A comparison of plan characteristics between all HMOs and HMOs with TEFRA risk contracts.
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Biomedical subjects
Publications and source records attributed to C L Polich.
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This article explores the issue o whether state-administered nursing home preadmission screening (PAS) programs are an effective means of controlling the utilization of long-term care. It is suggested that, overall, PAS may be increasing rather than decreasing the use of long-term care. Utilization control through PAS may be ineffective because it occurs too late in the placement decision process, there are insufficient placement alternatives, assessment tools do not adequately identify who is at risk of institutionalization, and policymakers and program administrators may have conflicting goals. Recommendations for improving the screening process include, among others, that States more clearly define program goals and that screening be conducted within a managed-care system.
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The costs of health care for the rapidly growing segment of our population over age 75 are staggering. EverCare is a nurse-run business that seeks to improve cost-effectiveness and quality of health care for nursing home residents enrolled in a health maintenance organization.
Case management is one method for helping persons obtain needed health and social services while maximizing available community resources. How do needed case management services differ between rural and urban areas?
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