Social health maintenance organizations' service use and costs, 1985-89
Affiliations
- PMID: 10113612
- PMCID: PMC4193656
Item in Clipboard
Social health maintenance organizations' service use and costs, 1985-89
Health Care Financ Rev.
1991 Spring.
Abstract
Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic HMO benefit package, had higher start up costs and financial losses over the first 5 years than expected, and controlling costs continues to be a challenge to the sites and their sponsors.
Similar articles
-
The social/HMO. Case management in an integrated acute and long-term care system.Caring. 1990 Aug;9(8):30-2, 34, 36-40. Caring. 1990. PMID: 10106970
-
S/HMO versus TEFRA HMO enrollees: analysis of expenditures.Health Care Financ Rev. 1999 Summer;20(4):7-23. Health Care Financ Rev. 1999. PMID: 11482126 Free PMC article.
-
Factors that contribute to Medicare HMO risk contract success.Inquiry. 1988 Summer;25(2):251-62. Inquiry. 1988. PMID: 2968315
-
The health status and utilization patterns of the elderly: implications for setting Medicare payments to HMOs.Adv Health Econ Health Serv Res. 1989;10:41-73. Adv Health Econ Health Serv Res. 1989. PMID: 10304291 Review.
-
S/HMOs, the second generation: building on the experience of the first Social Health Maintenance Organization demonstrations.J Am Geriatr Soc. 1997 Jan;45(1):101-7. doi: 10.1111/j.1532-5415.1997.tb00987.x. J Am Geriatr Soc. 1997. PMID: 8994497 Review. No abstract available.
Cited by
-
The changing elderly population and future health care needs.J Urban Health. 1999 Mar;76(1):24-38. doi: 10.1007/BF02344459. J Urban Health. 1999. PMID: 10091188 Free PMC article. Review.
-
Managed care and dually eligible beneficiaries: challenges in coordination.Health Care Financ Rev. 2002 Fall;24(1):63-82. Health Care Financ Rev. 2002. PMID: 12545599 Free PMC article.
-
Social HMOs and other capitated arrangements for children with special health care needs.Matern Child Health J. 1997 Jun;1(2):111-9. doi: 10.1023/a:1026274407702. Matern Child Health J. 1997. PMID: 10728233 Review.
-
Quality assurance for a program of comprehensive care for older persons.Health Care Financ Rev. 1993 Summer;14(4):89-110. Health Care Financ Rev. 1993. PMID: 10133114 Free PMC article.
References
-
- Clark WD. Risk Sharing in the Social Health Maintenance Organizations: The First Year Experience. Paper presented at the 1986 Annual Meeting of the American Public Health Association; Las Vegas, Nev.. 1986.
-
- Fox PD, Heinen L, Steele RJ. Determinants of HMO Success. Washington, D.C.: Office of Health Maintenance Organizations; 1986. Contract No. BHMORD-240-83-0095. Prepared for Lewin and Associates, Birch Davis Associates, Inc.
-
- Goran MJ. Who Is Investing in HMOs?. Finance and Marketing in the Nation's Group Practice HMOs; Proceedings of the Annual Group Health Institute; Washington, D.C.: The Group Health Association; 1981.
-
- Greenberg J, Leutz W, Greenlick M, et al. The social HMO demonstration: Early experience. Health Affairs. 1988;7(3):66–79. - PubMed
-
- Hamm LV, Kickham TM, Cutler DA. Research, Demonstrations, and Evaluations. In: Vogel RJ, Palmer HC, editors. Long-Term Care: Perspectives from Research and Demonstrations. Washington: U.S. Government Printing Office; 1982. Health Care Financing Administration.