Utilization of services by chronically ill people in managed care and indemnity plans: Implications for quality

Inquiry

Volumn 40, Issue 1, 2003, Pages 57-70

  Davidson, Stephen M ^a   Davidson, Harriet ^c   Miracle McMahill, Heidi ^c   Oakes, J Michael ^c   Crawford, Sybil ^c   Blumenthal, David ^b   Valentine, Daniel P ^c  

^a BOSTON UNIVERSITY   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

^c Strategy and Policy Department ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHRONIC DISEASE; EMERGENCY WARD; FINANCIAL MANAGEMENT; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HOSPITAL PATIENT; MANAGED CARE; MARKET; MEDICAL SERVICE; PATIENT CARE; PHYSICIAN; PRIMARY MEDICAL CARE;

EID: 0038510074     PISSN: 00469580     EISSN: None     Source Type: Journal    
DOI: 10.5034/inquiryjrnl_40.1.57     Document Type: Article

References (18)

1. Blumenthal, D. 1996. Quality of Care: What Is It? New England Journal of Medicine 335:891-894.
2. Davidson, S.M. 1978. Understanding the Growth of Emergency Department Utilization. Medical Care 16(2):112-132.
3. Druss, B. G., M. Schlesinger, T. Thomas, and H. Allen. 2000. Chronic Illness and Plan Satisfaction Under Managed Care. Health Affairs 19(1):203-209.
4. DxCG, Inc., 1999. Guide to the Diagnostic Cost Groups (DCGs) and DxCG Software, Release 4.1. Waltham, Mass.: DxCG, Inc.
5. Eddy, D. M. 1998. Performance Measurement: Problems and Solutions. Health Affairs 17(4): 7-25.
6. Gabel, J., L. Levitt, J. Pickreign, H. Whitmore, E. Holve, D. Rowland, K. Dhont, and S. Hawkins. 2001. Job-Based Health Insurance in 2001: Inflation Hits Double Digits, Managed Care Retreats. Health Affairs 20(3):180-186.
7. Iezzoni, L. 1997. Risks and Outcomes. In Risk Adjustment for Measuring Health Outcomes, Second Edition, L. I. Iezzoni, ed. Chicago: Health Administration Press.
8. McGlynn, E. A. 1997. Six Challenges in Measuring the Quality of Health Care. Health Affairs 16(3):7-21.
9. Miller, R. H., and H. S. Luft. 1994. Managed Care Plan Performance Since 1980: A Literature Analysis. Journal of the American Medical Association 271(19):1512-1519.
10. -. 1997. Does Managed Care Lead to Better or Worse Quality of Care? Health Affairs 16(5):7-25.
11. -. 2002. HMO Plan Performance Update: An Analysis of the Literature, 1997-2001. Health Affairs 21(4):63-86.
12. National Committee on Quality Accreditation (NCQA). 1999a. Press release about report, State of Managed Care Quality. July 28. Available at: www.ncqa.org.
13. -. 1999b. The State of Managed Care Quality, 1999. Washington, D.C.: NCQA.
14. Newcomer, L. N. 1998. Physician, Measure Thyself. Health Affairs 17(4):32-35.
15. Newhouse, J. P., W. G. Manning, C. Morris, L. Orr, N. Dvan, E.B. Keeler, A. Leibowitz, K. Marquis, M.S. Marquis, C.E. Phelps, and R.H. Brook. 1981. Some Interim Results from a Controlled Trial of Cost Sharing in Health Insurance. New England Journal of Medicine 305(25): 1501-1507.
16. Shwartz, M., and A.S. Ash. 1997. Evaluating the Performance of Risk-Adjustment Methods: Continuous Outcomes. In Risk Adjustment for Measuring Health Outcomes, Second Edition, L.I. Iezzoni, ed. Chicago: Health Administration Press.
17. Starfield, B. 1998. Primary Care: Balancing Health Needs, Services and Technology, Second Edition. Oxford: Oxford University Press.
18. Tu, H.T., P. Kemper, and H. J. Wong. 1999/2000. Do HMOs make a Difference? Use of Health Services. Inquiry 36(4):400-410.