医疗保险选择计划对11个州的成本和使用情况的影响。
Impact of Medicare SELECT on cost and utilization in 11 states.
作者信息
Lee A J, Garfinkel S A, Khandker R K, Norton E C
机构信息
Health Economics Research, Inc., Waltham, MA 02154, USA.
出版信息
Health Care Financ Rev. 1997 Fall;19(1):19-40.
In this article, the authors evaluate the cost and utilization effects of the SELECT implementations in 11 States. In particular they compare the before-and-after enrollment experiences of Medicare beneficiaries newly enrolled in SELECT plans with the experiences of those newly enrolled in traditional medigap plans. Using Medicare claims data for 1991 through 1994, the authors find that Medicare SELECT increased costs in five States, decreased costs in three States, and had no effect in three States. Cost increases were generally related to Part B utilization.
在本文中，作者评估了11个州实施“选择性医保计划（SELECT）”的成本及使用效果。他们特别比较了新加入SELECT计划的医疗保险受益人的参保前后经历与新加入传统补充性医疗保险计划的受益人的经历。作者利用1991年至1994年的医疗保险理赔数据发现，“选择性医保计划”在五个州增加了成本，在三个州降低了成本，在三个州没有影响。成本增加通常与B部分的使用有关。
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