Medicare Health Maintenance Organization Benefits Packages and Plan Performance Measures

机译：Medicare健康维护组织福利计划和计划绩效衡量标准

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This article reports the results of an analysis of the relationship between supplemental benefits offered by Medicare+Choice (M+C) plans and their plan performance ratings. We examined two measures of plan performance: (1) plan ratings as reported in the Medicare Managed Care (MMC) Consumer Assessment of Health Care Study (CAHPS^®), and (2) disenrollment rates. The results of our analysis indicated that variations in plan supplemental offerings have little impact on enrollees' plan performance ratings—both overall ratings and access to care measures. Further, disenrollment rates were found to be more sensitive to the availability of alternative M+C plans, either in general, or for specific benefits than to variations in benefit offerings.

机译：本文报告了Medicare + Choice（M + C）计划提供的补充福利与其计划绩效等级之间的关系分析结果。我们检查了计划绩效的两种衡量标准：（1）Medicare管理式医疗（MMC）消费者健康护理研究评估（CAHPS ^{®）中报告的计划评级，以及（2）退出人数。我们的分析结果表明，计划补充产品的变化对注册人的计划绩效评级几乎没有影响，包括总体评级和获得护理措施的机会。此外，发现退学率总体上对替代性M + C计划的可用性或对特定福利而言比对福利产品的变化更为敏感。}

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期刊名称 Health Care Financing Review
作者
Don Cox; Bettina Lanyi; Allison Strabic;
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作者单位

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年(卷),期 2002(24),1
年度 2002
页码 133–144
总页数 12
原文格式 PDF
正文语种
中图分类医院、综合医院;中医院;
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专利

1. Competition and Health Plan Performance: Evidence from Health Maintenance Organization Insurance Markets. [J] . Scanlon DP, Chernew M, Shevock J Medical care . 2005,第4期

机译：竞争与健康计划绩效：来自健康维护组织保险市场的证据。
2. Satisfaction with access to and quality of health care among Medicare enrollees in a health maintenance organization. [J] . Meng YY, Jatulis DE, McDonald JP, The Western Journal of Medicine . 1997,第4期

机译：一家健康维护组织中的Medicare参加者对获得医疗服务的质量和满意度。
3. Using Centers for Medicare and Medicaid quality measures in marketing: why more home health agencies will benefit from using quality measures to build their business. [J] . Sherwin J Home healthcare nurse. . 2011,第4期

机译：在市场营销中使用Medicare和Medicaid中心进行质量评估：为什么更多的家庭健康机构将从使用质量评估中建立业务中受益。
4. AN EMPIRICAL INVESTIGATION OF THE INITIATION, ADOPTION, AND IMPLEMENTATION OF DISASTER RECOVERY PLANNING BY HEALTH MAINTENANCE ORGANIZATIONS [C] . Kakoli Bandyopadhyay, Lawrence L. Schkade Annual meeting of the Decision Sciences Institute . 2001

机译：健康维护组织对灾难恢复计划的启动，采用和实施的实证研究
5. Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan. [D] . Lunacsek, Orsolya Eszter. 2005

机译：在Total Health 65 Medicare + Choice Health计划中评估药房福利与取消注册，非制药医疗服务的使用以及单个注册者的支出之间的关系。
6. Out-of-plan use by Medicare enrollees in a risk-sharing health maintenance organization [O] . Claudia L. Haglund, Diane P. Martin, Paula Diehr, 1985

机译：风险分担的健康维护组织中Medicare参与者的计划外使用
7. PNS123 RISK ADJUSTING MEDICARE ADVANTAGE PLAN PERFORMANCE MEASURES FOR SOCIAL DETERMINANTS OF HEALTH: ARE DUAL ELIGIBILITY AND DISABILITY STATUS ENOUGH? [O] . K. Kilgore, S. Pahuja, C. Teigland 2019

机译：PNS123风险调整医疗保险优势计划健康的社会决定因素的性能措施：是双重资格和残疾状态吗？
8. National Medicare Competition Evaluation: The Structure of Quality Assurance Programs in HMOs (Health Maintenance Organizations) and CMPs (Competitive Medical Plans) Enrolling Medicare Beneficiaries - Final Analysis Report [R] . Brown, B. S. 1987

机译：国家医疗保险竞争评估：HmOs（健康维护组织）和Cmp（竞争性医疗计划）中的质量保证计划结构注册医疗保险受益人 - 最终分析报告

Medicare Health Maintenance Organization Benefits Packages and Plan Performance Measures

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