Favorable selection in the Medicare+Choice program: New edvidence
Historically, studying the Medicare managed care favorable-selection issue has been difficult because direct data on managed care enrollees have been unavailable. A study analyzed the first year of Balanced Budget Act (BBA)-mandated inpatient encounter data. Based on this comparison of actual manage...
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| Veröffentlicht in: | Health care financing review 2000-04, Vol.21 (3), p.127 |
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| creator | Greenwald, Leslie M Levy, Jesse M Ingber, Melvin J |
| description | Historically, studying the Medicare managed care favorable-selection issue has been difficult because direct data on managed care enrollees have been unavailable. A study 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. |
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| fulltext | fulltext |
| identifier | ISSN: 0195-8631 |
| ispartof | Health care financing review, 2000-04, Vol.21 (3), p.127 |
| issn | 0195-8631 1554-9887 |
| language | eng |
| recordid | cdi_proquest_journals_196947726 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Business Source Complete; PubMed Central Open Access; U.S. Government Documents; PubMed Central |
| subjects | Age Beneficiaries Capitation Costs Expenditures Federal legislation Health maintenance organizations Health risk assessment HMOs Managed care Medicaid Medicare Payment systems Population Reimbursement Risk factors Statistical analysis Statistical data Studies |
| title | Favorable selection in the Medicare+Choice program: New edvidence |
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