Impact of municipal health services Medicare waiver program.
Fleming, Gretchen V
Date of Pub
Andersen, Ronald M; Champney, Timothy F; Hausner, Tony; Lyttle, Christopher S
A major goal of the municipal health services program (MHSP) was improvement of health services for the elderly while containing
Medicare reimbursement. A Health Care Financing Administration financed Medicare waiver program provided some additional benefits
to Medicare Part B enrollees who used the MHSP clinics. Disadvantaged and sicker elderly groups were underrepresented in MHSP
facilities. However, even after taking these differences between MHSP and other patients into account, analyses of Medicare
records showed that participants in this program had lower reimbursement for hospital inpatient, outpatient, and emergency
room services. Also, participants had higher reimbursements for physicians' ambulatory and ancillary care. The net result
was total Medicare reimbursements were decreased for program participants.
Health : Reimbursement Mechanisms : Urban Health : Aged : Community Health Services/economics : Cost Control/methods : Data
Collection : Evaluation Studies : Human : Medicare/economics : Pilot Projects : Support, Non-U.S. Gov't : Support, U.S. Gov't,
Non-P.H.S. : United States