QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Home | Help | Feedback | Subscriptions | Archive | Search | Table of Contents

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (2) Citing Articles via Google Scholar Google Scholar Articles by Carroll, A. Articles by Ambrose, J. M. Search for Related Content PubMed PubMed Citation Social Bookmarking                   What's this?

Any-Willing-Provider Laws: Their Financial Effect on HMOs

Jan M. Ambrose
La Salle University

Abstract.

Any-Willing-Provider (AWP) legislation requires that health plans accept any health care provider who agrees to conform to the plan's conditions, terms, and reimbursement rates. Many states have adopted such legislation, raising questions about its effect on the managed care market. Those favoring this legislation argue that it will reduce restrictions on choice of provider, while opponents argue that it will reduce competition by increasing administrative and medical costs for managed care plans. Using cross-sectional time-series data for the period 1992–1995 (the period during which many of these laws were enacted), this study investigates the effect that these laws have on HMO financial performance. Our results show that "all-provider" AWP laws have a very limited effect on the financial performance measures we examine. "Pharmacy" AWP laws have a more significant effect, but neither type of law appears to affect the overall profitability of HMOs.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				K. Kronebusch, M. Schlesinger, and T. Thomas Managed Care Regulation in the States: The Impact on Physicians' Practices and Clinical Autonomy Journal of Health Politics Policy and Law, April 1, 2009; 34(2): 219 - 259. [Abstract] [PDF]

				T. Hansen-Turton, A. Ritter, and R. Torgan Insurers' Contracting Policies on Nurse Practitioners as Primary Care Providers: Two Years Later Policy Politics Nursing Practice, November 1, 2008; 9(4): 241 - 248. [Abstract] [PDF]

				M. E. Chernew, W. P. Wodchis, D. P. Scanlon, and C. G. McLaughlin Overlap In HMO Physician Networks Health Aff., March 1, 2004; 23(2): 91 - 101. [Abstract] [Full Text] [PDF]