HMOs’ Consumer-Friendliness and Preventive Health Care Utilization: Exploratory Findings from the 2002 Medical Expenditure Panel Survey
QIAN XIAO and GRANT T. SAVAGE
JHHSA, Vol. 31 No. 2, (2008)
Research should move beyond the simple dichotomy between HMO and non-HMO care provision, and embrace the multidimensional aspects of HMOs. Doing so, we argue, helps address the issue of HMO performance. We used a consumer-centered approach to distinguish multiform HMOs and asked the questions, “Do HMOs differ in their consumer-friendly characteristics?” and if so, “Are these characteristics associated with different preventive health care utilization outcomes?” In this exploratory study, the consumer-friendly characteristics of both Medicaid HMOs and private HMOs were examined in relationship to consumers’ utilization of preventive care services. HMOs did differ in their consumer-friendly characteristics, and some of these characteristics were significantly associated with the utilization of preventive care services.
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