- Title
- Case management for high-cost Medicare beneficiaries
- First Author
- Schore, Jennifer L
- Date of Pub
- 1999 Summer
- Pages
- 87-101
- Volume
- 20
- Issue
- 4
- Other Authors
- Brown, Randall S; Cheh, Valerie A
- Abstract
- We estimated the effects of three Health Care Financing Administration (HCFA)-funded case management demonstrations for high-cost Medicare beneficiaries in the fee-for-service (FFS) sector. Participating beneficiaries were randomly assigned to receive case management plus regular Medicare benefits or regular benefits only. None of the demonstrations improved self-care or health or reduced Medicare spending. Despite the lack of effects of these interventions, case management might be cost-effective if it includes greater involvement of physicians, is more well-defined and goal-oriented, and incorporates financial incentives to generate savings in Medicare costs. Models incorporating these changes should be investigated before abandoning Medicare case management interventions.
- Abstract Continued
- N/A
- MeSH
- Case Management : Program Evaluation : Aged : Data Collection : Medicare : Regression Analysis : Support, U.S. Gov't, non-P.H.S. : United States
- NTIS Number
- PB2000-102444
