Reversal of fortune: Medicare+Choice collides with market forces.

Medicare contracting risk/Medicare risk contracting: a life-cycle view from twelve markets.

OBJECTIVE To examine the evolution of the Medicare HMO program from 1996 to 2001 in 12 nationally representative urban markets by exploring how the separate and confluent influences of government policy initiatives and health plans' strategic aims and operational experience affected the availability of HMOs to Medicare beneficiaries. DATA SOURCE Qualitative data gathered from 12 nationally re...

Social and Economic Determinants of Medicare Managed Care Participation

Review is dedicated to examining the social and economic determinants of Medicare managed care participation, to learn from past experiences and to anticipate future concerns. The seven theme articles examine and help to explain: • How economic factors impact the decision by managed care plans to select their market areas. • The role of social and economic factors in explaining the decision ben...

Reversal of fortune: commercial HMOs in the Medicaid market.

Between 1992 and 1996 the number of health maintenance organizations (HMOs) entering the Medicaid market grew at an average annual rate of approximately 22 percent. Participation among all ownership segments grew, resulting in a broad distribution of beneficiaries across the HMO industry. However, recent declines in financial performance within the industry appear to be more dramatic for plans ...

Speculations on the Stationary State

What is the historical significance of the implosion of neo-liberalism, coming less than twenty years after the collapse of the Soviet Union? A disconcerting thought experiment suggests itself. The ussr, it might be recalled, had reached the summit of its power in the 70s, shortly before stumbling downward into a spiral of retrenchment, drift and collapse. Could a comparable reversal of fortune...

The market comes to Medicare: adding choice and protections.