Medicaid Health Maintenance Organizations
Can They Reduce Program Spending
Bibliographic Data
| ID | 9101859 |
|---|---|
| Authors | Joan L Buchanan (RAND Corporation), Arleen Leibowitz (0000-0001-6970-0564, RAND Corporation), Joan Keesey (RAND Corporation) |
| Year | 1996 |
| Volume | 34 |
| Issue | 3 |
| Pages | 249-263 |
| Publication date | 1996-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199603000-00005 |
| PMID | 8628044 |
| OpenAlex | W2054625141 |
| Language | EN |
| Citations received | 3 |
| References cited | 22 |
A randomized trial to evaluate the Florida site of the Program for Prepaid Managed Care showed that the plan, a staff model health maintenance organization, was successful in attracting Medicaid enrollees. The evaluation established that the health maintenance organization was able to limit members' utilization. The savings were in the form of lower likelihood of using care. The amount of services received, once care was initiated, was the same in both fee-for service Medicaid and health maintenance organizations. The authors detected no differences in inpatient use or costs. Additionally, they found evidence that the plan attracted sicker than average enrollees, so this reduced utilization translates into Medicaid program savings
Business · Family medicine · Health care · Health maintenance · Health plan · Managed care · Medicaid · Medicaid managed care · Operations management · Service (business) · Healthcare Policy and Management · Marketing · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Rationing or rationalizing children's medical care
Use of Health Care Before and During Citicare
A Typology of Medicaid Managed Care
An Evaluation of Utah??s Primary Care Case Management Program for Medicaid Recipients
The Monterey County Health Initiative
Selection Bias in Tefra At-Risk HMOs
Risk Selection of Families Electing HMO Membership
Impact of a Mandatory Medicaid Case Management Program on Prenatal Care and Birth Outcomes
| Unique citing works | 3 |
|---|---|
| Citations per year | 0.11 |
| Citation span | 1999 - 2000 (2) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |