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This article identifies a high-risk subgroup of Medicare beneficiaries in the Medicare Coordinated Care Demonstration for which 4 of the 11 participating programs significantly reduced hospitalizations, and the distinguishing features of those successful programs. Frequent in-person contact (in...
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This report, which found that the Medicare risk program for HMOs did not save money for the federal government, and in fact cost more than if enrollees had not joined HMOs, touched off a fierce debate about payment rates and mechanisms for Medicare managed care that continues today. The report...
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This article analyzed the experiences of the School of Medicine’s care-management program as it took part in the Medicare Coordinated Care Demonstration, with the goal of reducing hospitalizations and Medicare spending or improving quality while remaining cost neutral. The study showed that...
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