|
HMO Plan Performance Update: An Analysis Of The Literature, 1997–2001
Robert H. Miller and
Harold S. Luft
This paper synthesizes results from peer-reviewed literature published from 1997 to mid-2001, on various dimensions of health maintenance organization (HMO) plan performance. Results from seventy-nine studies suggest that both types of plans provide roughly comparable quality of care, while HMOs lower use of hospital and other expensive resources somewhat. At the same time, HMO enrollees report worse results on many measures of access to care and lower levels of satisfaction, compared with non-HMO enrollees. Quality-of-care results in particular are heterogeneous, which suggests that quality is not uniform—that it varies widely among providers, plans (HMO and non-HMO), and geographic areas.
       What's this?
This article has been cited by other articles:
|
|
|
|
 
A. M. Mirabito and L. L. Berry
Lessons That Patient-Centered Medical Homes Can Learn From the Mistakes of HMOs
Ann Intern Med,
February 2, 2010;
152(3):
182 - 185.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Chernichovsky and A. A. Leibowitz
Integrating Public Health and Personal Care in a Reformed US Health Care System
Am J Public Health,
February 1, 2010;
100(2):
205 - 211.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. D. Ralston, D. P. Martin, M. L. Anderson, P. A. Fishman, D. A. Conrad, E. B. Larson, and D. Grembowski
Group Health Cooperative's Transformation Toward Patient-Centered Access
Med Care Res Rev,
December 1, 2009;
66(6):
703 - 724.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. Davis, S. Guterman, M. M. Doty, and K. M. Stremikis
Meeting Enrollees' Needs: How Do Medicare And Employer Coverage Stack Up?
Health Aff.,
July 1, 2009;
28(4):
w521 - w532.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. A. Berenson and B. E. Dowd
Medicare Advantage Plans At A Crossroads--Yet Again
Health Aff.,
January 1, 2009;
28(1):
w29 - w40.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Gold
Medicare's Private Plans: A Report Card On Medicare Advantage
Health Aff.,
January 1, 2009;
28(1):
w41 - w54.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. A. Halm, M. J. Press, S. Tuhrim, J. Wang, M. Rojas, and M. R. Chassin
Does Managed Care Affect Quality? Appropriateness, Referral Patterns, and Outcomes of Carotid Endarterectomy
American Journal of Medical Quality,
November 1, 2008;
23(6):
448 - 456.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. Hogg, M. Rowan, G. Russell, R. Geneau, and L. Muldoon
Framework for primary care organizations: the importance of a structural domain
Int. J. Qual. Health Care,
October 1, 2008;
20(5):
308 - 313.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Basu and L. R. Mobley
Do HMOs Reduce Preventable Hospitalizations for Medicare Beneficiaries?
Med Care Res Rev,
October 1, 2007;
64(5):
544 - 567.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Graham, C. Goss, S. Xu, D. J. Magid, and C. Diguiseppi
Effect of using different modes to administer the AUDIT-C on identification of hazardous drinking and acquiescence to trial participation among injured patients
Alcohol Alcohol.,
September 1, 2007;
42(5):
423 - 429.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Schlesinger and J. S. Hacker
Secret Weapon: The "New" Medicare as a Route to Health Security
Journal of Health Politics Policy and Law,
April 1, 2007;
32(2):
247 - 291.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. E. Sisk, P. L. Hebert, C. R. Horowitz, M. A. McLaughlin, J. J. Wang, and M. R. Chassin
Effects of Nurse Management on the Quality of Heart Failure Care in Minority Communities: A Randomized Trial
Ann Intern Med,
August 15, 2006;
145(4):
273 - 283.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
X. Xu and G. A. Jensen
Health Effects of Managed Care Among the Near-Elderly
J Aging Health,
August 1, 2006;
18(4):
507 - 533.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. L. Barry, R. G. Frank, and T. G. McGuire
The costs of mental health parity: still an impediment?
Health Aff.,
May 1, 2006;
25(3):
623 - 634.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. Pourat, M. Kagawa-Singer, and S. P. Wallace
Are Managed Care Medicare Beneficiaries With Chronic Conditions Satisfied With Their Care?
J Aging Health,
February 1, 2006;
18(1):
70 - 90.
[PDF]
|
|
|
|
|
|
|
C. Donaldson and D. Ruta
Should the NHS follow the American way?
BMJ,
December 3, 2005;
331(7528):
1328 - 1330.
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. E. Dowd
Coordinated Agency Versus Autonomous Consumers In Health Services Markets
Health Aff.,
November 1, 2005;
24(6):
1501 - 1511.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Bodenheimer
High and Rising Health Care Costs. Part 3: The Role of Health Care Providers
Ann Intern Med,
June 21, 2005;
142(12_Part_1):
996 - 1002.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. A. Conrad and J. B. Christianson
Penetrating the "Black Box": Financial Incentives for Enhancing the Quality of Physician Services
Med Care Res Rev,
September 1, 2004;
61(3_suppl):
37S - 68S.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. A. Fishman, M. C. Hornbrook, R. T. Meenan, and M. J. Goodman
Opportunities and Challenges for Measuring Cost, Quality, and Clinical Effectiveness in Health Care
Med Care Res Rev,
September 1, 2004;
61(3_suppl):
124S - 143S.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. S. Luft
Focusing on the Dependent Variable: Comments on "Opportunities and Challenges for Measuring Cost, Quality, and Clinical Effectiveness in Health Care," by Paul A. Fishman, Mark C. Hornbrook, Richard T. Meenan, and Michael J. Goodman
Med Care Res Rev,
September 1, 2004;
61(3_suppl):
144S - 150S.
[PDF]
|
|
|
|
|
|
|
B. E. Landon, A. M. Zaslavsky, S. L. Bernard, M. J. Cioffi, and P. D. Cleary
Comparison of Performance of Traditional Medicare vs Medicare Managed Care
JAMA,
April 14, 2004;
291(14):
1744 - 1752.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. H Wagner
Chronic disease care
BMJ,
January 24, 2004;
328(7433):
177 - 178.
[Full Text]
[PDF]
|
|
|
|
