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Volumn 43, Issue 2, 2013, Pages 305-319

Medicare overpayments to private plans, 1985-2012: Shifting seniors to private plans has already cost medicare US$282.6 billion

Author keywords

[No Author keywords available]

Indexed keywords

COST-BENEFIT ANALYSIS; HEALTH EXPENDITURE; HEALTH INSURANCE; HEALTH RISK; HEALTH SERVICES; INCENTIVE; MODERNIZATION; RISK ASSESSMENT;

EID: 84877736658     PISSN: 00207314     EISSN: 15414469     Source Type: Journal    
DOI: 10.2190/HS.43.2.g     Document Type: Article
Times cited : (8)

References (21)
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    • Inc., Princeton
    • Brown, R., et al. The Medicare Risk Program for HMOs: Final Summary Report on Findings from the Evaluation Report to the Health Care Financing Administration. Mathematica Policy Research, Inc., Princeton, 1993.
    • (1993) Mathematica Policy Research
    • Brown, R.1
  • 3
    • 0030154232 scopus 로고    scopus 로고
    • Health status of Medicare enrollees in HMOs and fee-for-service in 1994
    • Riley, G., et al. Health status of Medicare enrollees in HMOs and fee-for-service in 1994. Health Care Financ. Rev. 17(4):65-76, 1996.
    • (1996) Health Care Financ. Rev. , vol.17 , Issue.4 , pp. 65-76
    • Riley, G.1
  • 4
    • 84877769883 scopus 로고    scopus 로고
    • Physician Payment Review Commission Chapter 15, Annual Report to Congress. Washington, DC
    • Physician Payment Review Commission. Risk Selection and Risk Adjustment in Medicare. Chapter 15, Annual Report to Congress. Washington, DC, 1996.
    • (1996) Risk Selection and Risk Adjustment in Medicare
  • 6
    • 0024782897 scopus 로고
    • Evaluation of the Medicare competition demonstrations
    • Langwell, K. M., and Hadley, J. P. Evaluation of the Medicare competition demonstrations. Health Care Financ. Rev. 11(2):65-80, 1989.
    • (1989) Health Care Financ. Rev. , vol.11 , Issue.2 , pp. 65-80
    • Langwell, K.M.1    Hadley, J.P.2
  • 7
    • 0030871835 scopus 로고    scopus 로고
    • The Medicare-HMO revolving door - The healthy go in and the sick go out
    • Morgan, R. O., et al. The Medicare-HMO revolving door - The healthy go in and the sick go out. N. Engl. J. Med. 337(3):169-175, 1997.
    • (1997) N. Engl. J. Med. , vol.337 , Issue.3 , pp. 169-175
    • Morgan, R.O.1
  • 8
    • 15344339809 scopus 로고    scopus 로고
    • Medicare Disadvantaged And The Search For The Elusive 'level playing field
    • Suppl. Web Exclusives):W4-572-W4-585
    • Berenson, R. Medicare disadvantaged and the search for the elusive 'level playing field.' Health Aff. (Suppl. Web Exclusives):W4-572-W4-585, 2004.
    • (2004) Health Aff.
    • Berenson, R.1
  • 9
    • 66149145433 scopus 로고    scopus 로고
    • The continuing cost of privatization: Extra payments to medicare advantage plans jump to $11.4 billion in 2009
    • The Commonwealth Fund, New York
    • Biles, B., Pozen, J., and Guterman, S. The Continuing Cost of Privatization: Extra Payments to Medicare Advantage Plans Jump to $11.4 billion in 2009. Issue Brief. The Commonwealth Fund, New York, 2009.
    • (2009) Issue Brief.
    • Biles, B.1    Pozen, J.2    Guterman, S.3
  • 12
    • 84877764650 scopus 로고    scopus 로고
    • Medicare Payment Advisory Commission, Chapter 4. Washington, DC, June
    • Medicare Payment Advisory Commission. The Medicare Advantage Program, Chapter 4. Washington, DC, June 2012.
    • (2012) The Medicare Advantage Program
  • 13
    • 79958167946 scopus 로고    scopus 로고
    • How does risk selection respond to risk adjustment? Evidence from the medicare advantage program working paper 1697
    • Cambridge,. (under revision, personal communication, Ilyana Kuziemko, August 28, 2012
    • Brown, J., et al. How Does Risk Selection Respond to Risk Adjustment? Evidence from the Medicare Advantage Program. Working Paper 1697. National Bureau of Economic Research, Cambridge, 2011. (under revision, personal communication, Ilyana Kuziemko, August 28, 2012
    • (2011) National Bureau of Economic Research
    • Brown, J.1
  • 14
    • 84863503491 scopus 로고    scopus 로고
    • Duplicate federal payments for dual enrollees in Medicare Advantage Plans and the Veterans Affairs health care system
    • Trivedi, A., et al. Duplicate federal payments for dual enrollees in Medicare Advantage Plans and the Veterans Affairs health care system. JAMA 308(1):67-72, 2012.
    • (2012) JAMA , vol.308 , Issue.1 , pp. 67-72
    • Trivedi, A.1
  • 15
    • 0030950997 scopus 로고    scopus 로고
    • Elderly veterans receiving care at a veterans affairs medical center while enrolled in medicare-financed HMOs: Is the taxpayer paying twice?
    • Passman, L. J., et al. Elderly veterans receiving care at a Veterans Affairs Medical Center while enrolled in Medicare-financed HMOs: Is the taxpayer paying twice? J. Gen. Intern. Med. 12(4):247-249, 1997.
    • (1997) J. Gen. Intern. Med. , vol.12 , Issue.4 , pp. 247-249
    • Passman, L.J.1
  • 16
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    • Use of Veterans Affairs medical care by enrollees in Medicare HMOs
    • DeVito, C. A., Morgan, R. O., and Virnig, B. A. Use of Veterans Affairs medical care by enrollees in Medicare HMOs. N. Engl. J. Med. 337:1013-1014, 1997.
    • (1997) N. Engl. J. Med. , vol.337 , pp. 1013-1014
    • DeVito, C.A.1    Morgan, R.O.2    Virnig, B.A.3
  • 18
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    • Medicare Payment Advisory Commission. Washington, DC, June
    • Medicare Payment Advisory Commission. The Medicare Advantage Program. Washington, DC, June 2012.
    • (2012) The Medicare Advantage Program
  • 19
    • 84877778875 scopus 로고    scopus 로고
    • How to think clearly about Medicare administrative costs: Data sources and measurement Forthcoming
    • Policy Law. Also U.S. Department of Health and Human Services. Administrative Costs Reflected on the Adjusted Community Rate Proposals are Inconsistent Among Managed Care Organizations. A-14-98-00210. Washington, DC
    • Sullivan, K. How to think clearly about Medicare administrative costs: Data sources and measurement. Forthcoming, J. Health Polit. Policy Law. Also U.S. Department of Health and Human Services. Administrative Costs Reflected on the Adjusted Community Rate Proposals are Inconsistent Among Managed Care Organizations. A-14-98-00210. Washington, DC, 2000.
    • (2000) J. Health Polit
    • Sullivan, K.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.