HMO's and the Elderly: Hearing Before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representatives, Ninety-fifth Congress, Second Session, May 2, 1978United States. Congress. House. Select Committee on Aging. Subcommittee on Health and Long-Term Care U.S. Government Printing Office, 1978 - 147 pages |
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20 percent administration American benefits BIAGGI bill California capitation rate Chairman Clackamas County CLAUDE PEPPER clinics coinsurance compared comprehensive costs coverage CRUIKSHANK delivery doctors Donabedian elderly enrollees enrollment evidence expenditures fee-for-service fee-for-service plans Group Health Group Health Cooperative HARWITZ Health and Society health insurance health insurance plans health maintenance organizations Health Plan health services HMO models HMO-type plans HMO's home health hospital utilization incentives Kaiser-Permanente Klarman M M F Q medi Medicaid medical care foundation medical group Medicare beneficiaries medicare patients medicare program membership method MMFQ Health model of HMO NEWMAN nursing payment PEPPER persons PGP model PGP plans physi plan-types population premiums prepaid group practice prepayment problems Public Health rates reimbursement reported Roemer San Joaquin County SCHWARTZ Social Security Social Security Administration solo practice subscribers Summer tion tonsillectomies UCLA visits
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Page 46 - Beattie, an outstanding educator and a professor in the School of Public Health at the University of California, Berkeley, was made an honorary member of the coun-cil.
Page 47 - Health maintenance organizations (HMOs) are being promoted as a strategy to modify the US health care delivery system toward more economical patterns, encouraging preventive and ambulatory rather than costly hospital services. Evidence of HMO performance has accumulated over the years, much of it reviewed in 1969. Since then, additional evidence suggests that the "prepaid group practice...
Page 81 - The sine qua non of an HMO is prepayment for medical care in contrast to the feefor-service mode's use of postpayment. More specifically, we define an HMO as an organization which accepts contractual responsibility to assure the delivery of a stated range of health services, including at least ambulatory and in-hospital care, to a voluntarily enrolled population in exchange for an advance capitation payment, where the organization assumes at least part of the financial risk or shares in the surplus...
Page 3 - ... Carolina. He then served as Internal Medicine Resident of Boston City Hospital for one year, followed by a year at the National Institute of Health Fellowship in Renal Disease, University of California Hospital (San Francisco, California). Dr. James A. Howenstine has served as an Assistant Clinical Professor of Medicine at the University of California Medical School in San Francisco, California from May 1963 through July 1991 during which time he engaged in a private practice in Internal Medicine....
Page 70 - Peer review in medical foundations: its effect on qualifications of surgeons." Health Services Reports. University of California School of Public Health (December). Roemer, Milton I., Robert W. Hetherington, Carl E. Hopkins, Arthur E. Gerst, Eleanor Parsons, and Donald M. Long 1973 Health Insurance Effects: Services, Expenditures, and Attitudes under Three Types of Plan. Ann Arbor: University of Michigan MMFQ / Health and Society / Summer 1973 317 Roemcr, Milton I., A. Tahcr Moustafa, and Carl E....
Page 46 - Eisenberg is a member of the Institute of Medicine of the National Academy of Sciences. He has...
Page 68 - Restructuring the health delivery system — will the health maintenance strategy work?" Pp. 3-11 in Health Maintenance Organizations: A Reconfiguration of the Health Services System. Chicago: Center for Health Administration Studies, University of Chicago.
Page 67 - Prepaid group practice as a national health policy: problems and perspectives.
Page 68 - Larry J., and John H. Lorant c.1970 Production Functions for Physician Services. Los Angeles: University of Southern California, Human Resources Research Center (undated, processed). Klarman, Herbert E. 1963 "The effect of prepaid group practice on hospital use." Public Health Reports 78 (November): 955-965. 1970 "Economic research in group medicine." Pp. 178-193 in Beamish, RE (ed.), New Horizons in Health Care. Winnipeg, Canada: First International Congress on Group Medicine. 1971 "Analysis of...
Page 68 - Medi-Cal Patient Satisfaction Under a Prepaid Group Practice and Individual Fee-for-Service Practice.