title: Another vicious cycle?
abstract: Just when HMOs seemed to break the old indemnity underwriting cycle, along came last year's landslide losses. Now analysts see a more deliberate pattern shaping up: When profits soar, marketers win rate cuts. When the bottom line finally bottoms out, underwriters prevail--and rate hikes follow.
authors.forename: C
authors.initials: C
authors.lastname: Serb
mesh_terms: D000206:Actuarial Analysis; D002204:Capitation Fee; D003625:Data Collection; D019981:Health Care Sector / Q000639:trends; D006279:Health Maintenance Organizations / Q000191:economics* / Q000706:statistics & numerical data; D007182:Income / Q000706:statistics & numerical data / Q000639:trends*; D011907:Rate Setting and Review; D014481:United States