HMOs and Rural California
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منابع مشابه
Serving Rural Medicare Risk Enrollees: HMOs' Decisions, Experiences, and Future Plans
This article identifies factors that influence health maintenance organizations' (HMOs) decisions about offering a Medicare risk product in rural areas; describes HMOs' recent experiences serving rural Medicare risk enrollees; and assesses the potential impact of Medicare program changes on the future willingness of HMOs to offer a Medicare risk product in rural areas. Data for the analysis wer...
متن کاملHMOs serving rural areas: experiences with HMO accreditation and HEDIS reporting.
This article explores the reasons why two groups of health maintenance organizations (HMOs) that serve rural areas have chosen to apply or not to apply for National Committee for Quality Assurance (NCQA) accreditation, and their future plans regarding accreditation. It also describes the challenges faced by HMOs serving rural areas in meeting NCQA accreditation standards and collecting Health P...
متن کاملWhy Do So Few HMOs Offer Medicare Risk Plans in Rural Areas?
Only 17 of the 38 health maintenance organizations (HMOs) that have Medicare risk contracts and offer coverage to commercial clients in rural counties include the rural counties in their Medicare plan service areas. Rural counties in which HMOs offer Medicare coverage have higher average adjusted average per capita costs (AAPCCs), larger populations, and more physicians per capita than rural co...
متن کاملAccess is better for racial/ethnic elderly in Medicare HMOs--but disparities persist.
Managed care has grown dramatically over the years, first among private employers, then in Medicaid programs (Medi-Cal in California) and in the Medicare system. Today, two in five older persons in California (40%) are in Medicare HMOs at any one time. Nationwide, one in six (17%) among the elderly population is in a Medicare HMO. This Policy Brief reports new findings on access to care of elde...
متن کاملAdoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a survey of California's HMOs.
OBJECTIVE Our objective was to assess the degree to which health maintenance organizations (HMOs) and Medicaid managed care (MMC) plans in California have adopted the 1996 AHCPR Clinical Practice Guideline for Smoking Cessation. (AHCPR [U.S. Agency for Health Care Policy and Research] was renamed AHRQ [Agency for Healthcare Research and Quality] in 1999.) METHODS A fax survey of 13 licensed H...
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