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Title
Adjusted community rate reforms to promote HMO participation in Medicare+Choice
First Author
Encinosa III, William E
Date of Pub
1999 Fall
Pages
19-29
Volume
21
Issue
1
Other Authors
Sappington, David E
Abstract
The authors review the financial regulations imposed on health maintenance organizations (HMOs) that participate in the Medicare+Choice program and identify elements of the regulations that may discourage HMO participation in the program. Modifications of the regulations are proposed that could encourage the participation of HMOs without affording them excessive profit. The modifications include smoothing and bounding profit estimates and authorizing and encouraging expanded use of benefit stabilization funds.
Abstract Continued
N/A
MeSH
Evaluation Studies : Health Maintenance Organizations/economics/legislation & jurisprudence : Medicare/economics/legislation & jurisprudence : Support, U.S. Gov't, non-P.H.S. : United States
NTIS Number
N/A