Primary Care Enrollment Levels in Staff- and Group-Model Health Maintenance Organizations: A Standard to Compare Military Enrollment with Civilian Organizations

Medicare enrollment in health maintenance organizations

The Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248) provided new incentives for health maintenance organizations (HMO's) to enroll Medicare beneficiaries on an at-risk basis. TEFRA provisions encouraging HMO participation in Medicare on an at-risk basis sought to further the goals of promoting competition and cost effectiveness, and providing greater beneficiary cho...

Enrollment in and disenrollment from health maintenance organizations by Medicaid recipients

In 1977-78 Medicaid recipients in Wayne County, Michigan had the option of joining health maintenance organizations (HMO's). This article presents an analysis of utilization levels and physician contact patterns prior to HMO enrollment and following HMO disenrollment. Medicaid families that had patterns of previous contacts with non-HMO physicians overwhelmingly choose the non-HMO option. Famil...

Non-governmental organizations and primary health care.

Accountable Care Organizations and Population Health Organizations.

Accountable care organizations (ACOs) and hospitals are investing in improving "population health," by which they nearly always mean the health of the "population" of patients "attributed" by Medicare, Medicaid, or private health insurers to their organizations. But population health can and should also mean "the health of the entire population in a geographic area." We present arguments for an...

Trends in Medicare Health Maintenance Organization Enrollment: 1986-93

This study examines Medicare health maintenance organization (HMO) enrollment under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248) from 1986 to 1993. It shows that there was moderate growth in the number of Medicare beneficiaries participating in the TEFRA risk program, reaching 1 in 20 beneficiaries in 1993. Medicare HMO enrollment is heavily concentrated in a...