Association of Managed Care Market Share and Health Expenditures for Fee-for-Service Medicare Patients

Article Abstract:

Managed care can impact patients even if they are not enrolled in a managed care program. Researchers compared government expenditures on Medicare patients in a traditional fee-for-service plan in areas of the US with a high penetration of managed care and those with a low penetration. In areas where managed care had a large share of the healthcare market, spending on fee-for-service patients was less compared with areas with few managed care plans. An increase in market share from 10% to 20% led to a 2% drop in Part A expenditures and a 1.5% drop in Part B expenditures.

Economic aspects, Managed care plans (Medical care)

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How to use an article on economic analysis of clinical practice: what are the results and will they help me in caring for my patients?

Article Abstract:

Guidelines are presented to help physicians apply the results of economic analyses of treatment options to their own patients. These analyses are frequently performed to determine the cost of a treatment compared to its benefits. Physicians must determine whether the costs were accurately measured and whether their own patients are similar to the patients studied. The costs of a treatment may also differ from the costs identified in the study. Hospital committees may find that the introduction of an expensive treatment may divert resources from other treatments.

Methods, Cost benefit analysis

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