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
Clinical Trial
. 1999 Summer;20(4):25-43.

Cost and outcomes of Medicare reimbursement for HMO preventive services

D L Patrick  1 , D Grembowski, M Durham, S A Beresford, P Diehr, J Ehreth, J Hecht, J Picciano, W Beery
Affiliations
Clinical Trial

Cost and outcomes of Medicare reimbursement for HMO preventive services

D L Patrick et al. Health Care Financ Rev. 1999 Summer.

Abstract

Medicare beneficiaries enrolled in a health maintenance organization (HMO) were randomized to a preventive services benefit package for 2 years or to usual care. At 24- and 48-month follow-ups, the treatment group had completed more advance directives, participated in more exercise, and consumed less dietary fat than the control group. Unexpectedly, more deaths occurred in the treatment group. Surviving treatment-group enrollees reported higher satisfaction with health, less decline in self-rated health status, and fewer depressive symptoms than surviving control participants. Despite these changes, the intervention did not yield lower cost per quality-adjusted life year in this historically prevention-oriented HMO.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Conceptual Model For “A Healthy Future”
Figure 2
Figure 2. Mean Quality-Adjusted Survival for Treatment and Control Groups in “A Healthy Future”
See this image and copyright information in PMC

References

    1. Abt Associates. COBRA Medicare Prevention Demonstration Summary Evaluation Report. Cambridge, MA.: Abt Associates; 1995.
    1. Adams PF, Benson V. Current Estimates from the National Health Interview Survey, 1989. National Center for Health Statistics. Vital and Health Statistics. 1990;10(176) - PubMed
    1. Bandura A. Social Learning Theory. Englewood Cliffs, NJ.: Prentice Hall; 1977a.
    1. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977b;84:191–215. - PubMed
    1. Buchner D, Casperson C, Carter W, et al. A New Physical Activity Questionnaire for Older Adults. Seattle: University of Washington; 1991. Manuscript.

Publication types

LinkOut - more resources