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Transitions in healthcare use and expenditures among frail older adults by payor/provider type
Author(s)Deborah N Pearlman, Laurence G Branch, Ronald J Ozminkowski
Journal titleJournal of the American Geriatrics Society, vol 45, no 5, May 1997
Pagespp 550-557
KeywordsHealth services ; Costs [care] ; Usage [services] ; United States of America.
AnnotationThis study examined whether transitions in health care expenditures and service use differed over an 18-month period by payor/provider type: Medicare fee-for-service, Medicaid-Medicare, and Medicare HMO. Data was collected from a sample of 450 frail older people in California, by means of surveys. Logistic regression analyses showed that subjects enrolled in Medicare HMO were nearly twice as likely as Medicaid-Medicare beneficiaries to have consistently low expenditures. Other expenditure patterns showed no major differences between payor/provider type. The study concluded that more emphasis should be given to providing incentives for managed care organisations and the traditional Medicare fee-for-service system to develop efficient and cost-effective ways of caring for frail older people.
Accession NumberCPA-970812259 A
ClassmarkL: QDC: QLD: 7T

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