- Title
- S/HMO versus TEFRA HMO enrollees: Analysis of expenditures
- First Author
- Dowd, Bryan
- Date of Pub
- 1999 Summer
- Pages
- 7-23
- Volume
- 20
- Issue
- 4
- Other Authors
- Fischer, Lucy R; Hillson, Steve; VonSternberg, Tom
- Abstract
- 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.
- Abstract Continued
- N/A
- MeSH
- Health Expenditures : Health Maintenance Organizations : Program Evaluation : Tax Equity and Fiscal Responsibility Act : Aged : Chronic Disease : Data Collection : Evaluation Studies : Long-Term Care/economics : Medicare : Multivariate Analysis : Questionnaire : Support, U.S. Gov't, P.H.S. : United States
- NTIS Number
- PB2000-102444
