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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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Using a quasi-experimental design, this study assessed the effects of waiting periods on the costs of Medicaid long-term care and the risk of long-term nursing home stays and hospitalizations.
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Patients in Medicare HMOs who experience strokes are more likely to be discharged to nursing homes and less likely to go to rehabilitation facilities following the acute event. However, they have similar survival patterns compared with comparable patients in FFS settings after adjusting for...
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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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