Results 201 to 210 of about 26,852 (242)

A landscape assessment of Medicaid recognition for genetic counselors. [PDF]

J Genet Couns
Reys B, Valentine A, Pan V, Gaston D, Harper M, Brouette M, Nuccio R.   +6 more
europepmc   +1 more source

Medicare Advantage Plan Spending and Payments Under the Hospice Carve-Out.

JAMA Netw Open
Bellerose M, Ryan AM, Ankuda CK, Meyers DJ.   +3 more
europepmc   +1 more source

Catalyzing Health AI by Fixing Payment Systems. [PDF]

NEJM AI
Razavian N, Batchu-Green P, Chowdhry V, Elemento O, Rajpurkar P, Saria S, Shah NH, Topol EJ.   +7 more
europepmc   +1 more source

Fluctuating Star Ratings and Medicare Advantage Bonuses.

JAMA Health Forum
Anderson A, Meiselbach MK.
europepmc   +1 more source

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Inappropriate Utilization in Fee-for-Service Medicare and Medicare Advantage Plans

American Journal of Medical Quality, 2017
This study uses a national multi-payer claims database to test for differences in potentially inappropriate emergency department (ED) visits and ambulatory care sensitive (ACS) admissions in fee-for-service (FFS) Medicare and Medicare Advantage (MA) plans. Rates of ACS admissions for MA enrollees were approximately one third those of FFS beneficiaries,
Shriram, Parashuram, Seung, Kim, Bryan, Dowd   +2 more
openaire   +2 more sources

Effect of Utilization Review in a Fee-for-Service Health Insurance Plan

New England Journal of Medicine, 1995
Although utilization review is widely used to control health care costs, its effect on patterns of health care is uncertain.In 1989, New York City and its unions temporarily replaced actual utilization review with sham review for half the participants in the city's fee-for-service health insurance plan.
S N, Rosenberg, D R, Allen, J S, Handte, T C, Jackson, L, Leto, B M, Rodstein, S D, Stratton, G, Westfall, R, Yasser   +8 more
openaire   +2 more sources

Capitation and fee-for-service dental benefit plans: economic incentives, utilization, and service-mix

The Journal of the American Dental Association, 1988
Insurance carriers, corporations, and labor groups are actively developing and marketing dental capitation benefit plans. Incentives to both dentists and patients in these plans differ from those in the traditional fee-for-service system used with conventional benefit plans.
T J, Beazoglou, A H, Guay, D R, Heffley
openaire   +2 more sources

Self-reported satisfaction of enrollees in capitated and fee-for-service dental benefit plans

The Journal of the American Dental Association, 2004
This article examines the impact of capitated, or CAP, and fee-for-service, or FFS, dental benefit plans on the enrollees' satisfaction with their plans and their satisfaction with their dentists.The authors selected four dental markets: California, New Jersey, Michigan and North Carolina. Eight Fortune 500 companies participated.
Ian D, Coulter, James R, Freed, Marvin, Marcus, Claudia, Der-Martirosian, Norma, Guzman-Becerra, Albert H, Guay, L Jackson, Brown   +6 more
openaire   +2 more sources

Comparison of Cancer Diagnosis and Treatment in Medicare Fee-for-Service and Managed Care Plans

Medical Care, 2008
To compare the Medicare managed care (MC) and fee-for-service (FFS) sectors on stage at diagnosis and treatment patterns for prostate, female breast, and colorectal cancers, and to examine patterns across MC plans.Surveillance, Epidemiology, and End Results-Medicare linked data.Among cases diagnosed at ages 65-79 between 1998 and 2002, we selected all ...
Gerald F, Riley, Joan L, Warren, Arnold L, Potosky, Carrie N, Klabunde, Linda C, Harlan, Michael B, Osswald   +5 more
openaire   +2 more sources