Objectives: To describe the variation in practice structure, financial arrangements, and utilization and quality management systems for eye care practices with managed care contracts.
Study Design: Cross-sectional survey ...
This study compares expenditures for physician services in a closed panel gatekeeper health maintenance organization (HMO) and an open panel point of service HMO that share the same physician network. The study uses ...
Despite widespread concern about denials of coverage by managed care organizations, little empirical information exists on the profile and outcomes of utilization review decisions. This study examines the outcomes of nearly ...
This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) ...
Objective: To assess utilization of ambulatory visits to primary care physicians (PCPs) and to specialists in 2 different managed care models: a closed
panel gatekeeper health maintenance organization (HMO) and an open ...