Trends in managed care contracting among U.S. hospitals.
This article describes the changing profile of hospitals initiating managed care contracts as of 1992. Based on statistical tests, early contractors rank higher on profitability, case mix, bed size, affiliation, and urban location. In contrast, recent and noncontractors are predominantly rural, freestanding hospitals with low case mix, low profitability, high subacute services, and government ownership. A number of lessons for the future are drawn and a stage-by-stage approach to studying managed care issues is proposed.
Gautam
K
K
Department of Health Administration, School of Public Health, Saint Louis University, Missouri, USA.
Campbell
C
C
Arrington
B
B
D000046:Academic Medical Centers; D002391:Catchment Area, Health; D003284:Contract Services / Q000706:statistics & numerical data / Q000639:trends; D003625:Data Collection; D005377:Financial Management, Hospital; D006739:Hospital Administration / Q000706:statistics & numerical data / Q000639:trends*; D017721:Hospital Costs; D006777:Hospitals, Proprietary; D006779:Hospitals, Public; D006780:Hospitals, Rural; D016015:Logistic Models; D008329:Managed Care Programs / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D008389:Marketing of Health Services / Q000706:statistics & numerical data*; D016017:Odds Ratio; D009935:Organizational Affiliation; D010067:Ownership; D012051:Reimbursement Mechanisms; D014481:United States