Health effects of managed care among the near-elderly

Journal of Aging and Health

Volumn 18, Issue 4, 2006, Pages 507-533

  Xu, Xiao ^a   Jensen, Gail A ^b  

^a UNIVERSITY OF MICHIGAN   (United States)

^b WAYNE STATE UNIVERSITY   (United States)

Author keywords

Chronic diseases; HMOs; Near elders; PPOs

Indexed keywords

AGE DISTRIBUTION; AGED; ARTICLE; CONTROLLED STUDY; EVALUATION; FEMALE; GERIATRIC CARE; HEALTH CARE DELIVERY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HUMAN; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; POPULATION MODEL; TREATMENT PLANNING;

FEE-FOR-SERVICE PLANS; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH STATUS; HUMANS; LOGISTIC MODELS; MIDDLE AGED; PREFERRED PROVIDER ORGANIZATIONS; REGRESSION ANALYSIS; UNITED STATES;

EID: 33745813169     PISSN: 08982643     EISSN: 15526887     Source Type: Journal    
DOI: 10.1177/0898264306289626     Document Type: Article

References (40)

1. Administration on Aging. (1996). Aging into the 21st century. Retrieved March 8, 2004, from http://www.aoa.gov/prof/Statistics/future_growth/aging21/ demography.asp
2. Call, K. T., Dowd, B., Feldman, R., & Maciejewski, M. (1999). Selection experiences in Medicare HMOs: Pre-enrollment expenditures. Health Care Financing Review, 20(4), 197-209.
3. Crimmons, E., & Saito, Y. (1993). Getting better and getting worse: Transitions in functional status among older Americans. Journal of Aging and Health, 5, 3-36.
4. DeMaris, A. (1992). Logit modeling: Practical application (Sage University Paper Series on Quantitative Applications in the Social Sciences, 07-086). Newbury Park, CA: Sage.
5. Erickson, L. C., Wise, P. H., Cook, E. F., Beiser, A., & Newburger, J. W. (2000). The impact of managed care insurance on use of lower-mortality hospitals by children undergoing cardiac surgery in California. Pediatrics, 105(6), 1271-1278.
6. Escarce, J. J., Van Horn, R. L., Pauly, M. V., Williams, S. V., Shea, J. A., & Chen, W. (1999). Health maintenance organizations and hospital quality for coronary artery bypass surgery. Medical Care Research and Review, 56(3), 340-362; discussion, 363-372.
7. Experton, B., Ozminkowski, R. J., Pearlman, D. N., Li, Z., & Thompson, S. (1999). How does managed care manage the frail elderly? The case of hospital readmissions in fee-for-service versus HMO systems. American Journal of Preventive Medicine, 16(3), 163-172.
8. Gabel, J. R., & Long, S. H. (2002). Employer-sponsored insurance: How much financial protection does it provide? Medical Care Research and Review, 59(4), 440-454.
9. Gilmore, A. B., McKee, M., & Rose, R. (2002). Determinants of and inequalities in self-perceived health in Ukraine. Social Science & Medicine, 55(12), 2177-2188.
10. Greene, W. H. (2000). Hausman's specification test and an application to instrumental variable estimation. In W. H. Greene, Econometric analysis (pp. 383-387). Upper Saddle River, NJ: Prentice Hall.
11. Grossman, M. (1972). On the concept of health capital and the demand for health. The Journal of Political Economy, 80(2), 223-255.
12. Guadagnoli, E., Landrum, M. B., Peterson, E. A., Gahart, M. T., Ryan, T. J., & McNeil, B. J. (2000). Appropriateness of coronary angiography after myocardial infarction among Medicare beneficiaries: Managed care versus fee for service. The New England Journal of Medicine, 343(20), 1460-1466.
13. Hausman, J. A. (1978). Specification tests in econometrics. Econometrica, 46(6), 1251-1271.
14. Health and Retirement Study, (Wave [2-5]/Year [1994-2000]) public use dataset. (2004). Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG09740). Ann Arbor, MI.
15. Holtzman, J., Chen, Q., & Kane, R. (1998). The effect of HMO status on the outcomes of home-care after hospitalization in a Medicare population. Journal of the American Geriatrics Society, 46(5), 629-634.
16. Kaiser Family Foundation. (2004). Employer Health Benefits 2004 Survey. Retrieved March 8, 2005, from http://www.kff.org/insurance/7148/sections/ehbs04- sec5-1.cfm
17. Long, J. S., & Freese, J. (2003). Regression models for categorical dependent variables using Stata (Rev. ed.). College State, TX: Stata Press.
18. Manton, K. G., Newcomer, R., Lowrimore, G. R., Vertrees, J. C., & Harrington, C. (1993). Social/health maintenance organization and fee-for-service health outcomes over time. Health Care Financing Review, 15(2), 173-202.
19. Mello, M. M., Stearns, S. C., Norton, E. C., & Ricketts, T. C. (2003). Understanding biased selection in Medicare HMOs. Health Services Research, 38(3), 961-992.
20. Miller, R. H., & Luft, H. S. (1997). Does managed care lead to better or worse quality of care? Health Affairs, 16(5), 7-25.
21. Miller, R. H., & Luft, H. S. (2002). HMO plan performance update: An analysis of the literature, 1997-2001. Health Affairs, 21(4), 63-86.
22. Morrisey, M. A., & Jensen, G. A. (2001). The near-elderly, early retirees and managed care. Health Affairs, 20(6), 197-206.
23. National Center for Health Statistics. (2002). Health, United States, 2002, with chartbook on trends in the health of Americans. DHHS Publication No. 1232, Hyattsville, Maryland.
24. Ni, H., Nauman, D. J., & Hershberger, R. E. (1998). Managed care and outcomes of hospitalization among elderly patients with congestive heart failure. Archives of Internal Medicine, 158(11), 1231-1236.
25. Porell, F. W., & Miltiades, H. B. (2002). Regional differences in functional status among the aged. Social Science & Medicine, 54(8), 1181-1198.
26. Potosky, A. L., Merrill, R. M., Riley, G. F., Taplin, S. H., Barlow, W., Fireman, B. H., et al. (1997). Breast cancer survival and treatment in health maintenance organization and fee-for-service settings. Journal of the National Cancer Institute, 89(22), 1683-1691.
27. Potosky, A. L., Merrill, R. M., Riley, G. F., Taplin, S. H., Barlow, W., Fireman, B. H., et al. (1999). Prostate cancer treatment and ten-year survival among group/staff HMO and fee-for-service Medicare patients. Health Services Research, 34(2), 525-546.
28. RAND HRS Data, Version D. (2004, April). Produced by the RAND Center for the Study of Aging, with funding from the National Institute on Aging and the Social Security Administration. Santa Monica, CA.
29. Reschovsky, J. D. (1999/2000). Do HMOs make a difference? Access to health care. Inquiry, 36(4), 290-399.
30. Retchin, S. M., Brown, R. S., Yeh, S. C., Chu, D., & Moreno, L. (1997). Outcomes of stroke patients in Medicare fee for service and managed care. The Journal of the American Medical Association, 278(2), 119-125.
31. Riley, G., Potosky, A. L., Klabunde, C. N., Warren, J. L., & Ballard-Barbash, R. (1999). Stage at diagnosis and treatment patterns among older women with breast cancer: An HMO and fee-for-service comparison. The Journal of the American Medical Association, 281(8), 720-726.
32. Roetzheim, R. G., Pal, N., Gonzalez, E. C., Ferrante, J. M., Van Durme, D. J., & Krischer, J. P. (2000). Effects of health insurance and race on colorectal cancer treatments and outcomes. American Journal of Public Health, 90(11), 1746-1754.
33. Roetzheim, R. G., Pal, N., Tennant, C., Voti, L., Allanan, J. Z., Schwabe, A., et al. (1999). Effects of health insurance and race on early detection of cancer. Journal of the National Cancer Institute, 91(16), 1409-1415.
34. Rosenzweig, M. R., & Schultz, T. P. (1983). Estimating a household production function: Heterogeneity, the demand for health inputs, and their effects on birth weight. The Journal of Political Economy, 91(5), 723-746.
35. Shaughnessy, P. W., Schlenker, R. E., & Hittle, D. F. (1994). Home health care outcomes under capitated and fee-for-service payment. Health Care Financing Review, 16(1), 187-221.
36. Smith, J. P., & Kington, R. (1997). Demographic and economic correlates of health in old age. Demography, 34(1), 159-170.
37. Smith, M. A., Shahar, E., McGovern, P. G., Kane, R. L., Doliszny, K. M., Arnett, D. K., et al. (1999). HMO membership and patient age and the use of specialty care for hospitalized patients with acute stroke: The Minnesota Stroke Survey. Medical Care, 37(11), 1186-1198.
38. Soumerai, S. B., McLaughlin, T. J., Gurwitz, J. H., Pearson, S., Christiansen, C. L., Borbas, C., et al. (1999). Timeliness and quality of care for elderly patients with acute myocardial infarction under health maintenance organization vs. fee-for-service insurance. Archives of Internal Medicine, 159(17), 2013-2020.
39. Ware, J. E., Jr., Bayliss, M. S., Rogers, W. H., Kosinski, M., & Tarlov, A. R. (1996). Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems: Results from the Medical Outcomes Study. The Journal of the American Medical Association, 276(13), 1039-1047.
40. Wolinsky, F. D., Wan, G. J., & Tierney, W. M. (1998). Changes in the SF-36 in 12 months in a clinical sample disadvantaged older adults. Medical Care, 36(11), 1589-1598.