Results 211 to 220 of about 27,855 (253)
Some of the next articles are maybe not open access.
American Journal of Psychiatry, 1987
The authors compared the use of outpatient mental health services in a health maintenance organization (HMO) and fee-for-service plans over a 5-year period, using data from a randomized controlled trial. In any given year, enrollees in the HMO and a fee-for-service plan with identical benefits were equally likely to visit a mental health specialist ...
K B Wells, W G Manning
exaly +3 more sources
The authors compared the use of outpatient mental health services in a health maintenance organization (HMO) and fee-for-service plans over a 5-year period, using data from a randomized controlled trial. In any given year, enrollees in the HMO and a fee-for-service plan with identical benefits were equally likely to visit a mental health specialist ...
K B Wells, W G Manning
exaly +3 more sources
Effect of Utilization Review in a Fee-for-Service Health Insurance Plan
New England Journal of Medicine, 1995Although 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 +8 more
openaire +2 more sources
Inappropriate Utilization in Fee-for-Service Medicare and Medicare Advantage Plans
American Journal of Medical Quality, 2017This 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 +2 more
openaire +2 more sources
Outcomes of elderly, poor worse under HMOs than fee-for-service plans
American Journal of Health-System Pharmacy, 1996exaly +2 more sources
Comparison of Cancer Diagnosis and Treatment in Medicare Fee-for-Service and Managed Care Plans
Medical Care, 2008To 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 +5 more
openaire +2 more sources
High-Cost Patients in a Fee-for-Service Medical Plan
Medical Care, 1990This article describes the high-cost and very high-cost patients in the fee-for-service medical plan of one of the nation's largest banks in terms of their demographics and medical plan expenses and utilization, within a single year and during a period of 4 consecutive years.
openaire +2 more sources
Writing an Effective Business Plan for Fee-Based Services
Journal of Interlibrary Loan, Document Delivery & Information Supply, 2000SUMMARY This paper addresses the basics of writing a business plan. Although some literature on fee-based library services and information brokering mentions business plans, most of the material on this topic can be found in the traditional business literature.
openaire +1 more source
Medical Care, 2009
Risk selection in the Medicare managed care program ("Medicare Advantage") is an important policy concern. Past research has shown that Medicare managed care plans tend to attract healthier beneficiaries and that market characteristics such as managed care penetration may also affect risk selection.To assess whether patient enrollment in Medicare ...
Stephanie L, Shimada +5 more
openaire +2 more sources
Risk selection in the Medicare managed care program ("Medicare Advantage") is an important policy concern. Past research has shown that Medicare managed care plans tend to attract healthier beneficiaries and that market characteristics such as managed care penetration may also affect risk selection.To assess whether patient enrollment in Medicare ...
Stephanie L, Shimada +5 more
openaire +2 more sources
Self-reported oral health of enrollees in capitated and fee-for-service dental benefit plans
The Journal of the American Dental Association, 2004This article examines the impact of different dental plan types, dental markets, premiums, out-of-pocket costs and enrollee demographics on the enrollees' perceived oral health status.The authors randomly sampled enrollees in dental benefit plans offered by eight Fortune 500 companies and interviewed them regarding their experiences with their plans ...
Ian, Coulter +7 more
openaire +2 more sources
Comparison of Use of Outpatient Mental Health Services in an HMO and Fee-for-Service Plans
Medical Care, 1987Whereas previous authors have used a variety of strategies to identify use of mental health services, the sensitivity of estimates to the definition of a visit has been little studied. The authors examined the sensitivity of estimates of use of outpatient mental health services in both HMO and fee-for-service plans to the method of identifying ...
K B, Wells, W G, Manning, B, Benjamin
openaire +2 more sources