Centre for Policy on Ageing
 

 

Physician withdrawals
 — a major source of instability in the Medicare+Choice program
Author(s)Geraldine Dallek, Andrew Dennington
Corporate AuthorCommonwealth Fund; Center for Health Services Research and Policy, George Washington University Medical Center
PublisherThe Commonwealth Fund, New York, 2002
Pages19 pp (Field report) (Program on Medicare's future, ref 495)
SourceThe Commonwealth Fund, One East 75th Street, New York, NY 10021, USA. www.cmwf.org
KeywordsGeneral practitioners ; Staff turnover ; Health services ; Management [care] ; United States of America.
AnnotationThat doctors have withdrawn from Medicare has been one cause of instability in Medicare+Choice programs. This report examines Medicare data on primary care provider turnover rates in the states for which data is available and in seven Medicare+Choice study sites: Cleveland, Houston, Los Angeles, Minneapolis-St Paul, New York, Tampa-St Petersburg, and Tucson. It also analyses the turnover rates for primary care physicians, cardiologists and hospitals in Cleveland and St Petersburg. Data from 1999 and 2001 finds turnover ranging from 23% to 60% for plans in St Petersburg, and from 17% to 25% for plans in Cleveland. Two major causes of plan network instability are discussed: payment of providers, and financial problems within networks. (RH).
Accession NumberCPA-020513223 B
ClassmarkQT6: WJ7: L: QA: 7T

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