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1989 1
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Medicaid payment mechanisms: impact on medication adherence and health care service utilization in type 2 diabetes enrollees.
Pawaskar M, Burch S, Seiber E, Nahata M, Iaconi A, Balkrishnan R. Pawaskar M, et al. Popul Health Manag. 2010 Aug;13(4):209-18. doi: 10.1089/pop.2009.0046. Popul Health Manag. 2010. PMID: 20455787 Free article.
The purpose of this retrospective cohort study was to examine the impact of the type of health plan (capitated vs. fee for service [FFS]) on outcomes (medication adherence and health care service utilization) in type 2 diabe …
The purpose of this retrospective cohort study was to examine the impact of the type of health plan (capitated vs. fee
Managed behavioral health care: an instrument to characterize critical elements of public sector programs.
Ridgely MS, Giard J, Shern D, Mulkern V, Burnam MA. Ridgely MS, et al. Health Serv Res. 2002 Aug;37(4):1105-23. doi: 10.1034/j.1600-0560.2002.68.x. Health Serv Res. 2002. PMID: 12236386 Free PMC article.
OBJECTIVE: To develop an instrument to characterize public sector managed behavioral health care arrangements to capture key differences between managed and "unmanaged" care and among managed care arrangements. ...PRINCIPAL …
OBJECTIVE: To develop an instrument to characterize public sector managed behavioral health care arrangements to …
Competitive bidding in Medicare: who benefits from competition?
Song Z, Landrum MB, Chernew ME. Song Z, et al. Am J Manag Care. 2012 Sep;18(9):546-52. Am J Manag Care. 2012. PMID: 23009305 Free PMC article.
RESULTS: A $1 increase in Medicare's payment to health maintenance organization (HMO) plans led to a $0.49 (P <.001) increase in plan bids, with $0.34 (P <.001) going to beneficiaries in the form of extra benefits or lower cost sharing. With pref …
RESULTS: A $1 increase in Medicare's payment to health maintenance organization (HMO) plans led to a $0.49 (P <.001) …
Biased selection and regression toward the mean in three Medicare HMO demonstrations: a survival analysis of enrollees and disenrollees.
Riley G, Rabey E, Kasper J. Riley G, et al. Med Care. 1989 Apr;27(4):337-51. doi: 10.1097/00005650-198904000-00002. Med Care. 1989. PMID: 2649753
Mortality of aged Medicare enrollees in three demonstration health maintenance organizations (HMOs) was compared with that of three cohorts of local fee-for-service (FFS) beneficiaries as a measure of group differences in health status. ...Other …
Mortality of aged Medicare enrollees in three demonstration health maintenance organizations (HMOs) was compared with that of three c …
Risk selection among SSI enrollees in TennCare.
Hill SC, Thornton C, Trenholm C, Wooldridge J. Hill SC, et al. Inquiry. 2002 Summer;39(2):152-67. doi: 10.5034/inquiryjrnl_39.2.152. Inquiry. 2002. PMID: 12371569 Free article.
We assess the extent of risk selection among managed care plans for SSI beneficiaries over the first three years of Tennessee's Medicaid managed care program, TennCare. Using claims data containing fee-for-service exp …
We assess the extent of risk selection among managed care plans for SSI beneficiaries over the first three years of Ten …