Selection bias in HMOs: A review of the evidence

被引:45
作者
Hellinger, FJ
Wong, HS
机构
关键词
D O I
10.1177/107755870005700402
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
Early reviews found that health maintenance organizations (HMOs) attracted healthier beneficiaries in the Medicare program and healthier employees in the market for employer-based insurance. This review finds that HMOs still attract healthier Medicare beneficiaries, that HMOs no longer attract healthier employees, and that HMOs attract healthier Medicaid recipients. This review also found conflicting evidence about whether Medicare HMOs are overpaid, no evidence that HMOs are overpaid in the market for employer-based insurance, and evidence that concerns about overpaying Medicaid HMOs have diminished because many states are adopting mandatory programs.
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页码:405 / 439
页数:35
相关论文
共 53 条
[1]  
[Anonymous], NY TIMES
[2]  
[Anonymous], HLTH MAINTENANCE ORG
[3]  
[Anonymous], NEW YORK TIMES 0403
[4]  
[Anonymous], REP C CONT CHANG MED
[5]  
BANTHIN JS, 1999, HMO ENROLLMENT US HO
[6]  
Baugh DK, 1999, HEALTH CARE FINANC R, V20, P79
[7]  
BROWER MC, 1993, NUCLEUS-CAMBRIDGE, V15, P1
[8]  
Brown Randall S., 1993, The Medicare Risk Program for HMOs: Final Summary Report on Findings from the Evaluation
[9]  
BROWN RS, 1987, HCFA500830047
[10]  
Call KT, 1999, HEALTH CARE FINANC R, V20, P197