translate their direct and indirect benefits into monetary values and provide useful information for the policy makers and planners. Hoor-al-Azim Wetland (also Hoor-al-Hoveizeh) is one of the four large wetlands with an area of over 125 thousand hectares located in Khuzestan province located in southwestern Iran on it...