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Title
Case management for high-cost Medicare beneficiaries
First Author
Schore, Jennifer L
Date of Pub
1999 Summer
Pages
87-101
Volume
20
Issue
4
Other Authors
Brown, Randall S; Cheh, Valerie A
Abstract
We estimated the effects of three Health Care Financing Administration (HCFA)-funded case management demonstrations for high-cost Medicare beneficiaries in the fee-for-service (FFS) sector. Participating beneficiaries were randomly assigned to receive case management plus regular Medicare benefits or regular benefits only. None of the demonstrations improved self-care or health or reduced Medicare spending. Despite the lack of effects of these interventions, case management might be cost-effective if it includes greater involvement of physicians, is more well-defined and goal-oriented, and incorporates financial incentives to generate savings in Medicare costs. Models incorporating these changes should be investigated before abandoning Medicare case management interventions.
Abstract Continued
N/A
MeSH
Case Management : Program Evaluation : Aged : Data Collection : Medicare : Regression Analysis : Support, U.S. Gov't, non-P.H.S. : United States
NTIS Number
PB2000-102444