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Previous Volume 339:1925-1926 December 24, 1998 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Federal officials were taken off guard recently by the announcement that nearly 100 managed-care plans had decided either to withdraw from the Medicare managed-care program or to end their participation in some regions of the country. More than 400,000 Medicare beneficiaries in 29 states are affected. They will have to seek new plans or re-enroll in the traditional fee-for-service Medicare program and pay for supplementary insurance.^1,2,3

The exodus came in the wake of Congress's mandate that by the year 2000 the Health Care Financing Administration (HCFA) must introduce diagnosis-based risk adjustment into the formula for determining capitation payments to managed-care . . . [Full Text of this Article]

References

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• Weissman, J. S., Wachterman, M., Blumenthal, D. (2005). When Methods Meet Politics: How Risk Adjustment Became Part of Medicare Managed Care. Journal of Health Politics, Policy and Law 30: 475-504 [Abstract]  
• Michel, L A, Johnson, P (2002). Is surgical mystique a myth and double standard the reality?. Med. Humanities 28: 66-70 [Abstract] [Full Text]  
• Mapel, D. W., Hurley, J. S., Frost, F. J., Petersen, H. V., Picchi, M. A., Coultas, D. B. (2000). Health Care Utilization in Chronic Obstructive Pulmonary Disease: A Case-Control Study in a Health Maintenance Organization. Arch Intern Med 160: 2653-2658 [Abstract] [Full Text]  
• Eisenberg, L. (1999). Whatever Happened to the Faculty on the Way to the Agora?. Arch Intern Med 159: 2251-2256 [Full Text]  
• Bodenheimer, T. (1999). Long-Term Care for Frail Elderly People -- The On Lok Model. NEJM 341: 1324-1328 [Full Text]  
• Iglehart, J. K. (1999). Medicare. NEJM 340: 327-332 [Full Text]