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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CENTERS for MEDICARE & MEDICAID SERVICES
1999
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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. |
format | Online Article Text |
id | pubmed-4194602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1999 |
publisher | CENTERS for MEDICARE & MEDICAID SERVICES |
record_format | MEDLINE/PubMed |
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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