Quality differences between fee-for-service Medicaid and managed care.

机译：收费医疗补助与管理式医疗之间的质量差异。

获取原文

获取原文并翻译 | 示例

页面导航

摘要
著录项
相似文献
相关主题

摘要

This evaluation study used publicly available data from two types of state-funded Medicaid programs---fee-for-service (FFS) and managed care (MMC)---to identify whether there was a significant difference in quality of care between the two systems. For the purposes of this study, quality of care was defined by reported HEDIS scores within the measures of effectiveness of care and use of services. The organizing framework used to conduct this study was the systems theory. This framework suggests that difference in the process of producing a product or service affects the final outcome or product. The populations for this study were the Medicaid members enrolled in a managed care plan in the year 2000 and the Medicaid members enrolled in a fee-for-service plan in the year 2000. The results of this study showed that for most of the measures of quality, the scores for MMC plan were significantly higher than the scores reported by the FFS plan. Six out of the ten indicators for Effectiveness of Care showed that the MMC plan had significantly higher scores that the FFS plan. One of the indicators for Effectiveness of Care showed that the FFS plan had a significantly higher score than the MMC plan. All of the indicators for Utilization of Services showed that the MMC plan had significantly higher scores that the FFS plan.

机译：这项评估研究使用了两种由国家资助的医疗补助计划（即服务费（FFS）和管理式医疗（MMC））的公开数据，以识别这两种医疗服务之间的医疗质量是否存在显着差异。两个系统。出于本研究的目的，护理质量由所报告的HEDIS评分定义，该评分在护理有效性和服务使用范围内。用于进行这项研究的组织框架是系统理论。该框架表明，生产产品或服务的过程中的差异会影响最终结果或产品。这项研究的人群是2000年参加管理式医疗计划的Medicaid会员，2000年参加了有偿服务计划的Medicaid会员。这项研究的结果表明，对于大多数措施，质量方面，MMC计划的分数明显高于FFS计划报告的分数。十个护理有效性指标中有六个表明，MMC计划的得分明显高于FFS计划。护理有效性指标之一显示，FFS计划的得分明显高于MMC计划。服务使用率的所有指标表明，MMC计划的得分比FFS计划高得多。

著录项

作者
Delmont, Alicia L.;
展开▼
作者单位

D'Youville College.;

展开▼
授予单位 D'Youville College.;
学科 Health Sciences Health Care Management.; Sociology Public and Social Welfare.
学位 M.S.
年度 2005
页码 97 p.
总页数 97
原文格式 PDF
正文语种 eng
中图分类预防医学、卫生学;社会福利、社会救济、社会保障;
关键词

相似文献

外文文献
中文文献
专利

1. Differences Between Managed Care and Fee-For-Service Medicaid in the Use of Generics for High-Rebate Drugs: The Cases of Insulin Glargine and Glatiramer [J] . Journal of international management . 2020,第2期

机译：管理护理和服务费用医疗补助在使用泛型中的高回扣药物的差异：胰岛素狼氨酸和Glatizer的病例
2. Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. [J] . Weech-Maldonado R, Morales LS, Spritzer K, Health services research: HSR . 2001,第3期

机译：父母对医疗补助管理式护理中儿科护理评估的种族和种族差异。
3. Usability of encounter data for Medicaid comprehensive managed care vs traditional Medicaid fee-for-service claims among pregnant women [J] . Pharmacoepidemiology and drug safety . 2020,第1期

机译：遇到医疗补助综合管理保健的核肉数据与孕妇之间的传统医疗补助金额索赔
4. Fee-For-Service for the National Airspace System: Would It Make A Difference? [C] . Norman Bowles Annual Air Traffic Control Association conference . 2002

机译：国家空域系统的服务费：它会有所作为吗？
5. Quality of care for Medicare beneficiaries with diabetes mellitus in fee-for-service and managed care. [D] . Brown, Arleen F. 2001

机译：收费医疗和管理式护理中患有糖尿病的Medicare受益人的护理质量。
6. Medicaid prenatal care: a comparison of use and outcomes in fee-for-service and managed care. [O] . J W Krieger, F A Connell, J P LoGerfo 1992

机译：医疗补助产前护理：按服务收费和管理式护理的用途和结果的比较。
7. Medicaid prenatal care: a comparison of use and outcomes in fee-for-service and managed care. [O] . Krieger, J W, Connell, F A, LoGerfo, J P 1992

机译：医疗补助产前护理：按服务收费和管理式护理的用途和结果的比较。

Quality differences between fee-for-service Medicaid and managed care.

摘要

著录项

相似文献

相关主题

期刊订阅