Risk assessmentsAccessibilityThis study is part of a series of reports that discuss perceived service accessproblems among current enrollees and recent disenrollees of Medicare risk HMOs. This report analyzed the relationship between the authors' beneficiary survey data and future HMO disenrollment, and ...
“Providers are going to have to get out of full-risk capitation because it just doesn’t work — we’re the bottom of the food chain, and the food chain is not being fed.” Scripps terminated MA contracts in January for its integrated medical groups, citing an annual loss of $75 ...
We develop a profit-maximization model of HMO behavior, which explicitly considers potential linkages between an HMO's production decision in the commercial enrollee market and its participation and production decisions in the Medicare risk market. Our results suggest that the payment rate is a ...
Original Medicare allows you to seek services from any U.S. doctor or hospital that accepts Medicare. Most Medicare Advantage plans restrict you to in-network service providers and may cover less, or none, of the costs of using out-of-network providers. Under Medicare Advantage HMO plans, you...
Medicare Home Health: Clarifying the Homebound Definition Is Likely to Have Little Effect on Costs and Access In 2000, Congress indicated that Medicare beneficiaries who attended adult day care could still be considered homebound if they still met the other home... USGA Office - 《Gao Reports》...
Reports that the United States Senate is expected to vote on legislation that would terminate a HCFA project demonstrating competitive bidding by Denver-area Medicare health maintenance organizations (HMO). Opposition to the bill; Comments from HMO Colorado president Steve O'Dell.Gardner...
1998 fourth quarter financial performance of Universal Health Services Inc.; Successful fundraising of the Clark County Medical Society for Family and Child Treatment of Southern Nevada; Launch of medical infor...
that it is pulling out most of its major-market Medicare businesses. Reason behind the announcement; Comments from Todd Richter, an analyst with Banc of America Securities; Effect of Cigna's pullouts on Medicare beneficiaries.BennettJohannaMcGinleyLaurieEBSCO_bspWall Street Journal Eastern Edition...
"Discretionary Hospital Use and Diagnostic Risk Adjustment of Medicare HMO Capitation Rates." Inquiry 37 (2): 162-72.Discretionary hospital use and diagnostic risk adjustment of Medicare HMO capitation rates - Porell, Gruenberg - 2000Porell, F. W., & Gruenberg, L. (2000). Discretionary ...
Aber, M. and McCormick, C.: Risk Adjustment and the Health of the Medicare HMO Population. Health Care Financing Review 21(3):275-280, Spring 2000.Aber M, McCormick C. Risk Adjustment and the Health of the Medicare HMO Population. Health Care Financing Review. 2000 Spring; 21 (3):275...