Effect of Medicare advantage payments on dually eligible Medicare beneficiaries

Health Care Financing Review

Volumn 26, Issue 3, 2005, Pages 93-104

  Atherly, Adam ^a   Dowd, Bryan E ^b  

^a EMORY UNIVERSITY   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AGING; ARTICLE; CANCER; CHRONIC DISEASE; DAILY LIFE ACTIVITY; DIABETES MELLITUS; FEMALE; GOVERNMENT; HEALTH STATUS; HEALTH SURVEY; HEART INFARCTION; HUMAN; LOWEST INCOME GROUP; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; MEDICAID; MEDICARE; MODEL; REIMBURSEMENT; STROKE; UNITED STATES;

AGED; CHOICE BEHAVIOR; DATA COLLECTION; ELIGIBILITY DETERMINATION; FEMALE; HUMANS; MALE; MEDICAID; MEDICARE; POVERTY; REIMBURSEMENT MECHANISMS; UNITED STATES;

EID: 19944421404     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (21)

1. Achman, L. and Gold, M.: Medicare+Choice 1999-2001: An Analysis of Managed Care Plan Withdrawals and Trends in Benefits and Premiums. The Commonwealth Fund. Mathematica Policy Research, Inc. Washington DC. February 2002.
2. Adler, G. and Phil, M.: A Profile of the Medicare Current Beneficiary Survey. Health Care Financing Review 15(4):153-163, Summer 1994.
3. Anderson, W., Kenney, G., and Rabiner, D.: Adoption of Retrospective Medicare Maximization Billing Practices by State Medicaid Home Care Programs. Journal of Health Politics, Policy and Law 28(5):859-881, October 2003.
4. Atherly, A.: Medicare Supplemental Insurance: Medicare's Accidental Stepchild. Medical Care Research and Review 58(2):131-161, June 2001.
5. Atherly, A, Dowd, B., and Feldman, R.: The Effect of Benefits, Premiums, and Health Risk on Health Plan Choice in the Medicare Program. Health Services Research 39(4):(Part 1)849-866, August 2004.
6. Burton, L., Weiner, J., Stevens, G., et al: Health Outcomes and Medicaid Costs for Frail Older Individuals: A Case Study of a MCO versus Fee-for-Service Care. Journal of American Geriatrics Society 50(2):382-388, February 2002.
7. Greene, W. H.: Econometric Analysis (5th edition). Prentice Hall. Upper Saddle River, New Jersey. 2003.
8. Hill, J., Brown, R., Chu, D., et al: The Impact of the Medicare Risk Program on the Use of Services and Costs to Medicare. Mathematica Policy Research, Inc. Princeton, N.J. 1992.
9. Kravitz, R., Greenfield, S., Rogers, W., et al.: Differences in the Mix of Patients Among Medical Specialties and Systems of Care. Results from the Medical Outcomes Study. JAMA 267(12):1617-1623, March 25, 1992.
10. McBride, T.: Disparities in Access to Medicare Managed Care Plans and Their Benefits. Health Affairs 17(6):170-180, November/December 1998.
11. McFadden, D.: Analysis of Qualitative Choice Behavior. Zarembka, P. (ed.): Frontiers in Econometrics. Academic Press. New York, NY. 1974.
12. Medicare Payment Advisory Commission: A Databook. Health Care Spending and the Medicare Program. Washington, DC. June 2004a.
13. Medicare Payment Advisory Commission: Report to Congress: New Approaches in Medicare. Washington, DC. June 2004b.
14. Miller, R. and Luft, H.: Does Managed Care Lead to Better or Worse Quality of Care? Health Affairs 16(5):7-25, September/October 1997.
15. Nemore, P.: State Medicaid Buy-In Programs: Variations in Policy and Practice. The Henry J. Kaiser Family Foundation. Washington, DC. 1999.
16. Retchin, S., Clement, D., Rossiter, L., et al.: How the Elderly Fare in HMOs: Outcomes from the Medicare Competition Demonstrations. Health Services Research 27(5):651-669, December 1992.
17. Rosenbach, M. and Lamphere, J.: Bridging the Gap Between Medicare and Medicaid: The Case of QMBs and SLMBs. American Association of Retired Persons Public Policy Institute. Number 9902. 1999.
18. Ryan, J. and Super, N.: Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy? National Health Policy Forum. NHPF Issue Brief 794. Washington, DC. September 2003.
19. Thorpe, K. and Atherly, A.: The Medicare+Choice Program: Its Current Role and Near Term Prospects. Web Exclusive. Health Affairs W242-W252, July 17, 2002. Internet address: http://content.healthaffairs.org/cgi/content/full/ hlthaff.w2. 242v1/DC1 (Accessed 2005.)
20. U.S. General Accounting Office: Medicare and Medicaid: Meeting Needs of Dual Eligibles Raises Difficult Cost and Care Issues. GAO-HEHS-97-119. U.S. Government Printing Office. Washington, DC. April 1997
21. Walsh, E. and Clark, W.: Managed Care and Dually Eligible Beneficiaries: Challenges in Coordination. Health Care Financing Review 24(1):63-82, Fall 2002.