Impact of health maintenance organizations and fee-for-service on health care utilization among people with systemic lupus erythematosus

Arthritis Care and Research

Volumn 57, Issue 3, 2007, Pages 508-515

  Yelin, Edward ^a   Trupin, Laura ^a   Katz, Patricia ^a   Criswell, Lindsey A ^a   Yazdany, Jinoos ^a   Gillis, Joann ^a   Panopalis, Peter ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Fee for service; Health care utilization; Health maintenance organizations; Systemic lupus erythematosus

Indexed keywords

ADULT; AGE DISTRIBUTION; AMBULATORY CARE; ARTICLE; DEMOGRAPHY; DISEASE ACTIVITY; FEMALE; HEALTH CARE UTILIZATION; HEALTH MAINTENANCE ORGANIZATION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; OUTPATIENT CARE; RACE DIFFERENCE; SOCIOECONOMICS; SYSTEMIC LUPUS ERYTHEMATOSUS;

ADULT; AMBULATORY CARE; AMBULATORY SURGICAL PROCEDURES; COHORT STUDIES; DELIVERY OF HEALTH CARE; FEE-FOR-SERVICE PLANS; FEMALE; HEALTH MAINTENANCE ORGANIZATIONS; HOSPITALIZATION; HUMANS; LUPUS ERYTHEMATOSUS, SYSTEMIC; MALE; MIDDLE AGED; OFFICE VISITS;

EID: 34247644384     PISSN: 21514658     EISSN: 15290131     Source Type: Journal    
DOI: 10.1002/art.22625     Document Type: Article

References (23)

1. Luft H. HMOs: dimensions of performance. New York: Wiley & Sons; 1981.
2. Manning WG, Lebowitz A, Goldberg GA, Rogers WH, Newhouse JP. A controlled trial of the effect of prepaid group practice on use of services. N Engl J Med 1984;310:1505-10.
3. Ware JE Jr, Brook RH, Rogers WH, Keeler EB, Davies AR, Sherbourne CD, et al. Comparison of health outcomes at a health maintenance organization with those of fee-for-service care. Lancet 1986;1:1017-22.
4. Sloss EM, Keeler EB, Brook RH, Operskalski BH, Goldberg GA, Newhouse JP. Effect of health maintenance organization on physiologic health: results from a randomized trial. Ann Intern Med 1987;106:130-8.
5. Lurie N, Moscovice IS, Finch M, Christianson JB, Popkin MK. Does capitation affect the health of the chronically mentally ill? Results from a randomized trial. JAMA 1992;267:3300-4.
6. Lurie N, Christianson J, Finch M, Moscovice I. The effects of capitation on health and functional status of the Medicaid elderly: a randomized trial. Ann Intern Med 1994;120:506-11.
7. Miller RH, Luft HS. Managed care plan performance since 1980: a literature analysis. JAMA 1994;271:1512-9.
8. Miller R, Luft H. Managed care plan performance: evidence from recently published studies. Speech before American Association of Health Plans, Washington (DC) 1997.
9. Miller RH, Luft HS. HMO plan performance update: an analysis of the literature, 1997-2001 [review.]. Health Aff (Millwood) 2002;21:63-86.
10. Yelin EH, Henke CJ, Kramer JS, Nevitt MC, Shearn M, Epstein WV. A comparison of the treatment of rheumatoid arthritis in health maintenance organizations and fee-for-service practices. N Engl J Med 1985;312:962-7.
11. Manheim LM. Managed care and arthritis care: patients and providers under the new medical care organizations. Arthritis Care Res 1995;8:298-303.
12. Yelin EH, Criswell LA, Feigenbaum PG. Health care utilization and outcomes among persons with rheumatoid arthritis in fee-for-service and prepaid group practices. JAMA 1996;276:1048-53.
13. Ward MM, Lubeck D, Leigh JP. Longterm health outcomes of patients with rheumatoid arthritis treated in managed care and fee-for-service practice settings. J Rheumatol 1998;25:641-9.
14. Yelin E, Trupin L, Katz P. The prevalence and impact of managed care for persons with RA in 1994 and 1999. Arthritis Rheum 2002;47:172-80.
15. Yelin EH, Trupin LS, Katz PP. Impact of managed care on the use of biological agents for rheumatoid arthritis. Arthritis Rheum 2005;53:423-30.
16. Stewart M, Petri M. Lupus nephritis outcomes: health maintenance organizations compared to non-health maintenance organizations. J Rheumatol 2000;27:900-2.
17. Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1982;25:1271-7.
18. Hochberg MC. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus [letter]. Arthritis Rheum 1997;40:1725.
19. Cohen JW, Monheit AC, Beauregard KM, Cohen SB, Lefkowitz DC, Potter DE, et al. The Medical Expenditures Panel Survey: a national information resource. Inquiry 1996-1997;33:373-89.
20. Kerwin J, Cantor D, Sheridan S. Results of rounds 3 and 4 of managed care cognitive interviews for the household portion of the MEPS. Bethesda (MD): Report to AHCPR from Westat, Inc; 1995.
21. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short Form Health Survey: construction of scales and preliminary tests. Med Care 1996;34:220-33.
22. Karlson EW, Daltroy LH, Rivest C, Ramsey-Goldman R, Wright EA, Partridge AJ, et al. Validation of a Systemic Lupus Activity Questionnaire (SLAQ) for population studies. Lupus 2003;12:280-6.
23. Research Triangle Institute. SUDAAN user's manual, release 8.0. Research Triangle Park (NC): Research Triangle Institute; 2001.