Results 221 to 230 of about 27,855 (253)
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Mental health insurance: A comparison of a fee-for-service indemnity plan and a comprehensive mental health center.

American Journal of Orthopsychiatry, 1972
Services and utilization rates of a comprehensive mental health center supported by a prepaid insurance plan are compared with those of a fee-for-service indemnity plan. Data accumulated over a period of seven years indicate that by the end of that period hospitalization rates among members of the center were lower than those for members of the ...
J, Cohen, H, Hunter
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Medicaid maternal and child health care: Prepaid plans vs. private fee‐for‐service

Research in Nursing & Health, 1990
AbstractA randomly selected sample of 98 inner‐city new mothers was interviewed with regard to (a) their level of satisfaction with and perceived barriers to pediatric and maternal health care, and (b) the health status of their infants. The mothers were divided according to their Medicaid status: 39 (40%) were enrolled into a Medicaid prepaid plan ...
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Comparing CMS Spending for a Special Needs Plan’s Enrollees with Medicare Fee-for-Service

SSRN Electronic Journal, 2010
The objective of this analysis was to compare the capitation payments that the Centers for Medicare & Medicaid Services (CMS) makes to SCAN for enrollees in its largest SNP with the payments that CMS would have otherwise made to providers if those individuals incurred claims in the FFS program.
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Cognitive Assessment At Medicare's Annual Wellness Visit In Fee-For-Service And Medicare Advantage Plans.

Health affairs (Project Hope), 2021
The Medicare annual wellness visit-a preventive care visit free to Medicare beneficiaries enrolled in Part B-requires detection of cognitive impairment. We surveyed an internet panel of adults ages sixty-five and older who were enrolled in fee-for-service Medicare or Medicare Advantage to measure the use of that benefit and the receipt of structured ...
Mireille, Jacobson   +2 more
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Delay in gynecologic surgical treatment: a comparison of patients in managed care and fee-for-service plans

Obstetrics & Gynecology, 1999
To determine whether membership in a managed care organization is associated with a delay in receiving definitive surgical treatment for benign gynecologic or gynecologic oncologic diseases.Four hundred patients who had definitive surgery between 1994 and 1997 were divided into those with benign gynecologic (n = 207) and gynecologic oncologic diagnoses
S, Chin, K M, Harrigill
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Medicare's Experience with PPOs and Private Fee-for-Service Plans [PDF]

open access: possible
This publication reviews Medicare's limited experience with preferred provider organizations and private fee-for-service plans. It notes that fewer than 100,000 beneficiaries are now in such plans. The researchers also note concern about feasibility nationally and potentially higher costs.
Marsha Gold, Lori Achman
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Rural enrollment in Medicare advantage is concentrated in private fee-for-service plans.

Rural policy brief, 2007
Enrollment in Medicare Advantage (MA) plans more than doubled in rural areas in 2006, the first year of the MA program. However, rural enrollment remains well below urban enrollment as a percentage of the eligible population. This policy brief provides findings about enrollment in the newly designed MA program in rural and urban areas across the United
Timothy D, McBride   +2 more
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Preventive care in managed care and fee-for-service plans: is it cost effective?

Managed care interface, 2003
Lack of coverage, knowledge, and physician guidance, and low socioeconomic status are major barriers to receiving preventive care. Compared with fee-for-service insurance, managed care promotes prevention through more generous coverage, physician incentives, and patient education, and members of MCOs use more preventive services than do members of fee ...
Y Richard, Wang, Mark V, Pauly
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Prepaid plans re-established in a fee-for-service group.

Medical group management, 1984
A negative past experience in contracting with an HMO had soured a small fee-for-service group's taste for this type of organization. A change in management led to an objective evaluation of the situation and, as a result, a renewal of negotiations with the HMO.
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Medicare's Private Fee-for-Service Plan: Sterling's, Structure, Opportunities, and Risks [PDF]

open access: possible, 2001
Examines the Sterling Life Insurance Company's private fee-for-service plan, the first and only such plan offered since the Balanced Budget Act authorized this option.
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