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Savings estimate for a Medicare insured group.
First Author
Birnbaum, Howard
Date of Pub
1991 Summer
Other Authors
Hoffman, Kevin; Holland, Stephen K; Lenhart, Gregory M; Pardo, Dennis P; Reilly, Helena L
Estimates of the savings potential of a managed-care program for a Medicare retiree population in Michigan under a hypothetical Medicare insured group (MIG) are presented in this article. In return for receiving an experience-rated capitation payment, a MIG would administer all Medicare and employer complementary benefits for its enrollees. A study of the financial and operational feasibility of implementing a MIG for retirees of a national corporation involving an analysis of 1986 claims data finds that selected managed-care initiatives implemented by a MIG would generate an annual savings of 3.8 percent of total (Medicare plus complementary) expenditures. Although savings are less than the 5 percent to be retained by Medicare, this finding illustrates the potential for savings from managed-care initiatives to Medicare generally and to MIGs elsewhere, where savings may be greater if constraints are less restrictive.
Abstract Continued
Aged : Capitation Fee : Cost Control/methods : Feasibility Studies : Health Expenditures/statistics & numerical data : Health Services/utilization : Human : Industry/economics : Managed Care Programs/economics : Medicare/organization & administration : Michigan : Retirement/economics : Support, U.S. Gov't, Non-P.H.S. : United States : United States Health Care Financing Administration
NTIS Number