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Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services

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 followups, the treatment group had completed more advance directives, participated in more exercise, and consumed less...

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Autores principales: Patrick, Donald L., Grembowski, David, Durham, Mary, Beresford, Shirley A.A., Diehr, Paula, Ehreth, Jenifer, Hecht, Julia, Picciano, Joe, Beery, William
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1999
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194602/
https://www.ncbi.nlm.nih.gov/pubmed/11482123
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author Patrick, Donald L.
Grembowski, David
Durham, Mary
Beresford, Shirley A.A.
Diehr, Paula
Ehreth, Jenifer
Hecht, Julia
Picciano, Joe
Beery, William
author_facet Patrick, Donald L.
Grembowski, David
Durham, Mary
Beresford, Shirley A.A.
Diehr, Paula
Ehreth, Jenifer
Hecht, Julia
Picciano, Joe
Beery, William
author_sort Patrick, Donald L.
collection PubMed
description 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 followups, 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.
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spelling pubmed-41946022014-11-04 Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services Patrick, Donald L. Grembowski, David Durham, Mary Beresford, Shirley A.A. Diehr, Paula Ehreth, Jenifer Hecht, Julia Picciano, Joe Beery, William Health Care Financ Rev Research Article 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 followups, 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. CENTERS for MEDICARE & MEDICAID SERVICES 1999 /pmc/articles/PMC4194602/ /pubmed/11482123 Text en
spellingShingle Research Article
Patrick, Donald L.
Grembowski, David
Durham, Mary
Beresford, Shirley A.A.
Diehr, Paula
Ehreth, Jenifer
Hecht, Julia
Picciano, Joe
Beery, William
Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services
title Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services
title_full Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services
title_fullStr Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services
title_full_unstemmed Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services
title_short Cost and Outcomes of Medicare Reimbursement for HMO Preventive Services
title_sort cost and outcomes of medicare reimbursement for hmo preventive services
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194602/
https://www.ncbi.nlm.nih.gov/pubmed/11482123
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