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Medicare Advantage's private fee-for-service plans: paying for coordinated care without the coordination.

Issue brief (Commonwealth Fund), 2008
Like the private managed care plans offered under Medicare Advantage, private fee-for-service (PFFS) plans are paid more per beneficiary than those individuals would be expected to cost if they were enrolled in traditional fee-for-service Medicare. However, PFFS plans are not required to provide the same type of coordinated care required of Medicare ...
Brian, Biles   +2 more
openaire   +1 more source

Rural enrollment in Medicare Advantage growing rapidly in 2007, especially in private fee-for-service plans.

Rural policy brief, 2007
Enrollment in Medicare Advantage (MA) plans has more than tripled since the inception of the MA program at the beginning of 2006. 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 ...
Timothy D, McBride   +2 more
openaire   +1 more source

February 2010: a dramatic shift away from private fee-for-service plans in rural Medicare Advantage enrollment.

Rural policy brief, 2010
In a reversal of recent trends, private fee-for-service (PFFS) enrollment fell dramatically in rural areas in early 2010. As a result, Medicare Advantage (MA) enrollment in rural areas (excluding other prepaid plans) fell slightly in early 2010 for the first time in years.
Leah, Kemper   +3 more
openaire   +1 more source

Difference in the use of preventive services between fee-for-service plans and HMOs: is more better?

The American journal of managed care, 2003
Based on the US Preventive Services Task Force recommendations, we studied how health insurance type, ie, fee-for-service (FFS) or health maintenance organization (HMO), affects the utilization of preventive services of differing effectiveness.Household survey data from the 1993 and 1994 National Health Interview Surveys.We compared the use of ...
Y Richard, Wang, Mark V, Pauly
openaire   +1 more source

Cognitive Assessment At Medicare’s Annual Wellness Visit In Fee-For-Service And Medicare Advantage Plans

Health Affairs, 2020
Mireille Jacobson   +2 more
openaire   +1 more source

Quality of care by insurance plan. A fee-for-service versus health maintenance organization comparison.

Outcomes management, 2003
This study sought to determine if differences in quality of care existed between fee-for-service and health maintenance organization insurance plans (N = 154) for patients with congestive heart failure. There were no statistically significant differences in outcomes between the insurance plans.
openaire   +1 more source

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