Savings estimate for a Medicare insured group
| Autor: | Birnbaum, Howard, Holland, Stephen K., Lenhart, Gregory, Reilly, Helena L., Hoffman, Kevin, Pardo, Dennis P. |
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| Jazyk: | angličtina |
| Rok vydání: | 1991 |
| Předmět: |
Michigan
Retirement integumentary system Cost Control Managed Care Programs Health Services Medicare Centers for Medicare and Medicaid Services U.S United States stomatognathic diseases stomatognathic system Feasibility Studies Humans Industry Capitation Fee Health Expenditures health care economics and organizations Research Article Aged |
| Zdroj: | Health Care Financing Review |
| ISSN: | 1554-9887 0195-8631 |
| Popis: | Estimates of the savings potential of a managed-care program for a Medicare retiree population in Michigan under a hypothetical Medicare insured group (MIG) are presented in this article. In return for receiving an experience-rated capitation payment, a MIG would administer all Medicare and employer complementary benefits for its enrollees. A study of the financial and operational feasibility of implementing a MIG for retirees of a national corporation involving an analysis of 1986 claims data finds that selected managed-care initiatives implemented by a MIG would generate an annual savings of 3.8 percent of total (Medicare plus complementary) expenditures. Although savings are less than the 5 percent to be retained by Medicare, this finding illustrates the potential for savings from managed-care initiatives to Medicare generally and to MIGs elsewhere, where savings may be greater if constraints are less restrictive. |
| Databáze: | OpenAIRE |
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