Project Categories

Manacled Competition: Limiting Health Insurance Choices

Award Year: 2005 Investigator: Yaniv Hanoch, Thomas Rice
With all the new options now available to Medicare recipients, both seniors and policymakers are asking a relatively simple question: is "more" the same as "better"? Are the many choices producing better health care decisions, or do they so confound seniors that they are more likely to make bad decisions that hurt their quality of care? Co-investigators Thomas H. Rice, Ph.D. and Yaniv Hanoch, Ph.D.

Partially Managed Competition: How Much is Enough?

Award Year: 1998 Investigator: Richard Kronick
Public policy, at the federal and state levels, assumes that competition among health plans will produce increased value for consumers. But the managed competition theory on which much of this is based assumes that the market would, in fact, be managed. In reality, neither large employers nor government payers are fulfilling their roles as sponsors and fully managing competition as the theory suggested they should.

Limit-Setting in Managed Care and Other Health Delivery Systems: Legitimacy, Fair Process, and the Goals of Health Care Reform

Award Year: 1997 Investigator: Norman Daniels
This project integrates theoretical work on justice and health care with practical research on decision-making and limit-setting in managed care organizations (MCOs). Dr. Daniels explores the issue of legitimacy and its role in decisions by private insurers and governments that affect patient welfare.

The Corporate Consolidation of American Managed Care

Award Year: 1996 Investigator: Bradford Gray
Among the most sweeping changes in health care during the last two decades is the horizontal integration of managed care. Over two-thirds of HMOs are now part of for-profit national or multi-plan firms. Dr. Gray examines how the corporate consolidation of the HMO industry has changed responsiveness, power, and accountability in the health care system.

Accountable Health Care: Competing Interests, Goals and Policy Approaches

Award Year: 1994 Investigator: Marc Rodwin
This project explores the quest for responsible health care by examining the accountability of physicians, administrators, and organizations to consumers of health care, payers, and the general public. Accountability is looked at in the context of managed care organizations. Particular emphasis is placed on examining tensions and trade-offs among competing parties, and how changes in health policy affect accountability. Dr.