The consequences of paying Medicare managed care plans their costs

Article Abstract:

Government spending for enrollees in cost-reimbursement plans in 1993 was considerably larger than what should have been if these enrollees were given care in the usual fee-for-service Medicare or in a Medicare risk plan. The growth was completely accountable by much higher expenditures for Part B services under cost reimbursement. Thus, these indicate that Medicare cost reimbursement of health plans should be abolished or significantly changed.

Health Care Services, Analysis, Finance, Medical care, Expenditures, Public, Public expenditures, Managed care plans (Medical care)

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The value of experience: differences in knowledge among Medicare beneficiaries

Article Abstract:

The details of a national survey, conducted on Medicare beneficiaries, with respect to the Medicare Advantage program, are presented. The aim of the study is examine the extent to which Medicare beneficiaries, are aware of these Medicare information programs.

Education, Beneficiaries, Educational aspects

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Using encounter data from Medicaid HMOs for research and monitoring

Article Abstract:

The importance of complete encounter data from Medicaid health maintenance organizations (HMOs) in monitoring patient access to care, computer risk-adjusted payments, and estimate savings from managed care is discussed.

General services, Health Maintenance Organizations, HMO Medical Centers, Hospital and medical service plans, Medicaid, Company systems management, Information management, Records and correspondence

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