Risk Selection and Benefits in the Medicare+Choice Program

Health Care Financing Review

Volumn 25, Issue 1, 2003, Pages 23-36

  Feldman, Roger ^a   Dowd, Bryan ^a   Wrobel, Marian ^b  

^a UNIVERSITY OF MINNESOTA   (United States)

^b ABT ASSOCIATES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COST BENEFIT ANALYSIS; DECISION MAKING; FINANCIAL MANAGEMENT; HEALTH CARE MANAGEMENT; HEALTH INSURANCE; HEALTH PROGRAM; HUMAN; MANAGED CARE; MEDICARE; OUTPATIENT CARE; REVIEW; RISK BENEFIT ANALYSIS;

DENTAL HEALTH SERVICES; FEES AND CHARGES; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH STATUS INDICATORS; HUMANS; INSURANCE, PHARMACEUTICAL SERVICES; MEDICARE PART C; UNITED STATES;

EID: 1642475066     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (20)

1. American Association of Health Plans: Health Plans Offer Enhanced Benefits and Lower Costs for Medicare Beneficiaries. May 1999.
2. Atherly, A.: The Effect of Benefits, Premiums, and Health Risk on Health Plan Choice in the Medicare Program. Report to the Centers for Medicare & Medicaid Services. September 21, 2001.
3. Brown, R.S., and Hill, J.W.: The Effects of Medicare Risk HMOs on Medicare Costs and Service Utilization. In Luft, H.S. (ed.): HMOs and the Elderly. Health Administration Press. Ann Arbor, MI. 1994.
4. Buntin, M.B.: Risk Selection and Product Differentiation in Medicare HMOs. Unpublished paper. RAND. Santa Monica, CA. December 2000.
5. Call, K.T., Dowd, B., Feldman, R., and Maciejewski, M.: Selection Experience in Medicare HMOs: Pre-Enrollment Expenditures. Health Care Financing Review 20(4):197-209, Summer 1999.
6. Centers for Medicare & Medicaid Services: Risk Factor Tables. Internet address: http://www.hcfa.gov/ stats/hmorates/vcover00/enclose3/html (Accessed 2003.)
7. Congressional Budget Office: Issues in Designing a Prescription Drug Benefit for Medicare. A CBO Study. October 2002. Internet address: http:www.cbo.gov (Accessed 2003.)
8. Cutler, D.M., and Zeckhauser, R.J.: Adverse Selection in Health Insurance. In Garber, A. (ed.): Frontiers in Health Policy Research, Volume 1. MIT Press. Cambridge, MA. 1998.
9. Dowd, B., and Feldman, R.: Premium Elasticities of Health Plan Choice. Inquiry 31(4):438-444, Winter 1994.
10. Dowd, B., Coulam, R., and Feldman, R.: A Tale of Four Cities: Medicare Reform and Competitive Pricing. Health Affairs 19(5):9-29, September/ October 2000.
11. Dowd, B., Feldman, R., and Coulam, R.: The Effect of Health Plan Characteristics on Medicare+Choice Enrollment. Health Services Research 38(1):113-135, February 2003.
12. Greenwald, L. M., Esposito, A., Ingber, M.J., and Levy, J.M.: Risk Adjustment for the Medicare Program: Lessons Learned from Research and Demonstrations. Inquiry 35(2):193-209, September 1998.
13. Harlow, J.: Encounter Data Validation. Unpublished paper. Health Care Financing Administration. Baltimore, MD. March 15, 2000.
14. Kennedy, P.E.: Estimation of Correctly Interpreted Dummy Variables in Semilogarithmic Equations. American Economic Review 71(4):801, September 1981.
15. Maciejewski, M., Dowd, B., Call, K.T., and Feldman, R.: Comparing Mortality and Days of Survival for Medicare HMO and FFS Beneficiaries. Health Services Research 35(6):1245-1265, February, 2001.
16. McFadden, D.: Conditional Logit Analysis of Qualitative Choice Behavior. In Zarembka, P.(ed.): Frontiers in Econometrics. Academic Press. New York, NY. 1973.
17. Pizer, S.D., Frakt, A.B., and Doksum, T.: The Effects of Medicare+Choice Payments on Benefits and Premiums. Report to the Centers for Medicare & Medicaid Services. September 21, 2001.
18. Pizer, S.D., Frakt, A.B., and Feldman, R.: Payment Policy and Inefficient Benefits in the Medicare+ Choice Program. International Journal of Health Care Finance and Economics 3(2):79-93, June 2003.
19. Stiglitz, J.P.: Economics of the Public Sector. (3rd Edition.) W.W. Norton & Company, Inc. New York, NY. 2000.
20. Virnig, B.A., Morgan, R.O., DeVito, C.A. et al.: Medicare HMOs: Who Joins and Who Leaves? American Journal of Managed Care. 4(4):511-518, April 1998.