Discretionary Hospital Use and Diagnostic Risk Adjustment of Medicare HMO Capitation Rates
Article Abstract:
Medicare HMOs have been successful in controlling costs by reducing discretionary hospitalizations. The health maintenance organization industry is worried that using a diagnostic risk adjustment model based solely on diagnoses from controlling costs will penalize Medicare HMOs.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2000
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PACE and the Medicare+Choice Risk-Adjusted Payment Model
Article Abstract:
This study examines the impact of the Medicare cost payment model on the Program of All-Inclusive Care for the Elderly (PACE).
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2001
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The effects of reinsurance in financing children's health care
Article Abstract:
The advantages of awarding reinsurance under State Children's Health Insurance Program, which enhances financial scenario of health plan groups, are presented.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2006
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- Abstracts: Costs of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study. How Consumer Assessments of Managed Care Vary Within and Among Markets