Persistence of HMO Performance Measures

On Persistence of Performance Measures

In this paper, we analyze the persistence of several performance measures. Our work is radically different from others in the sense that we are not interested in evaluating if there is persistence in the performance of managed portfolios such as Mutual Funds but rather if performance measures have themselves some degree of persistence, that is, we focus on the inherent persistence biases of the...

Assessing HMO Performance: Average Length-Of-Stay

Health maintenance organization (HMO) performance and consumer complaints: an empirical study of frustrating HMO activities.

Growing public interest in the operations of managed care plans has fueled a variety of activities to collect and analyze their performance. These activities include studies of financial performance, analysis of enrollment decisions, and, more recently, the development of systems for measuring healthcare quality to improve accountability to consumers. In this study, the authors focus on the act...

S/HMO Versus TEFRA HMO Enrollees: Analysis of Expenditures

This study compares expenditures on health care services for enrollees in a social health maintenance organization (S/HMO) and a Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)-risk Medicare health maintenance organization (HMO). In addition to the traditional Medicare services covered by the TEFRA HMO, the S/HMO provided a long-term care (LTC) benefit and case management services for ...

Contrasts in HMO and fee-for-service performance.

This study compares various aspects of HMO performance in 10 plans with that of the fee-for-service system for the Medicaid population. Additionally, it examines utilization differences between several types of HMO's, grouped according to organization and provider payment. Four areas of behavior were studied--enrollment selectivity, utilization of services, accessibility of care, and satisfacti...