title: Health plan responses to managed care regulation.
abstract: Little effort has been made to understand operational responses of health plans to the cascade of regulation imposed on them in the past decade. Using data from the Community Tracking Study, we cast some light on this area and illustrate how regulatory initiatives have produced both intended and unintended consequences. The findings both confirm speculation about regulatory effects and reveal some surprising and troubling developments.
authors.affiliation: Department of Health Administration, Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Hurley
authors.forename: Debra A
authors.initials: DA
authors.lastname: Draper
mesh_terms: D033161:Government Regulation; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D019538:Health Care Surveys; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence*; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence; D006801:Humans; D007342:Insurance Benefits / Q000331:legislation & jurisprudence; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence; D008137:Longitudinal Studies; D020403:Patient Freedom of Choice Laws; D028701:Patient Rights / Q000331:legislation & jurisprudence; D011787:Quality of Health Care / Q000331:legislation & jurisprudence; D014481:United States