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For-Profit Health Plans Provide Same Access to Costly Medical Proceduresas Not-For-Profit Plans

January 26, 2004 For-Profit Health Plans Provide Same Access to Costly Medical Procedures as Not-For-Profit Plans Onlytwo (partial colectomy and closed cholecystectomy) of a dozen high-cost medical procedures were less commonly used by for-profit health plans for their enrollees than by not-for-profit health plans for theirs. For some medical procedures, the unadjusted rate of use by not-for-profit health plans was more than 20% lower than the rate of use by for-profit plans. For example, not-for-profit plans had rates of high-cost medical proceduresthat ranged from 24.6% less . . .

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