Do Medicare HMOs and Medicare FFS differ in their use of the Medicare hospice benefit?

B A Virnig, N A Persily, R O Morgan, C A DeVito
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引用次数: 40

Abstract

This study compares use of the hospice benefit in Medicare fee-for-service (FFS) and Medicare risk-health maintenance organization (HMO) options in South Florida in 1992. A higher percentage of deaths occurred in hospice in the HMO option than in the FFS option. Compared to individuals in the FFS option, HMO-enrolled hospice users had longer lengths of hospice stay, lower 7-day mortality and higher 180-day (6 month) survival. These differences are consistent with the physician's financial incentives associated with the two programs.

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医疗保险hmo和医疗保险FFS在使用医疗保险临终关怀福利方面有不同吗?
本研究比较1992年南佛罗里达州医疗保险按服务收费(FFS)与医疗保险风险健康维持组织(HMO)方案中安宁疗护福利的使用情况。HMO选择的临终关怀死亡比例高于FFS选择。与FFS选项的个体相比,hmo登记的安宁疗护使用者的安宁疗护停留时间更长,7天死亡率更低,180天(6个月)存活率更高。这些差异与医生对这两个项目的经济激励是一致的。
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