Format

Send to

Choose Destination
See comment in PubMed Commons below
Health Care Financ Rev. 1999 Summer;20(4):25-43.

Cost and outcomes of Medicare reimbursement for HMO preventive services.

Author information

1
Department of Health Services, H689, Box 357660, University of Washington, Seattle, WA 98195-7660, USA. donald@u.washington.edu

Abstract

Medicare beneficiaries enrolled in a health maintenance organization (HMO) were randomized to a preventive services benefit package for 2 years or to usual care. At 24- and 48-month follow-ups, the treatment group had completed more advance directives, participated in more exercise, and consumed less dietary fat than the control group. Unexpectedly, more deaths occurred in the treatment group. Surviving treatment-group enrollees reported higher satisfaction with health, less decline in self-rated health status, and fewer depressive symptoms than surviving control participants. Despite these changes, the intervention did not yield lower cost per quality-adjusted life year in this historically prevention-oriented HMO.

PMID:
11482123
PMCID:
PMC4194602
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center