Article: HMO penetration, competition, and risk-adjusted hospital mortality. (Articles).(Statistical Data Included)

Quality of care provided by HMOs is of major concern to the public and its representatives who are charged with formulating health care policy. Recently these concerns have translated into legislative initiatives at both the federal and state levels, often labeled "patients' bills of rights." These concerns focus on the quality of care HMOs provide to their enrollees. Left out of the public debate to date is the potential effect that HMOs may have on the quality of care provided to non-HMO patients. The continuing increase in HMO enrollment, HMOs' dominance in many local health care markets, and HMOs' effect on health care expenditures through deceleration of historical ...

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