- Title
- Favorable selection in the Medicare+Choice program: New evidence
- First Author
- Greenwald, Leslie M
- Date of Pub
- 2000 Spring
- Pages
- 127-134
- Volume
- 21
- Issue
- 3
- Other Authors
- Ingber, Melvin J; Levy, Jesse M
- Abstract
- Historically, studying the Medicare managed care favorable-selection issue has been difficult because direct data on managed care enrollees have been unavailable. In this study, we analyzed the first year of Balanced Budget Act (BBA)-mandated inpatient encounter data. Based on this comparison of actual managed care and fee-for- service (FFS) beneficiaries, it appears that there are significant differences between these populations. The most striking differences are found in the comparison of average risk factors, indicating a clear bias in the managed care populations toward beneficiaries predicted to be less costly.
- Abstract Continued
- N/A
- MeSH
- Health Expenditures : Insurance Selection Bias : Costs and Cost Analysis : Fee-for-Service Plans : Health Care Financing Administration : Health Maintenance Organizations : Medicare : Risk Factors : United States
- NTIS Number
- N/A
