Social health maintenance organizations' service use and costs, 1985-89.
Date of Pub
Presented in this article are aggregate utilization and financial data from the four social health maintenance organization
(S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project
conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in
addition to the basic HMO benefit package, had higher start up costs and financial losses over the first 5 years than expected,
and controlling costs continues to be a challenge to the sites and their sponsors.
Aged : California : Chronic Disease/economics : Comprehensive Health Care/economics : Financial Management/statistics & numerical
data : Health Expenditures/statistics & numerical data : Health Maintenance Organizations/economics/utilization : Hospitalization/statistics
& numerical data : Human : Income/statistics & numerical data : Medicare/utilization : Minnesota : New York City : Oregon
: Pilot Projects : Support, U.S. Gov't, Non-P.H.S. : United States