These disparities may be partly driven by modifiable factors such as insurance; however, little is known regarding the potential influence of insurance type on EOL care for this patient population. Methods: We conducted a retrospective cohort study using the Centers for Medicaid and Medicare Services...
Medicaidmanaged carehealth insuranceambulatory careManaged care plans often attempt to control health care costs through strategies designed to decrease health care utilization. However, the extent to which the resulting patterns of utilization represent high-quality care (compared to fee-for-service ...
Methods. We performed a retrospective, controlled study with three cohorts: a study group of 1106 Medicaid recipients enrolled in three MCPs, a matched comparison group of 4830 recipients receiving care in the fee-for-service (FFS) system, and a second matched comparison group of 4434 non-...
To examine the effect of Medicaid managed care (MMC) versus Medicaid fee-for-service (FFS) on emergency department (ED) use and hospitalization during the first 6 and 12 months of life among low-birth-weight (LBW) infants. Methods We used the New York City Office of Vital Statistics—State...
Introduction Medicare Advantage (MA) is Medicare’s managed care alternative in which Medicare beneficiaries can elect to enroll in private insurance plans rather than in traditional fee-for-service (FFS) Medicare. Over the past decade, enrollment in MA has grown substantially, with private plans co...
Medicaid fee-for-service beneficiaries with behavioral diagnoses have a high treated prevalence of individual medical comorbid conditions, and the majority of health care expenditures in these individuals are for medical, rather than behavioral health, services. This is a preview of subscription content,...
a\"In addition, there is a robust pipeline of contract opportunities transitioning state Medicaid programs from traditional government fee-for-service mechanisms to managed care.\" 另外\ “有合同机会一条健壮管道transitioning状态Medicaid节目从传统政府费为服务机制的到被处理的关心。\”[translate]...
Compared with traditional fee-for-service Medicare (TM), Medicare Advantage (MA) is more strongly financially incentivized to decrease use of low-value care. Objectives To compare use of low-value care among individuals enrolled in TM and those enrolled in MA overall and to examine trends in ...
Background: The Centers for Medicare & Medicaid Services pays for services provided through traditional fee-for-service (FFS) Medicare and managed care pla... PS Keenan,MN Elliott,PD Cleary,... - 《Medical Care》 被引量: 125发表: 2009年 How Do Proxy Responses and Proxy‐Assisted Responses ...
This evaluation study used publicly available data from two types of state-funded Medicaid programs---fee-for-service (FFS) and managed care (MMC)---to identify whether there was a significant difference in quality of care between the two systems. For the purposes of this study, quality of ...