Health expenditures for privately insured adults enrolled in managed care gatekeeping vs indemnity plans.
OBJECTIVES: We assessed the ability of managed care gatekeeping strategies (i.e., requiring a designated primary care provider to authorize referrals) to control health care costs in the mid-1990s. METHODS: We analyzed expenditure data from 8195 privately insured adults sampled in the nationally rep...
| Publicado en: | American Journal of Public Health Vol. 95; no. 2; pp. 286 - 292 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Feb2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106485702&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106485702 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Feb2005 vid: 95 iid: 2 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 106485702 15865180 2005107174 10.2105/AJPH.2002.013466 NLM15671466 106485702 ppf: 286 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Health expenditures for privately insured adults enrolled in managed care gatekeeping vs indemnity plans. aug: au: Pati S Shea S Rabinowitz D Carrasquillo O affil: Departments of Pediatrics and Internal Medicine, Columbia University College of Physicians & Surgeons, New York, NY sug: subj: Cost Control Gatekeeping Health Care Costs Evaluation Insurance, Health Managed Care Programs Economics Adult Chi Square Test Comparative Studies Cost Savings Costs and Cost Analysis Data Analysis Software Descriptive Statistics Fee for Service Plans Female Funding Source Health Maintenance Organizations Health Resource Utilization Male Middle Age Models, Statistical Multiple Logistic Regression Multiple Regression P-Value Panel Studies Private Sector Probability Surveys T-Tests Two-Tailed Test United States United States Agency for Healthcare Research and Quality Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: OBJECTIVES: We assessed the ability of managed care gatekeeping strategies (i.e., requiring a designated primary care provider to authorize referrals) to control health care costs in the mid-1990s. METHODS: We analyzed expenditure data from 8195 privately insured adults sampled in the nationally representative 1996 Medical Expenditure Panel Survey. Managed care gatekeeping plan enrollees included those in health maintenance organizations and other plans requiring a primary care gatekeeper. All others were considered indemnity plan enrollees. RESULTS: In 1996, total per capita annual health expenditures for adult gatekeeping enrollees were about $50 less than those of indemnity enrollees, primarily owing to lower out-of-pocket expenditures. After multivariate adjustment, mean per capita expenditures were approximately 6% lower for gatekeeping enrollees than for indemnity enrollees. CONCLUSIONS: In the private sector, gatekeeping strategies resulted in modest cost savings over indemnity plans. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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