Profiling resource use by primary-care practices: managed Medicare implications.
Parente, Stephen T
Date of Pub
Fowles, Jinnet B; Garnick, Deborah W; Lawthers, Ann G; Palmer, R Heather; Weiner, Jonathan P
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.
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