Social health maintenance organizations' service use and costs, 1985-89
- PMID: 10113612
- PMCID: PMC4193656
Social health maintenance organizations' service use and costs, 1985-89
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.
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.