Child development services in Medicaid managed care organizations

Berry, Carolyn A.; Butler, Pamela M; Budetti, Peter P.

doi:10.1046/j.1467-0658.2001.00127.x

Cited by 1 publication

(2 citation statements)

References 12 publications

(9 reference statements)

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“…Increasingly, researchers are using geopolitical boundaries, either counties or MSAs, for markets given their convenience and the lack of national data from all payers to assess patient flows (Bernstein and Gauthier 1998). An additional advantage of using MSAs is that this market measure is consistent with the SNH identification approach developed by Zuckerman et al Berry et al (2000). 14 For the nonprofit measures, we combined voluntary nonprofit and public hospitals.…”

Section: Discussion and Study Implicationsmentioning

confidence: 99%

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U.S. Hospital Industry Restructuring and the Hospital Safety Net

Bazzoli¹,

Manheim²,

Waters³

2003

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The U.S. hospital industry was reshaped during the 1990s, with many hospitals becoming members of health systems and networks. Our research examines whether safety net hospitals (SNHs) were generally included or excluded from these arrangements, and the factors associated with their involvement. Our analysis draws on the earlier work of Alexander and Morrisey (1988), and not only studies factors affecting SNH participation in multihospital arrangements but also updates their earlier study. We constructed measures for hospital market conditions, management, and mission, and examined network and system affiliation patterns between 1994 and 1998. Our findings suggest that larger and more technically advanced hospitals joined systems in the 1990s, which contrasts with 1980s findings that smaller, financially weak institutions joined systems. Further, SNH participation in networks and systems was more common when hospitals faced less market pressure and where only a limited number of unaffiliated hospitals remained. If networks and systems are key parties in negotiating with private payers, SNHs may be going it alone in these negotiations in highly competitive markets.

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Section: Discussion and Study Implicationsmentioning

confidence: 99%

“…Given the timing of the institute's efforts to develop these data, we do not have 1993 data but instead use 1994 data for our base measure. Those interested in learning more about this database should see Berry et al (2000). 14 For the nonprofit measures, we combined voluntary nonprofit and public hospitals.…”

Section: Notesmentioning

confidence: 99%