Disability and Medicare Costs of Elderly Persons

Milbank Quarterly

Volumn 75, Issue 4, 1997, Pages 461-493

  Liu, Korbin ^a   Wall, Susan ^b   Wissoker, Douglas ^b  

^a URBAN INSTITUTE   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CAPITATION FEE; DAILY LIFE ACTIVITY; ECONOMICS; FEE; FEMALE; FRAIL ELDERLY; HEALTH CARE COST; HEALTH MAINTENANCE ORGANIZATION; HOME FOR THE AGED; HUMAN; MEDICARE; METHODOLOGY; MULTIVARIATE ANALYSIS; ORGANIZATION AND MANAGEMENT; RISK FACTOR; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; CAPITATION FEE; FEMALE; FRAIL ELDERLY; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEALTH MAINTENANCE ORGANIZATIONS; HOMES FOR THE AGED; HUMANS; MEDICARE; MULTIVARIATE ANALYSIS; RATE SETTING AND REVIEW; RISK FACTORS; UNITED STATES;

EID: 0031310584     PISSN: 0887378X     EISSN: None     Source Type: Journal    
DOI: 10.1111/1468-0009.00066     Document Type: Article

References (14)

1. Adler, G.S. 1994. A Profile of the Medicare Current Beneficiary Survey. Health Care Financing Review 15(4):153-63.
2. Gruenberg, L., E. Kaganova, and M.C. Hornbrook. 1996. Improving the AAPCC with Health-Status Measures from the MCBS. Health Care Financing Review 17(3):59-75.
3. Gruenberg, L., C. Tompkins, and F. Porell. 1989. The Health Status and Utilization Patterns of the Elderly: Implications for Setting Medicare Payments to HMOs, Advances in Health Economics and Health Services Research 10:41-73.
4. Katz, S., A.B. Ford, R.W. Moskowitz, B.A. Jackson, and M.W. Jaffee. 1963. Studies of Illness in the Aged. The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. Journal of the American Medical Association 185:914-19.
5. Kronick, R., Z. Zhou, and T. Dreyfus. 1995. Making Risk Adjustment Work for Everyone. Inquiry 32:41-55.
6. Lawton, M.P., and E. Brody. 1969. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living. Gerontologist 9:179-86.
7. Lichtenstein, R., and J.W. Thomas. 1987. Including a Measure of Health Status in Medicare's Health Maintenance Organization Capitation Formula: Reliability Issues. Medical Care 25(2):100-10.
8. Lubitz, J., J. Beebe, and G. Riley. 1985. Improving the Medicare HMO Payment Formula to Deal with Biased Selection. In Advances in Health Economics and Health Services Research (vol. 6), eds. R. Scheffler and L. Rossiter. Greenwich, Conn.: JAI Press.
9. Manton, K.G., and E. Stallard. 1992. Analysis of Underwriting Factors for AAPCC (Adjusted Average Per Capita Costs). Health Care Financing Review 14(1):117-32.
10. Mor, V., V. Wilcox, W. Rakowski, and J. Hiris. 1994. Functional Transitions among the Elderly: Patterns, Predictors, and Related Hospital Use. American Journal of Public Health 84:1274-80.
11. Newhouse, J.P., W.G. Manning, E.B. Keeler, and E.M. Sloss. 1989. Adjusting Capitation Rates Using Objective Health Measures and Prior Utilization. Health Care Financing Review 10(3):41-54.
12. Roos, N.P., P. Montgomery, and L. Roos. 1987. Health Care Utilization in Years Prior to Death. Milbank Quarterly 65:231-54.
13. Schauffler, H.H., J. Howland, and J. Cobb. 1992. Using Chronic Disease Risk Factors to Adjust Medicare Capitation Payments. Health Care Financing Review 14(1):79-90.
14. Thomas, J.W., R. Lichtenstein, L. Wyszewianski, and S.E. Berki. 1985. Final Report: A Health Status Measure for Adjusting the HMO Capitation Rates of Medicare Beneficiaries (HCFA grant no. 18-P-98179/5-01). Ann Arbor: Department of Medical Care Organization, School of Public Health, University of Michigan.