منابع مشابه
Medicare contracting risk/Medicare risk contracting: a life-cycle view from twelve markets.
OBJECTIVE To examine the evolution of the Medicare HMO program from 1996 to 2001 in 12 nationally representative urban markets by exploring how the separate and confluent influences of government policy initiatives and health plans' strategic aims and operational experience affected the availability of HMOs to Medicare beneficiaries. DATA SOURCE Qualitative data gathered from 12 nationally re...
متن کاملMedicare risk contracting: Determinants of market entry
The Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 made it more attractive for health maintenance organizations (HMOs) and other competitive medical plans to enter into risk contracts with Medicare. Since the start of the TEFRA program in April 1985, more than 160 HMOs have had risk contracts with Medicare under the program. An investigation of factors associated with TEFRA risk-marke...
متن کاملProvider Opt-Out Under Medicare Private Contracting
The 1997 Balanced Budget Act (BBA) permits private contracting for care between Medicare beneficiaries and providers who have opted out of Medicare. This article examines the number and characteristics of providers who have opted-out, their role in the provision of Part B services, and their impact on beneficiary access from 1998 to 2002. Opt-out providers differ from providers remaining in Med...
متن کاملThe Future of Private Plan Contracting in Medicare
the Policy and Strategy Group at AARP. One of the missions of the Institute is to foster research and analysis on public policy issues of importance to mid-life and older Americans. This publication represents part of that effort. The views expressed herein are for information, debate, and discussion, and do not necessarily represent official policies of AARP. i Foreword Medicare has contracted...
متن کاملDirect Cost Analysis of Outpatient Arthroscopic Rotator Cuff Repair in Medicare and Non-Medicare Populations
BACKGROUND Providing high-quality care while also containing cost is a paramount goal in orthopaedic surgery. Increasingly, insurance providers in the United States, including government payers, are requiring financial and performance accountability for episodes of care, including a push toward bundled payments. HYPOTHESIS The direct cost of outpatient arthroscopic rotator cuff repair was ass...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 2020
ISSN: 0003-4932,1528-1140
DOI: 10.1097/sla.0000000000003620