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Title
Favorable selection in the Medicare+Choice program: New evidence
First Author
Greenwald, Leslie M
Date of Pub
2000 Spring
Pages
127-134
Volume
21
Issue
3
Other Authors
Ingber, Melvin J; Levy, Jesse M
Abstract
Historically, studying the Medicare managed care favorable-selection issue has been difficult because direct data on managed care enrollees have been unavailable. In this study, we analyzed the first year of Balanced Budget Act (BBA)-mandated inpatient encounter data. Based on this comparison of actual managed care and fee-for- service (FFS) beneficiaries, it appears that there are significant differences between these populations. The most striking differences are found in the comparison of average risk factors, indicating a clear bias in the managed care populations toward beneficiaries predicted to be less costly.
Abstract Continued
N/A
MeSH
Health Expenditures : Insurance Selection Bias : Costs and Cost Analysis : Fee-for-Service Plans : Health Care Financing Administration : Health Maintenance Organizations : Medicare : Risk Factors : United States
NTIS Number
N/A