Do this homework before taking on risk
- Choice Cuts. Korn, Donald Jay // Financial Planning;Feb2003, Vol. 33 Issue 2, p49
Discusses Medicare plans in the U.S. Information on Medicare health maintenance organizations; Reasons of clients for choosing traditional Medicare plans; Details on the Medigap policy, a Medicare supplement policy. INSET: Medigap Plans: 'A'dequate to 'J'umbo.
- EFFECTS OF HMOs ON FEE-FOR-SERVICE SECTOR EXPENDITURE: THE US MEDICARE EXPERIENCE. Bae, Jay P. // Research in Healthcare Financial Management;2001, Vol. 6 Issue 1, p21
Focuses on a study which examined the effects of health maintenance organizations (HMO) on fee-for-service sector per capita expenditures within the Medicare program in the U.S. Implication of the spillover hypothesis on HMO penetration areas; Examination of changes in the overall healthcare...
- Bipartisan House, Senate bills push for PSOs. Cassil, Alwyn // AHA News;1/27/97, Vol. 33 Issue 3, p1
Reports on the introduction of bipartisan House and Senate bills to allow health maintenance organizations to contract with Medicare. Goal of community-based care providers; Improvement of overall community health.
- More HMOs exiting Medicare market. Geisel, Jerry // Business Insurance;10/1/2001, Vol. 35 Issue 40, p6
Reports the withdrawal of health maintenance organizations (HMO) in the Medicare market in the United States. Attribution of withdrawal on the failure of the government payment rates in keeping up with medical costs; Effects of pullout on beneficiaries; Viability of HMO in urban areas.
- Rule change beneficial to Medicare HMOs. Geisel, Jerry // Business Insurance;10/8/2001, Vol. 35 Issue 41, p4
Reports the permission of medicare health maintenance organizations to customize health plans for individual employers in the United States. Elimination of longstanding rules by the Centers for Medicare and Medicaid Services; Basis on the free offering of employer-specific designs; Impact of...
- Medicare option worth saving. // Business Insurance;10/8/2001, Vol. 35 Issue 41, p8
Comments on the Medicare coverage program of health maintenance organizations in the United States. Payment system of the program; Reasons behind the decline in the appeal of the program to the stakeholders; Benefit packages offered by the program to the retirees.
- M+C payments: too high or too low? // Managed Healthcare Executive;Jul/Aug2001, Vol. 11 Issue 7, p29
Focuses on the Medicare risk contract program payment system governing health maintenance organizations (HMO) in the United States. Formula used in the HMO payment system; Overview on changes enacted by the U.S. Congress in the risk contract program under the Balanced Budget Act of 1997; Impact...
- Do health maintenance organizations work for Medicare? Brown, Randall S.; Clement, Dolores Gurnick // Health Care Financing Review;Fall93, Vol. 15 Issue 1, p7
Discusses the Health Care Financing Administration's (HCFA) encouragement of health maintenance organizations (HMO) to provide Medicare coverage to enrolled beneficiaries for fixed prepaid premiums. Medicare risk program; Increase in costs to Medicare; Impact of HMOs on service utilization,...
- Adjusted Community Rate Reforms to Promote HMO Participation in Medicare+Choice. Encinosa III, William E.; Sappington, David E.M. // Health Care Financing Review;Fall99, Vol. 21 Issue 1, p19
The authors review the financial regulations imposed on health maintenance organizations (HMOs) that participate in the Medicare+Choice program and identify elements of the regulations that may discourage HMO participation in the program. Modifications of the regulations are proposed that could...
- Comparison of Medicare Risk HMO and FFS Enrollees. Murgolo, Maggie S. // Health Care Financing Review;Fall2002, Vol. 24 Issue 1, p177
Presents a study which examined differences in the composition of the population enrolled in Medicare risk health maintenance organizations and those in the same geographic areas in the U.S. Method of the study; Results and discussion; Conclusion.