Profiling resource use by primary-care practices: managed Medicare implications.

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Title
Profiling resource use by primary-care practices: managed Medicare implications.
First Author
Parente, Stephen T
Date of Pub
1996 Summer
Pages
23-42
Abstract
Variations in elderly Medicare beneficiaries' health service use are examined using a 100-percent sample of fee-for-service (FFS) claims data from Alabama, Iowa, and Maryland. Provider specialty, group practice type, practice size, and location are found to be significant factors affecting hospital and ambulatory care utilization and cost, after controlling for patient and regional characteristics. These results provide insights into utilization and cost expectations from different types of primary-care gatekeepers as the Medicare managed care market develops.
Other Authors
Fowles, Jinnet B; Garnick, Deborah W; Lawthers, Ann G; Palmer, R Heather; Weiner, Jonathan P
MeSH
Aged : Alabama : Fee-for-Service Plans : Health Services Research/methods : Human : Insurance Claim Review : Iowa : Least-Squares Analysis : Managed Care Programs/utilization : Maryland : Medicare Part A/utilization : Medicare Part B/utilization : Multivariate Analysis : Primary Health Care/economics/utilization : Referral and Consultation/utilization : Support, U.S. Gov't, Non-P.H.S. : United States : Utilization Review/methods
Issue
4
NTIS Number
PB97-104087
Volume
17

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