نتایج جستجو برای: healthcare fee for service ffs

تعداد نتایج: 10472697  

2014
Jessica Van Parys

The US public health insurance market is shifting toward reimbursement models that transfer risk away from the government and toward health insurers and healthcare providers. Instead of paying fee-for-service (FFS) to healthcare providers, Medicaid and Medicare now outsource healthcare delivery to managed care plans and the plans accept risk related to their enrollees’ healthcare costs. Previou...

2003
Trinh B. Pifer Jennifer L. Bragg-Gresham Dawn M. Dykstra Jennifer R. Shapiro Caitlin Carroll Oppenheimer Daniel S. Gaylin Nancy Beronja Robert J. Rubin Philip J. Held

To study the effects of managed care on dialysis patients, we compared the quality of life and patient satisfaction of patients in a managed care demonstration with three comparison samples: fee-for-service (FFS) patients, managed care patients outside the demonstration, and patients in a separate national study. Managed care patients were less satisfied than FFS patients about access to health...

Journal: :National health statistics reports 2012
Lisa B Mirel Gloria Wheatcroft Jennifer D Parker Diane M Makuc

BACKGROUND National Health and Nutrition Examination Survey (NHANES) records have been linked to health care use and expenditure information from Medicare records. Claims data are generally available only for traditional fee-for-service (FFS) enrollees and not for Medicare Advantage enrollees. Differences in health characteristics between Medicare Advantage and traditional FFS enrollees could a...

2018
Tara A Lavelle Adam J Rose Justin W Timbie Claude M Setodji Suzanne G Wensky Katherine D Giuriceo Mark W Friedberg Rosalie Malsberger Katherine L Kahn

BACKGROUND Previous studies have disagreed on whether patients who receive primary care from federally qualified health centers (FQHCs) have different utilization patterns than patients who receive care elsewhere. Our objective was to compare patterns of healthcare utilization between Medicare beneficiaries who received primary care from FQHCs and Medicare beneficiaries who received primary car...

Journal: :Medicare & medicaid research review 2012
Jayasree Basu Lee Rivers Mobley

OBJECTIVE The study evaluates the performance of Medicare managed care (Medicare Advantage [MA]) Plans in comparison to Medicare fee-for-service (FFS) Plans in three states with historically high Medicare managed care penetration (New York, California, Florida), in terms of lowering the risks of preventable or ambulatory care sensitive conditions (ACSC) hospital admissions and providing increas...

2005
Sharon K. Long Teresa A. Coughlin

Objective. To assess the impact of switching from a fee-for-service (FFS) delivery system to managed care on access to, use of, and satisfaction with health care for children. Data Sources/Study Setting. A 1998 survey of Medicaid recipients in rural Minnesota. Study Design. Using a quasi-experimental framework, we compare the experiences of children on Medicaid living in counties that had switc...

2006
Gerald Riley Carlos Zarabozo

Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow ...

Journal: :Pediatrics 2015
Kelly J Kelleher Jennifer Cooper Katherine Deans Pam Carr Richard J Brilli Steven Allen William Gardner

BACKGROUND AND OBJECTIVES Accountable care organizations (ACOs) are responsible for costs and quality across a defined population. To succeed, the ACO must improve value by reducing costs while either maintaining or improving the quality of care. We examined changes from 2008 through 2013 in the cost and quality of care for Partners for Kids (PFK), a pediatric ACO serving an Ohio Medicaid popul...

1997
Nelda McCall Jodi Korb

The Arizona Long-Term Care System (ALTCS), Arizona's Medicaid program for long-term care (LTC) beneficiaries, capitates contractors to provide a full range of acute and LTC services to financially-eligible beneficiaries determined to be at risk of institutionalization. This article compares the acute care utilization experience of LTC beneficiaries in ALTCS with those in a fee-for-service (FFS)...

Journal: :Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 2005
Reuben K Varghese Carol Friedman Faruque Ahmed Adele L Franks Marsha Manning Laura C Seeff

OBJECTIVE To assess the effect of differing health insurance coverage of physician office visits on the use of colorectal cancer (CRC) tests among an employed and insured population. METHOD Cohort study of persons ages 50 to 64 years enrolled in fee-for-service (FFS) or preferred provider organization (PPO) health plans, where FFS plan enrollees bear disproportionate share of office visit cov...

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