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Title
Social/health maintenance organization and fee-for-service health outcomes over time.
First Author
Manton, Kenneth G
Date of Pub
1993 Winter
Pages
173-202
Volume
15
Issue
2
Other Authors
Harrington, Charlene; Lowrimore, Gene R; Newcomer, Robert; Vertrees, James C
Abstract
Evaluating the performance of long-term care (LTC) demonstrations requires longitudinal assessment of multiple outcomes where selective mortality and disenrollment, if not accounted for, can give the appearance of reduced (or enhanced) efficacy. We assessed outcomes in social/health maintenance organizations (S/HMOs) and Medicare fee-for-service (FFS) care using a multivariate model to estimate active life expectancy (ALE). S/HMO enrollees and samples of FFS clients in four sites were analyzed and outcome differences assessed for a 3-year period. Results provide insights into S/HMO performance under different conditions and, more generally, into evaluating LTC demonstrations without randomized client and control groups.
Abstract Continued
N/A
MeSH
Treatment Outcome : Activities of Daily Living : Aged : Capitation Fee/standards : Comparative Study : Cost-Benefit Analysis : Diagnosis-Related Groups/statistics & numerical data : Fees, Medical/statistics & numerical data : Female : Health Maintenance Organizations/economics/statistics & numerical data : Health Services for the Aged/economics/statistics & numerical data : Health Services Research : Human : Insurance, Health, Reimbursement : Life Expectancy : Long-Term Care/economics/statistics & numerical data : Male : Medicare/economics/statistics & numerical data : Models, Statistical : Mortality : Support, U.S. Gov't, Non-P.H.S. : United States
NTIS Number
PB95-123469