(Q33628588)

28 July 2017

title

Rate adjusters for Medicare under capitation (English)

1 reference

28 July 2017

J P Newhouse

1

1 reference

28 July 2017

publication date

1 January 1986

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Health Care Financing Review

28 July 2017

published in

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28 July 2017

issue

Spec No

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28 July 2017

page(s)

45-55

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Hospital 'profits': the effects of reimbursement policies

28 July 2017

cites work

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Functional health measure for adjusting health maintenance organization capitation rates

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Using prior utilization to determine payments for Medicare enrollees in health maintenance organizations

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Pre-enrollment reimbursement patterns of Medicare beneficiaries enrolled in "at-risk" HMOs

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Risk differential between Medicare beneficiaries enrolled and not enrolled in an HMO.

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Improving the Medicare HMO payment formula to deal with biased selection

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Hospital rate review. A theory and an empirical review

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Competition and efficiency in the end stage renal disease program.

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Demographic characteristics and prior utilization experience of HMO disenrollees compared with total membership.

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Health Policy Report. The future of HMOs

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Comparison of use by enrolled and recently disenrolled populations in a health maintenance organization

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

A controlled trial of the effect of a prepaid group practice on use of services.

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Utilization patterns of health maintenance organization disenrollees

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Small Area Variations in Health Care Delivery

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Health status adjustments for Medicare capitation

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Contrasts in HMO and fee-for-service performance.

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Disenrollment from a prepaid group practice: an actuarial and demographic description

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Is competition the answer?

14 July 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Out-of-plan use and disenrollment: outgrowths of dissatisfaction with a prepaid group plan.

30 October 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

Evidence for self-selection among health maintenance organization enrollees.

30 October 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4195083

On the research status of risk-adjusted capitation rates

30 October 2018

1 reference

12 December 2020

The growth of HMOs: issues of enrollment and disenrollment

1 reference

12 December 2020

Variations in the use of medical and surgical services by the Medicare population

1 reference

12 December 2020

Comparison of health outcomes at a health maintenance organisation with those of fee-for-service care

1 reference

12 December 2020

Patterns of expenditures among high utilizers of medical care services. The experience of Medicare beneficiaries from 1974 to 1977

1 reference

12 December 2020

Provider behavior under prospective reimbursement. Cost sharing and supply

1 reference

12 December 2020

What is adverse about adverse selection?

1 reference

12 December 2020

Is cream-skimming a problem for the competitive medical market?

1 reference

12 December 2020

Hospital use in a fee-for-service system

1 reference

12 December 2020

Adverse selection under a voucher system: grouping Medicare recipients by level of expenditure

1 reference

12 December 2020

Case mix, costs, and outcomes. Differences between faculty and community services in a university hospital

1 reference

12 December 2020

Medicare turns to HMOs

1 reference

12 December 2020

Cream skimming, asymmetric information, and a competitive insurance market

1 reference

12 December 2020

Increasing Medicare enrollment in HMOs: the need for capitation rates adjusted for health status

1 reference

12 December 2020

Identifiers

PMC publication ID

4195083

1 reference

28 July 2017

1 reference