Beneficiary selection, use, and charges in two Medicare capitation demonstrations.
Kasper, Judith D
Date of Pub
McCombs, Jeffrey S; Riley, Gerald F; Stevenson, Mary A
Findings with regard to health status, service use, and charges are presented for Medicare beneficiaries who received care
under Medicare risk contracts with two health maintenance organizations from 1980 through 1982 and for fee-for-service comparison
groups. Health status of plan enrollees and fee-for-service beneficiaries were compared using mortality data, preenrollment
claims, and self-reported health measures. Patterns of use and expenditures during preenrollment and postenrollment periods
were examined using Medicare records and data supplied by the plans.
Capitation Fee : Fees and Charges : Health : Health Status : Aged : Data Collection : Evaluation Studies : Female : Health
Maintenance Organizations/utilization : Hospitals/utilization : Human : Male : Massachusetts : Medicare/statistics & numerical
data : Middle Age : Mortality : Pilot Projects : Wisconsin