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Title
Serving rural Medicare risk enrollees: HMOs' decisions, experiences, and future plans.
First Author
Casey, Michelle
Date of Pub
1998 Fall
Pages
73-81
Volume
20
Issue
1
Other Authors
N/A
Abstract
This article identifies factors that influence health maintenance organizations' (HMOs) decisions about offering a Medicare risk product in rural areas; describes HMOs' recent experiences serving rural Medicare risk enrollees; and assesses the potential impact of Medicare program changes on the future willingness of HMOs to offer a Medicare risk product in rural areas. Data for the analysis were collected through interviews with a national sample of 27 HMOs. The results underscore the importance of adjusted average per capita cost (AAPCC) rates in HMOs' decisions to offer Medicare risk products in rural areas, but also indicate that other factors influence these decisions.
Abstract Continued
N/A
MeSH
Decision Making, Organizational : Risk Sharing, Financial : Aged : Capitation Fee : Health Maintenance Organizations/economics : Human : Insurance Coverage : Medicare/economics/organization & administration : Organizational Policy : Rate Setting and Review : Rural Health Services/economics : Support, U.S. Gov't, P.H.S. : Tax Equity and Fiscal Responsibility Act : United States
NTIS Number
PB2000-102914