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Title
S/HMO versus TEFRA HMO enrollees: Analysis of expenditures
First Author
Dowd, Bryan
Date of Pub
1999 Summer
Pages
7-23
Volume
20
Issue
4
Other Authors
Fischer, Lucy R; Hillson, Steve; VonSternberg, Tom
Abstract
This study compares expenditures on health care services for enrollees in a social health maintenance organization (S/HMO) and a Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)-risk Medicare health maintenance organization (HMO). In addition to the traditional Medicare services covered by the TEFRA HMO, the S/HMO provided a long-term care (LTC) benefit and case management services for chronic illness. There do not appear to be any overall savings associated with S/HMO membership, including any savings from substitution of S/HMO-specific services for other, traditional services covered by both the S/HMO and the TEFRA HMO.
Abstract Continued
N/A
MeSH
Health Expenditures : Health Maintenance Organizations : Program Evaluation : Tax Equity and Fiscal Responsibility Act : Aged : Chronic Disease : Data Collection : Evaluation Studies : Long-Term Care/economics : Medicare : Multivariate Analysis : Questionnaire : Support, U.S. Gov't, P.H.S. : United States
NTIS Number
PB2000-102444