| 来源类型 | Publication |
| Constrained Innovation in Managing Care for High-Risk Seniors in Medicare+Choice Risk Plans | |
| Craig Thornton; Sheldon Retchin; Kenneth D. Smith; Peter D. Fox; William Black,; Rita Stapulonis | |
| 发表日期 | 2002 |
| 出版者 | Princeton, NJ: Mathematica Policy Research |
| 出版年 | 2002 |
| 语种 | 英语 |
| 概述 | This case study of four well-regarded managed care organizations found that they made numerous innovations to improve care delivery for elderly Medicare beneficiaries with chronic illnesses and disabilities. ", |
| 摘要 | This case study of four well-regarded managed care organizations found that they made numerous innovations to improve care delivery for elderly Medicare beneficiaries with chronic illnesses and disabilities. Using the flexibility provided by capitation, they added new services in 1) screening to identify high-risk seniors, 2) care management and disease management, 3) network credentialing, 4) occasional provision of off-policy benefits, and 5) better coordination in the delivery of inpatient, subacute, and home health services. Yet these innovations were constrained by Medicare+Choice contracts and lack of clear evidence on the cost-saving potential of many services. At the same time, the case study organizations produced satisfaction levels among high-risk seniors that were substantially higher than those previously reported for Medicare beneficiaries facing high risks for adverse health outcomes. The study raises important issues about the potential of Medicare+Choice to enhance care for frail elders, at a time when the program is in jeopardy. |
| URL | https://www.mathematica.org/our-publications-and-findings/publications/constrained-innovation-in-managing-care-for-highrisk-seniors-in-medicarechoice-risk-plans |
| 来源智库 | Mathematica Policy Research (United States) |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/484842 |
| 推荐引用方式 GB/T 7714 | Craig Thornton,Sheldon Retchin,Kenneth D. Smith,et al. Constrained Innovation in Managing Care for High-Risk Seniors in Medicare+Choice Risk Plans. 2002. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| constrained.pdf（1909KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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