Biased enrollment of medicare beneficiaries in HMO plans - Implications for medicare costs

Journal of Health Care Finance

Volumn 28, Issue 4, 2002, Pages 43-57

  Khan, M Mahmud ^a   Tsai, Wen Chen ^a   Kung, Pei Tseng ^a  

^a TULANE UNIVERSITY   (United States)

Author keywords

Biased selection; Market behavior of HMOs; Medicare HMO plans

Indexed keywords

ARTICLE; COST CONTROL; HEALTH CARE COST; HEALTH CARE FINANCING; HEALTH CARE POLICY; HEALTH MAINTENANCE ORGANIZATION; MEDICARE; REIMBURSEMENT; UNITED STATES;

ADULT; AGED; AGED, 80 AND OVER; CAPITATION FEE; COST SAVINGS; DEMOGRAPHY; FEE-FOR-SERVICE PLANS; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH STATUS; HUMANS; INCOME; INSURANCE SELECTION BIAS; MEDICARE; MIDDLE AGED; MODELS, ECONOMETRIC; PROBABILITY; RATE SETTING AND REVIEW; RISK SHARING, FINANCIAL; UNITED STATES;

EID: 0036071534     PISSN: 10786767     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (36)

1. Medicare reform: Fundamental problems, incremental steps
2. Bringing forth medicare + choice: HCFA's Robert A. Berenson interview
3. Adjusting medicare capitation payments using prior hospitalization data
4. Using prior utilization to determine payments for medicare enrollees in health maintenance organizations
5. Improving medicare HMO payment formula to deal with biased selection
6. Selection bias in health maintenance organizations: Analysis of recent evidence
7. The triple option choice: Self-selection bias in traditional coverage, HMOs, and PPOs
8. Selection bias in TEFRA at risk HMOs
9. Health status of medicare enrollees in HMOs and fee-for-service in 1994
10. Enrollee health status under medicare risk contracts: An analysis of mortality rates
11. Biased selection and the regression toward the mean in three medicare HMO demonstrations: A survival analysis of enrollees and disenrollees
12. Health status of medicare enrollees in HMOs and fee-for-service in 1994
13. Do unprofitable patients face access problems?
14. How profitable is risk selection? A comparison of four risk adjustment models
15. Setting capitation payments in markets for health services
16. Much Ado about Wo: Reconsidering retransformation and the two-part model in health econometrics
17. Health status of medicare enrollees in HMOs and fee-for-service in 1994
18. Biased selection and the regression toward the mean in three medicare HMO demonstrations: A survival analysis of enrollees and disenrollees
19. The effect of HMOs on fee-for-service health care expenditures: Evidence from medicare
20. Medicare HMO withdrawals: What happened to the beneficiaries?
21. Potential methods to reduce risk-selection and its effects
22. Patients at risk: Health reform and risk-adjustment
23. Risk adjustment: Where are we now?
24. Disparities in access to medicare managed care plans and their benefits