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Improving the Medicare Market; Adding Choice and Protections

Improving the Medicare Market; Adding Choice and Protections


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1996-11-01 edition. Excerpt: ...and too profit-oriented to meet their special needs" (Families USA Foundation, 1995, p. 1). Others express concerns about the financial incentives in managed care. "Many mental health advocates, who believe that the financial incentives inherent in HMOs, as well as HMOs' lack of experience in providing services to seriously mentally ill individuals, could lead to ineffective or inappropriate care, and a deterioration in the mental health status of these persons" (Christiansen and Osher, 1994, p. 899). Still others recognize that although "managed care itself is not the enemy, ..". there are plans that "cut costs by recruiting the healthiest patients, rationing care by making it inconvenient to obtain, and denying care by a variety of mechanisms" (Kassirer, 1995, p. 50). Patients with chronic illness have "ongoing, often complex and expensive health care needs that make them unattractive in a capitated environment" (Safran et al., 1994, p. 1579). These kinds of concerns are raised often and must be taken seriously. The research evidence is limited because managed care has not been the major health delivery system for vulnerable populations. Furthermore, the industry is changing rapidly. Thus, what is known about one particular model may not necessarily apply to the newer managed care entrants. Nevertheless, some of the research evidence may be helpful in predicting how vulnerable populations will experience managed care. Health Outcomes In general, HMOs save money by reducing the use and intensity of services. A comprehensive examination of the Medicare HMO risk program conducted by Mathematica Policy Research, Inc., found that Medicare risk plans may spend about 10.5 percent less than the Health Care Financing Administration (HCFA) would...


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Product Details
  • ISBN-13: 9781150559839
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 124
  • Spine Width: 7 mm
  • Width: 189 mm
  • ISBN-10: 1150559837
  • Publisher Date: 01 Jul 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 236 gr


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