Results 271 to 280 of about 460,086 (299)

Medicare's Experience with PPOs and Private Fee-for-Service Plans [PDF]

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
openaire  

Some of the next articles are maybe not open access.

Related searches:

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, Tanchica L, Terry, Keith J, Mueller   +2 more
openaire   +1 more source

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
openaire   +1 more source

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.
openaire   +1 more source

Medicare's Private Fee-for-Service Plan: Sterling's, Structure, Opportunities, and Risks [PDF]

, 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.
openaire   +1 more source

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.
openaire   +1 more source

Family physicians and the future of fee-for-service payment plans.

The Journal of family practice, 1986
The mechanisms by which health care providers in the United States are reimbursed for their services are undergoing dynamic and rapid changes. Traditional fee-for-service payment schemes as the predominant reimbursement methods are declining and are being supplanted by a plethora of different schemes that incorporate prepayment as the mode of ...
openaire   +1 more source

Medicaid Beneficiaries Using Mental Health or Substance Abuse Services in Fee-for-Service Plans in 13 States, 2003

Psychiatric Services, 2010
This study identified Medicaid beneficiaries using mental health or substance abuse services in fee-for-service plans in 13 states in 2003 (N=1,380,190) and examined their use of medical services.Administrative and fee-for-service claims data from Medicaid Analytic eXtract files were analyzed to identify mutually exclusive groups of beneficiaries who ...
Henry T, Ireys, Allison L, Barrett, Jeffrey A, Buck, Thomas W, Croghan, Melanie, Au, Judith L, Teich   +5 more
openaire   +2 more sources

Choosing Medicare Advantage Plans Versus Traditional Fee-for-Service: Is This Change the Tipping Point?

Professional Case Management, 2019
Beginning in 2019, the Centers for Medicare & Medicaid Services is expanding the definition of “primarily health-related.” Under the new definition, Medicare Advantage Plans allow beneficiaries supplemental benefits if they compensate for physical impairments, diminish the impact of injuries or health conditions, and/or reduce avoidable emergency ...
openaire   +2 more sources

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