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Volume 339:1933-1938 December 24, 1998 Number 26
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Paying More Fairly for Medicare Capitated Care

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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Commentary
-Editorial
 by Kassirer, J. P.
-Letters

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The 1997 Balanced Budget Act (Public Law 105-33) not only balanced the federal budget for the first time in decades but also mandated major changes in Medicare. One important goal of these changes was to expand the choice of health plans for Medicare beneficiaries, both to encourage the provision of high-quality care and to control aggregate program costs through competition and risk sharing. Under the new provisions, health-plan options include traditional fee-for-service care, high-deductible medical savings accounts, provider-sponsored organizations, and capitated plans, such as health maintenance organizations. However, questions arose about whether all beneficiaries would have these choices. In particular, . . . [Full Text of this Article]

Risk Adjustment and Data Demands

Principal Inpatient Diagnostic Cost Groups

Determining Risk with Limited Data

Getting Started — Carefully

Address reprint requests to Dr. Iezzoni at the Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, East Campus, LY-326, 330 Brookline Ave., Boston, MA 02215.

References


Related Letters:

Risk Adjustment for Medicare
Blumberg M. S., Iezzoni L. I.
Extract | Full Text  
N Engl J Med 1999; 340:1514-1515, May 13, 1999. Correspondence

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