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Volumn 54, Issue 3, 1997, Pages 259-274

Biased Selection and Medicare HMOs: Analysis of the 1989-1994 Experience

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CAPITATION FEE; COMPARATIVE STUDY; DECISION MAKING; ECONOMICS; FEE; FEMALE; HEALTH CARE COST; HEALTH MAINTENANCE ORGANIZATION; HEALTH SERVICES RESEARCH; HUMAN; INSURANCE; MALE; MEDICAL FEE; MEDICARE; METHODOLOGY; ORGANIZATION AND MANAGEMENT; UNITED STATES; UTILIZATION REVIEW;

EID: 0031218866     PISSN: 10775587     EISSN: None     Source Type: Journal    
DOI: 10.1177/107755879705400301     Document Type: Review
Times cited : (19)

References (27)
  • 3
    • 0022651712 scopus 로고
    • Risk selection of families electing HMO membership
    • Buchanan, Joan L., and Shan Cretin. 1986. Risk selection of families electing HMO membership. Medical Care 24 (39): 39-51.
    • (1986) Medical Care , vol.24 , Issue.39 , pp. 39-51
    • Buchanan, J.L.1    Cretin, S.2
  • 4
    • 84937095787 scopus 로고
    • Sociodemographic and health characteristics of persons by private health insurance coverage and type of plan: United States, 1975
    • Hyattsville, MD: DHHS - National Center for Health Statistics
    • Choi, J., and P. Ries. 1978. Sociodemographic and health characteristics of persons by private health insurance coverage and type of plan: United States, 1975. In Avancedata. Hyattsville, MD: DHHS - National Center for Health Statistics.
    • (1978) Avancedata
    • Choi, J.1    Ries, P.2
  • 5
    • 0022034138 scopus 로고
    • Enrollment in and disenrollment from health maintenance organizations by Medicaid recipients
    • DesHarnais, S. I. 1985. Enrollment in and disenrollment from health maintenance organizations by Medicaid recipients. Health Care Financing Review 6 (3): 39-50.
    • (1985) Health Care Financing Review , vol.6 , Issue.3 , pp. 39-50
    • DesHarnais, S.I.1
  • 6
    • 0019188004 scopus 로고
    • Risk differential between Medicare beneficiaries enrolled and not enrolled in an HMO
    • Eggers, P. 1980. Risk differential between Medicare beneficiaries enrolled and not enrolled in an HMO. Health Care Financing Review 1 (3): 91-99.
    • (1980) Health Care Financing Review , vol.1 , Issue.3 , pp. 91-99
    • Eggers, P.1
  • 7
    • 0020378165 scopus 로고
    • Pre-enrollment reimbursement patterns of Medicare beneficiaries enrolled in at-risk HMO's
    • Eggers, P., and R. H. Prihoda. 1982. Pre-enrollment reimbursement patterns of Medicare beneficiaries enrolled in at-risk HMO's. Health Care Financing Review 4(1): 55-74.
    • (1982) Health Care Financing Review , vol.4 , Issue.1 , pp. 55-74
    • Eggers, P.1    Prihoda, R.H.2
  • 8
    • 0029070740 scopus 로고
    • Do HMOs care for the chronically ill?
    • Fama, T., P. D. Fox, and L. A. White. 1995. Do HMOs care for the chronically ill? Health Affairs 14 (1): 234-43.
    • (1995) Health Affairs , vol.14 , Issue.1 , pp. 234-243
    • Fama, T.1    Fox, P.D.2    White, L.A.3
  • 10
    • 0023615054 scopus 로고
    • Selection bias in health maintenance organizations
    • Hellinger, F. J. 1987. Selection bias in health maintenance organizations. Health Care Financing Review 9 (2): 55-81.
    • (1987) Health Care Financing Review , vol.9 , Issue.2 , pp. 55-81
    • Hellinger, F.J.1
  • 11
    • 0029142796 scopus 로고
    • Selection bias in HMOs and PPOs: A review of the evidence
    • _. 1995. Selection bias in HMOs and PPOs: A review of the evidence. Inquiry 32 (2): 135-42.
    • (1995) Inquiry , vol.32 , Issue.2 , pp. 135-142
  • 14
    • 0024215774 scopus 로고
    • Beneficiary selection, use, and charges in two Medicare capitation demonstrations
    • Kasper, J. D., G. F. Riley, J. S. McCombs, and M. A. Stevenson. 1988. Beneficiary selection, use, and charges in two Medicare capitation demonstrations. Health Care Financing Review 10 (1): 37-49.
    • (1988) Health Care Financing Review , vol.10 , Issue.1 , pp. 37-49
    • Kasper, J.D.1    Riley, G.F.2    McCombs, J.S.3    Stevenson, M.A.4
  • 16
    • 0023712816 scopus 로고
    • Patient selection in a competitive health care system
    • Luft, H. S., and R. H. Miller. 1988. Patient selection in a competitive health care system. Health Affairs 7 (3): 97-119.
    • (1988) Health Affairs , vol.7 , Issue.3 , pp. 97-119
    • Luft, H.S.1    Miller, R.H.2
  • 17
    • 0346356340 scopus 로고
    • Washington DC: Physician Payment Review Commission
    • Physician Payment Review Commission. 1995. Annual report to Congress 1995. Washington DC: Physician Payment Review Commission.
    • (1995) Annual Report to Congress 1995
  • 19
    • 0026181559 scopus 로고
    • Enrollee health status under Medicare risk contracts: An analysis of mortality rates
    • Riley, G., J. Lubitz, and E. Rabey. 1991. Enrollee health status under Medicare risk contracts: An analysis of mortality rates. Health Services Research 26 (2): 137-63.
    • (1991) Health Services Research , vol.26 , Issue.2 , pp. 137-163
    • Riley, G.1    Lubitz, J.2    Rabey, E.3
  • 20
    • 0024652489 scopus 로고
    • Biased selection and regression toward the mean in three Medicare HMO demonstrations: A survival analysis of enrollees and disenrollees
    • Riley, G., E. Rabey, and J. Kasper. 1989. Biased selection and regression toward the mean in three Medicare HMO demonstrations: A survival analysis of enrollees and disenrollees. Medical Care 27 (4): 337-51.
    • (1989) Medical Care , vol.27 , Issue.4 , pp. 337-351
    • Riley, G.1    Rabey, E.2    Kasper, J.3
  • 21
    • 0027354736 scopus 로고
    • Health plan switching in anticipation in increased medical care utilization
    • Robinson, J. C., L. B. Gardner, and H. S. Luft. 1993. Health plan switching in anticipation in increased medical care utilization. Medical Care 31 (1): 43-51.
    • (1993) Medical Care , vol.31 , Issue.1 , pp. 43-51
    • Robinson, J.C.1    Gardner, L.B.2    Luft, H.S.3
  • 22
    • 0024339182 scopus 로고
    • Patient satisfaction among elderly enrollees and disenrollees in Medicare health maintenance organizations
    • Rossiter, L. F., K. Langwell, T. T. Wan, and M. Rivnyak. 1989. Patient satisfaction among elderly enrollees and disenrollees in Medicare health maintenance organizations. Journal of the American Medical Association 262 (1): 57-63.
    • (1989) Journal of the American Medical Association , vol.262 , Issue.1 , pp. 57-63
    • Rossiter, L.F.1    Langwell, K.2    Wan, T.T.3    Rivnyak, M.4
  • 23
    • 0019854712 scopus 로고
    • Factors influencing disenrollment from an HMO
    • Sorensen, A. A., and R. P. Wersinger. 1981. Factors influencing disenrollment from an HMO. Medical Care 19 (7): 766-73.
    • (1981) Medical Care , vol.19 , Issue.7 , pp. 766-773
    • Sorensen, A.A.1    Wersinger, R.P.2
  • 24
    • 0029372002 scopus 로고
    • Who belongs to HMOs: A comparison of fee-for-service versus HMO enrollees
    • Taylor, A. K., K. M. Beauregard, and J. P. Vistnes. 1995. Who belongs to HMOs: A comparison of fee-for-service versus HMO enrollees. Medical Care Research and Review 52 (3): 389-408.
    • (1995) Medical Care Research and Review , vol.52 , Issue.3 , pp. 389-408
    • Taylor, A.K.1    Beauregard, K.M.2    Vistnes, J.P.3
  • 25
    • 0023573239 scopus 로고
    • HMO satisfaction and understanding among recent Medicare enrollees
    • Ward, R. A. 1987. HMO satisfaction and understanding among recent Medicare enrollees. Journal of Health and Social Behavior 28:401-12.
    • (1987) Journal of Health and Social Behavior , vol.28 , pp. 401-412
    • Ward, R.A.1
  • 26
    • 0022196882 scopus 로고
    • Regression toward the mean in medical care costs
    • Welch, W. P. 1985. Regression toward the mean in medical care costs. Medical Care 23 (11): 1234-41.
    • (1985) Medical Care , vol.23 , Issue.11 , pp. 1234-1241
    • Welch, W.P.1
  • 27
    • 0020407319 scopus 로고
    • Demographic characteristics and prior utilization experience of HMO disenrollees compared with total membership
    • Wersinger, R., and A. A. Sorensen. 1982. Demographic characteristics and prior utilization experience of HMO disenrollees compared with total membership. Medical Care 20 (12): 1188-96.
    • (1982) Medical Care , vol.20 , Issue.12 , pp. 1188-1196
    • Wersinger, R.1    Sorensen, A.A.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.