Reversal Of Fortune: Commercial HMOs In the Medicaid Market
- 1 January 1999
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 18 (1) , 223-230
- https://doi.org/10.1377/hlthaff.18.1.223
Abstract
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 with many Medicaid members. In addition, growing concerns about rate adequacy and volatility as well as expanding administrative demands raise questions about the long-term commitment of commercial HMOs to Medicaid participation. This paper analyzes operating characteristics and financial performance of licensed commercial HMOs from 1992 through 1996, drawing on indepth interviews with health plan executives and managed care stock analysts.Keywords
This publication has 4 references indexed in Scilit:
- Changes in health plans serving Medicaid, 1993-1996.Health Affairs, 1997
- Marketwatch: Ten Ways HMOs Have Changed During the 1990sHealth Affairs, 1997
- Physician Participation in State Medicaid ProgramsThe Journal of Human Resources, 1978