Capture market share, raise prices

Southwest Journal of Pulmonary and Critical Care

Robbins RA¹ 

[1] Phoenix Pulmonary and Critical Care Research and Education Foundation, Gilbert, AZ USA;

关键词: market share;    healthcare costs;    Affordable Care Act;    Obamacare. economies of scale;    fee-for-service;    United States;    health insurance;    premiums;    Arizona;    New Mexico;   

DOI  :  10.13175/swjpcc115-15

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. Two principles in medical economics central to the Affordable Care Act (ACA) were dealt blows by recently published studies. The first principle is the belief that economies of scale will result in lower prices. The theory is that larger insurers will have lower prices because they are more administratively efficient. The second principle is that provider-owned health plans, usually hospitals, will reduce premiums. The theory is thatby controlling doctors over charging health plans in a fee-for-service model will lower prices. The first study published in Technology Science found that the largest insurer in each of the states served by HealthCare.gov raised their prices in 2015 by an average of over 10 per cent compared to smaller competitors in the same market (1). Those steeper price hikes for monthly premiums did not seem warranted by the level of health claims which did not significantly differ as a percentage of premiums ...

【 授权许可】

Unknown