Health Affairs

Health Affairs, 24, no. 2 (2005): 473-482 doi: 10.1377/hlthaff.24.2.473 © 2005 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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The Impact Of Blue Cross Conversions On Health Spending And The Uninsured

Christopher J. Conover, Mark A. Hall and Jan Ostermann

Using statewide data on health spending and uninsurance rates, we investigate the impact of Blue Cross conversions on health care costs and coverage. We find mixed results, with some conversion states improving their performance on either or both measures relative to the national average and others experiencing a decline. A multivariate analysis suggests that overall, the impact of Blue Cross conversion may be to reduce hospital and total spending, but whether this effect endures depends in part on how "conversion" is defined. State policymakers and regulators might find these results useful in considering future Blue Cross conversions.

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