Profiling Resource Use by Primary-Care Practices: Managed Medicare Implications

Stephen T. Parente; Jonathan P. Weiner; Deborah W. Garnick; Jinnet Fowles; Ann G. Lawthers; R. Heather Palmer

Profiling Resource Use by Primary-Care Practices: Managed Medicare Implications

Stephen T. Parente, Jonathan P. Weiner, Deborah W. Garnick, Jinnet Fowles, Ann G. Lawthers, R. Heather Palmer

Research output: Contribution to journal › Article › peer-review

Abstract

Variations in elderly Medicare beneficiaries' health service use are examined using a 100-percent sample of fee-for-service (FFS) claims data from Alabama, Iowa, and Maryland. Provider specialty, group practice type, practice size, and location are found to be significant factors affecting hospital and ambulatory care utilization and cost, after controlling for patient and regional characteristics. These results provide insights into utilization and cost expectations from different types of primary-care gatekeepers as the Medicare managed care market develops.

Original language	English (US)
Pages (from-to)	23-42
Number of pages	20
Journal	Health Care Financing Review
Volume	17
Issue number	4
State	Published - Dec 1 1996
Externally published	Yes

ASJC Scopus subject areas

Health Policy

Cite this

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abstract = "Variations in elderly Medicare beneficiaries' health service use are examined using a 100-percent sample of fee-for-service (FFS) claims data from Alabama, Iowa, and Maryland. Provider specialty, group practice type, practice size, and location are found to be significant factors affecting hospital and ambulatory care utilization and cost, after controlling for patient and regional characteristics. These results provide insights into utilization and cost expectations from different types of primary-care gatekeepers as the Medicare managed care market develops.",

author = "Parente, {Stephen T.} and Weiner, {Jonathan P.} and Garnick, {Deborah W.} and Jinnet Fowles and Lawthers, {Ann G.} and {Heather Palmer}, R.",

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AU - Lawthers, Ann G.

AU - Heather Palmer, R.

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AB - Variations in elderly Medicare beneficiaries' health service use are examined using a 100-percent sample of fee-for-service (FFS) claims data from Alabama, Iowa, and Maryland. Provider specialty, group practice type, practice size, and location are found to be significant factors affecting hospital and ambulatory care utilization and cost, after controlling for patient and regional characteristics. These results provide insights into utilization and cost expectations from different types of primary-care gatekeepers as the Medicare managed care market develops.

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Profiling Resource Use by Primary-Care Practices: Managed Medicare Implications

Abstract

ASJC Scopus subject areas

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