Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 1999 Summer;20(4):197-209.

Selection experiences in Medicare HMOs: pre-enrollment expenditures

K T Call  1 , B Dowd, R Feldman, M Maciejewski
Affiliations

Selection experiences in Medicare HMOs: pre-enrollment expenditures

K T Call et al. Health Care Financ Rev. 1999 Summer.

Abstract

Using 1993 and 1994 data, the authors examine whether beneficiaries who enroll in a Medicare health maintenance organization (HMO), including those enrolling for only a short period of time, have lower expenditures than continuous fee-for-service (FFS) beneficiaries the year prior to enrollment. We also test whether biased selection varies by the level of HMO market penetration and the rate of market-share growth. We find favorable selection associated with enrollment into Medicare HMOs, which declines as market share increases but does not disappear. Among short-term enrollees, we find unfavorable selection, however, selection bias was not sensitive to market characteristics.

PubMed Disclaimer

References

    1. Brown RS. Biased Selection in Medicare HMOs. Paper presented at the Fifth Annual Meeting of the Association for Health Services Research; San Francisco, CA.. June 26-28, 1988.
    1. Brown RS, Bergeron JW, Clement DG, et al. Does Managed Care Work for Medicare? Cambridge, MA.: Mathematica Policy Research, Inc.; 1993a. Unpublished paper.
    1. Brown RS, Clement DG, Hill JW, et al. Do Health Maintenance Organizations Work for Medicare? Health Care Financing Review. 1993b Fall;15(1):7–24. - PMC - PubMed
    1. Clement DG, Gleason PM, Brown RS. The Effects of HMO Market Penetration on Medicare Fee For-Service Costs. Richmond, VA.: Williamson Institute for Health Studies; Aug, 1992.
    1. Cox DF, Hogan C. Biased Selection and Medicare HMOs: Analysis of the 1989-1994 Experience. Washington, DC.: Physician Payment Review Commission; Dec 23, 1996.

Publication types

MeSH terms

LinkOut - more resources