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Utilization Patterns of Health Maintenance Organization Disenrollees

Mary Jane Griffith, Nicholas Baloff and Edward L. Spitznagel
Medical Care
Vol. 22, No. 9 (Sep., 1984), pp. 827-834
Stable URL: http://www.jstor.org/stable/3764608
Page Count: 8
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Utilization Patterns of Health Maintenance Organization Disenrollees
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Abstract

This article addresses several questions about the effect of disenrollment on the start-up phenomenon in health maintenance organizations that were raised in a recent exchange of articles and comments in this journal. The results show that disenrollees, like continuous enrollees, go through a start-up phase of utilization that decreases over duration of membership to a stable lower level. The study also differentiates between voluntary and involuntary disenrollees, both of which go through start-ups. The different characteristics of the start-ups of both groups of disenrollees are contrasted with those of continuous enrollees. The implications of these findings for planners and administrators are discussed, and a future research agenda is recommended.

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