The Medicare-HMO Revolving Door — The Healthy Go in and the Sick Go Out
Health maintenance organizations (HMOs) serving Medicare beneficiaries have been credited with reducing the length of stay and the number of bed-days associated with the traditional fee-for-service system, 1 and the assumption has been that HMOs could help slow the growth in the costs of health care...
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| Veröffentlicht in: | The New England journal of medicine 1997-07, Vol.337 (3), p.169-175 |
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| container_title | The New England journal of medicine |
| container_volume | 337 |
| creator | Morgan, Robert O Virnig, Beth A DeVito, Carolee A Persily, Nancy A |
| description | Health maintenance organizations (HMOs) serving Medicare beneficiaries have been credited with reducing the length of stay and the number of bed-days associated with the traditional fee-for-service system,
1
and the assumption has been that HMOs could help slow the growth in the costs of health care for the elderly. Over the past few years, this assumption has been questioned. A number of studies suggest that there is a bias in the enrollment of Medicare beneficiaries in HMOs, potentially offsetting any savings derived from the fact that HMOs are paid only 95 percent of average yearly fee-for-service Medicare expenditures. However, the focus . . . |
| doi_str_mv | 10.1056/NEJM199707173370306 |
| format | Article |
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and the assumption has been that HMOs could help slow the growth in the costs of health care for the elderly. Over the past few years, this assumption has been questioned. A number of studies suggest that there is a bias in the enrollment of Medicare beneficiaries in HMOs, potentially offsetting any savings derived from the fact that HMOs are paid only 95 percent of average yearly fee-for-service Medicare expenditures. However, the focus . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199707173370306</identifier><identifier>PMID: 9219704</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Fee-for-Service Plans - statistics & numerical data ; Fee-for-Service Plans - utilization ; Florida ; General aspects ; Health Maintenance Organizations - economics ; Health Maintenance Organizations - statistics & numerical data ; Health Maintenance Organizations - utilization ; Health Services - utilization ; Health Services Research ; Health systems. Social services ; Hospitalization - statistics & numerical data ; Humans ; Medical sciences ; Medicare - economics ; Medicare - statistics & numerical data ; Medicare - utilization ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; United States</subject><ispartof>The New England journal of medicine, 1997-07, Vol.337 (3), p.169-175</ispartof><rights>Copyright © 1997 Massachusetts Medical Society. All rights reserved.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c574t-a8999efadaf52471a203ab33bfde00298db4fa4f6a47e86d78a9de23916516903</citedby><cites>FETCH-LOGICAL-c574t-a8999efadaf52471a203ab33bfde00298db4fa4f6a47e86d78a9de23916516903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199707173370306$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/223956172?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2757,2758,26101,27922,27923,52380,54062,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2739034$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9219704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morgan, Robert O</creatorcontrib><creatorcontrib>Virnig, Beth A</creatorcontrib><creatorcontrib>DeVito, Carolee A</creatorcontrib><creatorcontrib>Persily, Nancy A</creatorcontrib><title>The Medicare-HMO Revolving Door — The Healthy Go in and the Sick Go Out</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>Health maintenance organizations (HMOs) serving Medicare beneficiaries have been credited with reducing the length of stay and the number of bed-days associated with the traditional fee-for-service system,
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and the assumption has been that HMOs could help slow the growth in the costs of health care for the elderly. Over the past few years, this assumption has been questioned. A number of studies suggest that there is a bias in the enrollment of Medicare beneficiaries in HMOs, potentially offsetting any savings derived from the fact that HMOs are paid only 95 percent of average yearly fee-for-service Medicare expenditures. 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Hygiene</subject><subject>Public health. 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1
and the assumption has been that HMOs could help slow the growth in the costs of health care for the elderly. Over the past few years, this assumption has been questioned. A number of studies suggest that there is a bias in the enrollment of Medicare beneficiaries in HMOs, potentially offsetting any savings derived from the fact that HMOs are paid only 95 percent of average yearly fee-for-service Medicare expenditures. However, the focus . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>9219704</pmid><doi>10.1056/NEJM199707173370306</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1997-07, Vol.337 (3), p.169-175 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Aged Aged, 80 and over Biological and medical sciences Fee-for-Service Plans - statistics & numerical data Fee-for-Service Plans - utilization Florida General aspects Health Maintenance Organizations - economics Health Maintenance Organizations - statistics & numerical data Health Maintenance Organizations - utilization Health Services - utilization Health Services Research Health systems. Social services Hospitalization - statistics & numerical data Humans Medical sciences Medicare - economics Medicare - statistics & numerical data Medicare - utilization Public health. Hygiene Public health. Hygiene-occupational medicine United States |
| title | The Medicare-HMO Revolving Door — The Healthy Go in and the Sick Go Out |
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