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Title
Cost and outcomes of Medicare reimbursement for HMO preventive services
First Author
Patrick, Donald L
Date of Pub
1999 Summer
Pages
25-43
Volume
20
Issue
4
Other Authors
Beery, William; Beresford, Shirley A; Diehr, Paula; Durham, Mary; Ehreth, Jenifer; Grembowski, David; Hecht, Julia; Picciano, Joe
Abstract
Medicare beneficiaries enrolled in a health maintenance organization (HMO) were randomized to a preventive services benefit package for 2 years or to usual care. At 24- and 48-month followups, the treatment group had completed more advance directives, participated in more exercise, and consumed less dietary fat than the control group. Unexpectedly, more deaths occurred in the treatment group. Surviving treatment-group enrollees reported higher satisfaction with health, less decline in self-rated health status, and fewer depressive symptoms than surviving control participants. Despite these changes, the intervention did not yield lower cost per quality-adjusted life year in this historically prevention-oriented HMO.
Abstract Continued
N/A
MeSH
Case Management : Health Expenditures : Health Maintenance Organizations : Program Evaluation : Aged : Data Collection : Evaluation Studies : Health Status : Medicare/economics/utilization : Questionnaire : Support, U.S. Gov't, non-P.H.S. : United States
NTIS Number
PB2000-102444