Health maintenance organizations (HMOs) provide low cost access to primary care physicians (PCPs) in an effort to restrict expensive specialty use. Although managed care plans hope that low cost primary care will reduce ...
Examines differences in medical care expenditures by non-Hispanic Whites, non-Hispanic Blacks and Hispanic elderly who were Medicare beneficiaries in the U.S.
Small group health insurance reforms such as portability reform and premium rating reforms that limit the use of health status in setting premiums have been implemented in more than 40 states. The author determines the ...
Background. The specialist's role in caring for managed care patients is likely to grow. Thus, assessing the correlates of patient satisfaction with specialty care is essential.
Objective. To examine the association between ...
This paper examines recent trends in benefits and premiums for individual health insurance products purchased by Californians. There is much variability in the coverage available in the individual insurance market, with ...
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 ...
Objectives To describe patterns of care for primary open-angle glaucoma (POAG) and assess conformance with the American Academy of Ophthalmology's Preferred Practice Pattern (PPP).
Methods We obtained administrative, ...
The clinically detailed risk information system for cost (CD-RISC) contains definitions for several hundred severity-adjusted conditions that can be used to predict future health care costs. We develop a prospective Medicare ...
A number of proposals have been made to help laid-off workers purchase health insurance. The authors use data from the 1996 Medical Expenditure Panel Survey to profile the insurance status of workers who left a job. Our ...
We use data from two nationwide panel surveys to explore whether premium assistance programs can provide stable insurance for low-income children. We estimate that Pow-income children who are newly enrolled in an employer-group ...