Results 251 to 260 of about 460,086 (299)
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Utilization, Costs, and Access to Primary Care in Fee-for-Service and Managed Care Plans
Social Work in Public Health, 2001This study compares access to primary care, utilization, and costs among enrollees in four forms of managed care and an indemnity plan. We use 1996 data from a commercial insurer. Most managed care enrollees had better access to primary care services than indemnity enrollees.
Sarah B Laditka, James N Laditka
exaly +3 more sources
Self-reported satisfaction of enrollees in capitated and fee-for-service dental benefit plans
Journal of the American Dental Association, 2004This 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.
Marvin Marcus +2 more
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A Comparison of Quality in a Dual-choice Dental Plan: Capitation versus Fee-for-service
Journal of Public Health Dentistry, 1990AbstractThe quality of dental care provided under a dual‐choice dental plan was evaluated. Eleven practices, six capitation and five fee‐for‐service, were examined. The methodology was based primarily on examinatbn of elements of structure and process of care.
Kathryn A Atchison, Kathryn A Atchison
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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.
Albert H Guay, Dennis R Heffley
exaly +3 more sources
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.
Albert H Guay, Dennis R Heffley
exaly +3 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 ...
Kenneth B Wells, Willard G Manning
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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 ...
Willard G Manning, K B Wells
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 ...
Willard G Manning, K B Wells
exaly +3 more sources
Medicare Advantage's private fee-for-service plans: paying for coordinated care without the coordination. [PDF]
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
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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