We focus on a number of topic areas identified by state health policy leaders as important to population health.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
December 2003 (Volume 81)
December 2003 | Mark A. Hall, Christopher J. Conover | Featured Article
This article surveys the full range of health policy impacts of Blue Cross conversions from nonprofit to for-profit status. It concludes that conversion increases pressures to generate more profit, which may lead to either negative or positive changes in operations. To date, there is little evidence that converted plans have raised rates faster than medical cost trends or have sharply changed medical underwriting policies. Instead, the most visible effect of conversion is more intense efforts to negotiate deeper price discounts with providers. On balance, Blue Cross conversions have so far not caused serious harm to statewide measures of health care affordability and accessibility. Still, because each state and each conversion is different, even if the historical record is clear elsewhere, it is difficult to predict the actual effects in a particular state.
Author(s): Mark A. Hall; Christopher J. Conover
Read on Wiley Online Library
Read on JSTOR
Volume 81, Issue 4 (pages 509–542)
Published in 2003
The Effect of Hospital Ownership Conversions on Nonacute Care Providers
In This Issue