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associated with decreases Baker changes in expenditures changes in market changes in Medicare correlation decreases in expenditures effect of HMOs effects of managed effects of Medicare effects of system-wide equation estimates expenditure growth expenditures per beneficiary F-statistics fixed effects HCSAs health care market health care system HMO market share increases in HMO increases in market increases in Medicare increases in system-wide induce demand influence expenditures initial level levels of HMO managed care activity managed care organizations market area Martin Feldstein Medicare and system-wide Medicare expenditures Medicare FFS expenditures Medicare HMO enrollment Medicare HMO market Medicare market share models Moving from 30 natural logarithm NBER Working Papers non-managed-care patients non-Medicare percent are associated percent change percentage point increases previous studies results suggest risk HMO selection bias service area share and expenditures share are associated system-wide HMO activity system-wide HMO market system-wide managed system-wide market share Table utilization