title: The effects of health insurance on access to new medical technologies.
abstract: We examined the use of percutaneous transluminal coronary angioplasty, kidney stone lithotripsy, and bone marrow transplant among patients with different health insurance plans in California. HMO enrollees were less likely to receive these procedures compared with fee-for-service patients. Our results have implications for the inflationary effects of technology under managed care.
authors.affiliation: University of Washington, USA.
authors.forename: S D
authors.initials: SD
authors.lastname: Ramsey
authors.forename: A L
authors.initials: AL
authors.lastname: Hillman
authors.forename: M V
authors.initials: MV
authors.lastname: Pauly
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000191:economics / Q000706:statistics & numerical data*; D016026:Bone Marrow Transplantation / Q000191:economics / Q000706:statistics & numerical data*; D002140:California / Q000453:epidemiology; D018588:Fee-for-Service Plans / Q000191:economics; D005260:Female; D006279:Health Maintenance Organizations / Q000191:economics; D006297:Health Services Accessibility / Q000191:economics*; D006302:Health Services Research; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health; D008096:Lithotripsy / Q000191:economics / Q000706:statistics & numerical data*; D008297:Male; D018579:Patient Selection; D014600:Utilization Review