HMO Satisfaction and Understanding Among Recent Medicare Enrollees

HMO enrollment is growing substantially, with particular interest in stimulating Medicare enrollment. The outcomes of this relatively novel form of health care for older persons are unclear, however. A survey of 124 recent enrollees in HMO Medicare coverage assessed their experiences as a follow-up to a study of their enrollment decision. Satisfaction with various dimensions of care and coverage is high, reflecting fulfillment of high expectations held at enrollment. Perceived understanding of HMO coverage and procedures is the best predictor of satisfaction. Informal ties appear to play an important role in providing orientation to the HMO model of care and coverage, echoing their role in the enrollment decision itself. The importance of understanding and lay referral is highlighted from the standpoint of a consumerist orientation to health care. The medical marketplace is becoming increasingly differentiated, and offers new forms of delivery and coverage such as health maintenance organizations, preferred provider organizations, free-standing urgent care centers, ambulatory surgical centers, and home health care (Altman

Family medicine · Health care · Health maintenance · Managed care · MEDLINE · Political science · Preferred provider organization · Referral · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Psychology · Gerontology

• HMO Enrollment by Medicare Beneficiaries in Heterogeneous Communities

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• Age Differences in HMO Receptivity

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• Age and Patterns of HMO Satisfaction

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• Satisfaction with Medical Care among Elderly People in Fee-for-Service Care and an HMO

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• Disenrollment From an Acute/Long-Term Managed Care Program (Pace)

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• Consumerism in Medicine

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• Health Maintenance Organizations

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• The Growth of HMOs

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• The Organization of Medical Practice and Practice Orientations Among Physicians in Prepaid and Nonprepaid Primary Care Settings

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• Expectations and Experience of HMO Enrollees after One Year

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• Spending Time With Patients

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• The Patient-Client as a Consumer

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• Consumer Satisfaction in a Health Maintenance Organization

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• Client Satisfaction and the Organization of Medical Practice

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• Organization Effects on Client Satisfaction with Humaneness of Service

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