S/HMO versus TEFRA HMO enrollees: analysis of expenditures.

Autor: Dowd B; Division of Health Services Research and Policy, University of Minnesota, 420 Delaware Street SE, Box 729 Mayo, Minneapolis, MN 55455, USA. dowdx001@tc.umn.edu, Hillson S, VonSternberg T, Fischer LR
Jazyk: angličtina
Zdroj: Health care financing review [Health Care Financ Rev] 1999 Summer; Vol. 20 (4), pp. 7-23.
Abstrakt: This study compares expenditures on health care services for enrollees in a social health maintenance organization (S/HMO) and a Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)-risk Medicare health maintenance organization (HMO). In addition to the traditional Medicare services covered by the TEFRA HMO, the S/HMO provided a long-term care (LTC) benefit and case management services for chronic illness. There do not appear to be any overall savings associated with S/HMO membership, including any savings from substitution of S/HMO-specific services for other, traditional services covered by both the S/HMO and the TEFRA HMO.
Databáze: MEDLINE
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