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Medicaid Managed Care: The Effects of Fee-for-Service Case Management onEnrollees' Service Use (Revised)

机译：医疗补助管理式医疗服务：按服务收费病例管理对入职者服务使用的影响（修订）

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The report is concerned with managed care which, in the late 1980's and early1990's was being widely implemented in state Medicaid programs in an effort to slow the rapid growth of expenditures. In spite of this growth, there was a lack of information on the effects of managed care on utilization and expenditures except in health maintenance organizations. This paper examines the effects of fee-for-service managed care on Aid to Families with Dependent Children recipients (both adults and children.) Enrollees in voluntary programs use more services than enrollees in mandatory programs. Enrollees appear to substitute medical office visits for physician visits in clinics and hospital outpatient departments. Managed care appears to significantly increase the likelihood of a hospital discharge for adults but to decrease the likelihood for a child. The reduction of hospital use by children almost completely offsets the increased cost of greater use of ambulatory care services.

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作者
Wade, M.;
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年度 1993
页码 1-49
总页数 49
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Medicaid; Managed care programs; Aid to families with dependent children; Healthcare expenditures; Cost control; Health care utilization; Fee for service; Health care costs; Hospitalization; Ambulatory health care; Tables(Data);

机译：医疗补助;管理式医疗计划;对有受抚养子女的家庭的援助;医疗保健支出;成本控制;医疗保健利用;服务费;医疗保健费用;住院治疗;门诊医疗保健;表格（数据）;

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专利

1. Fee-for-service and managed care for seniors and people with disabilities on Medicaid: implications for the managed care mandate in California. [J] . Graham CL, Kurtovich E, Ivey SL, Journal of health care for the poor and underserved . 2011,第4期

机译：Medicaid上针对老年人和残疾人的收费服务和管理式护理：对加利福尼亚州管理式护理规定的影响。
2. 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
3. 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
4. Intelligent Collaborative Care Management (ICCM): Achieving and Managing Contractual Relationships and Service Delivery [C] . Christian Guttmann, Ian Thomas, Kumari Wickramasinghe, International Workshop on Collaborative Agents - Research and Development . 2011

机译：智能协作管理（ICCM）：实现和管理合同关系和服务交付
5. Quality differences between fee-for-service Medicaid and managed care. [D] . Delmont, Alicia L. 2005

机译：收费医疗补助与管理式医疗之间的质量差异。
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。

Medicaid Managed Care: The Effects of Fee-for-Service Case Management onEnrollees' Service Use (Revised)

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