Cargando…
Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time
Evaluating the performance of long-term care (LTC) demonstrations requires longitudinal assessment of multiple outcomes where selective mortality and disenrollment, if not accounted for, can give the appearance of reduced (or enhanced) efficacy. We assessed outcomes in social/health maintenance orga...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CENTERS for MEDICARE & MEDICAID SERVICES
1993
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193417/ https://www.ncbi.nlm.nih.gov/pubmed/10135342 |
_version_ | 1782338970924875776 |
---|---|
author | Manton, Kenneth G. Newcomer, Robert Lowrimore, Gene R. Vertrees, James C. Harrington, Charlene |
author_facet | Manton, Kenneth G. Newcomer, Robert Lowrimore, Gene R. Vertrees, James C. Harrington, Charlene |
author_sort | Manton, Kenneth G. |
collection | PubMed |
description | Evaluating the performance of long-term care (LTC) demonstrations requires longitudinal assessment of multiple outcomes where selective mortality and disenrollment, if not accounted for, can give the appearance of reduced (or enhanced) efficacy. We assessed outcomes in social/health maintenance organizations (S/HMOs) and Medicare fee-for-service (FFS) care using a multivariate model to estimate active life expectancy (ALE). S/HMO enrollees and samples of FFS clients in four sites were analyzed and outcome differences assessed for a 3-year period. Results provide insights into S/HMO performance under different conditions and, more generally, into evaluating LTC demonstrations without randomized client and control groups. |
format | Online Article Text |
id | pubmed-4193417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1993 |
publisher | CENTERS for MEDICARE & MEDICAID SERVICES |
record_format | MEDLINE/PubMed |
spelling | pubmed-41934172014-11-04 Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time Manton, Kenneth G. Newcomer, Robert Lowrimore, Gene R. Vertrees, James C. Harrington, Charlene Health Care Financ Rev Hospital Payment: Beyond the Prospective Payment System Evaluating the performance of long-term care (LTC) demonstrations requires longitudinal assessment of multiple outcomes where selective mortality and disenrollment, if not accounted for, can give the appearance of reduced (or enhanced) efficacy. We assessed outcomes in social/health maintenance organizations (S/HMOs) and Medicare fee-for-service (FFS) care using a multivariate model to estimate active life expectancy (ALE). S/HMO enrollees and samples of FFS clients in four sites were analyzed and outcome differences assessed for a 3-year period. Results provide insights into S/HMO performance under different conditions and, more generally, into evaluating LTC demonstrations without randomized client and control groups. CENTERS for MEDICARE & MEDICAID SERVICES 1993 /pmc/articles/PMC4193417/ /pubmed/10135342 Text en |
spellingShingle | Hospital Payment: Beyond the Prospective Payment System Manton, Kenneth G. Newcomer, Robert Lowrimore, Gene R. Vertrees, James C. Harrington, Charlene Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time |
title | Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time |
title_full | Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time |
title_fullStr | Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time |
title_full_unstemmed | Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time |
title_short | Social/Health Maintenance Organization and Fee-for-Service Health Outcomes Over Time |
title_sort | social/health maintenance organization and fee-for-service health outcomes over time |
topic | Hospital Payment: Beyond the Prospective Payment System |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193417/ https://www.ncbi.nlm.nih.gov/pubmed/10135342 |
work_keys_str_mv | AT mantonkennethg socialhealthmaintenanceorganizationandfeeforservicehealthoutcomesovertime AT newcomerrobert socialhealthmaintenanceorganizationandfeeforservicehealthoutcomesovertime AT lowrimoregener socialhealthmaintenanceorganizationandfeeforservicehealthoutcomesovertime AT vertreesjamesc socialhealthmaintenanceorganizationandfeeforservicehealthoutcomesovertime AT harringtoncharlene socialhealthmaintenanceorganizationandfeeforservicehealthoutcomesovertime |