Medicaid Health Maintenance Organizations - Can they reduce program spending?

被引:18
作者
Buchanan, JL
Leibowitz, A
Keesey, J
机构
[1] RAND Corporation, Santa Monica, CA
[2] RAND Corporation, Santa Monica, CA 90406-2138
关键词
Medicaid; managed care; health maintenance organizations; randomized trial; capitation; cost; use;
D O I
10.1097/00005650-199603000-00005
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A randomized trial to evaluate the Florida site of the Program for Prepaid Managed Care showed that the plan, a staff model health maintenance organization, was successful in attracting Medicaid enrollees. The evaluation established that the health maintenance organization was able to limit members' utilization. The savings were in the form of lower likelihood of using care. The amount of services received, once care was initiated, was the same in both fee-for service Medicaid and health maintenance organizations. The authors detected no differences in inpatient use or costs. Additionally, they found evidence that the plan attracted sicker than average enrollees, so this reduced utilization translates into Medicaid program savings.
引用
收藏
页码:249 / 263
页数:15
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