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首页> 外文期刊>Journal of health politics, policy and law >Markets, governments, and HMO development in the 1990s.
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Markets, governments, and HMO development in the 1990s.

机译：市场，政府和HMO在1990年代的发展。

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This article examines the impact of population demographics, health market characteristics, and government purchasing and regulation on the development of the HMO industry in the 1990s. I focus on two facets of development-HMO market share and the number of HMOs in operation in metropolitan areas. My central findings are threefold: Population size is a critical determinant of development. Health market characteristics such as hospital expenditures and physician supply affect development, but often in ways that differ from previous periods (e.g., development is greater in areas with relatively large numbers of specialists). Both government purchasing and regulation affect development, but in ways that may be contradictory in motivation and outcome (e.g., state officials seek to contain costs through Medicaid and Medicare managed care and to enhance consumer protection and satisfaction through regulations such as coverage requirements). These results imply that in a period in which development is increasingly occurring in areas that may have unfavorable markets, policy makers (unlike in earlier eras) influence HMO supply and demand, through their roles both as purchasers and as regulators of managed care.
机译：本文研究了人口统计学，健康市场特征以及政府购买和法规对1990年代HMO产业发展的影响。我主要关注发展的两个方面-HMO市场份额和在大都市地区运营的HMO数量。我的主要发现有三点：人口规模是发展的关键因素。诸如医院支出和医师人数之类的健康市场特征会影响发展，但通常以与前期不同的方式影响发展（例如，在具有相对大量专科医生的地区发展更大）。政府采购和法规都影响发展，但动机和结果可能相互矛盾（例如，州官员试图通过Medicaid和Medicare管理的护理来控制成本，并通过诸如覆盖范围要求之类的法规来增强消费者的保护和满意度）。这些结果表明，在一个市场可能不利的地区，发展不断增长的时期，政策制定者（与早期时代不同）通过其作为购买者和管理式照护者的角色来影响HMO的供求。

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