Beneficiary selection, use, and charges in two Medicare capitation demonstrations
- 1 January 1988
- journal article
- Vol. 10 (1) , 37-49
Abstract
Findings with regard to health status, service use, and charges are presented for Medicare beneficiaries who received care under Medicare risk contracts with two health maintenance organizations from 1980 through 1982 and for fee-for-service comparison groups. Health status of plan enrollees and fee-for-service beneficiaries were compared using mortality data, preenrollment claims, and self-reported health measures. Patterns of use and expenditures during preenrollment and postenrollment periods were examined using Medicare records and data supplied by the plans.Keywords
This publication has 24 references indexed in Scilit:
- Medicare risk contracting. Lessons from an unsuccessful demonstrationPublished by American Medical Association (AMA) ,1987
- The Municipal Health Services Program. Improving access to primary care without increasing expenditures.1986
- Choice of Payment Plan in the Medicare Capitation DemonstrationMedical Care, 1986
- COMPARISON OF HEALTH OUTCOMES AT A HEALTH MAINTENANCE ORGANISATION WITH THOSE OF FEE-FOR-SERVICE CAREThe Lancet, 1986
- Capitation And Conflict Of InterestHealth Affairs, 1986
- A Controlled Trial of the Effect of a Prepaid Group Practice on Use of ServicesNew England Journal of Medicine, 1984
- The use and costs of Medicare services in the last 2 years of life1984
- HMO Enrollment of Medicare Recipients: An Analysis of Incentives and BarriersJournal of Health Politics, Policy and Law, 1984
- Evidence for Self-selection Among Health Maintenance Organization EnrolleesJAMA, 1983
- Risk Differential Between Medicare Beneficiaries Enrolled and Not Enrolled in an HMO1980