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HMO vs fee-for-service care of older persons with acute myocardial infarction

Author

Listed:
  • Carlisle, D.M.
  • Siu, A.L.
  • Keeler, E.B.
  • McGlynn, E.A.
  • Kahn, K.L.
  • Rubenstein, L.V.
  • Brook, R.H.

Abstract

Objectives. Health maintenance organizations (HMOs) continue to grow in number and in their enrollment of Medicare recipients. They are also increasingly viewed as organizational structures that might contribute to control of health care costs. Yet little is known about the quality of care that elderly HMO enrollees receive. Methods. We compared patients from three HMOs to a fee-for-service (FFS) sample that was national in scope. Sickness at admission, the quality of process of care, and mortality were assessed for patients aged 65 years and older who had been hospitalized with a diagnosis of acute myocardial infarction. Results. After adjustment for sickness at admission, there were no significant mortality differences between the HMO and FFS groups at either 30 (23.2% vs 23.5%) or 180 days (34.4% vs 34.5%) after admission. Compliance with process criteria was higher for the HMO group as a whole (P

Suggested Citation

  • Carlisle, D.M. & Siu, A.L. & Keeler, E.B. & McGlynn, E.A. & Kahn, K.L. & Rubenstein, L.V. & Brook, R.H., 1992. "HMO vs fee-for-service care of older persons with acute myocardial infarction," American Journal of Public Health, American Public Health Association, vol. 82(12), pages 1626-1630.
    • Handle: RePEc:aph:ajpbhl:1992:82:12:1626-1630_7
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    Cited by:

    1. Allen C. Goodman & Miron Stano, 2000. "Hmos and Health Externalities: A Local Public Good Perspective," Public Finance Review, , vol. 28(3), pages 247-269, May.
    2. Sarah Feldman & David S. Scharfstein, 2000. "Managed Care and Provider Volume," NBER Chapters, in: The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions, pages 229-248, National Bureau of Economic Research, Inc.
    3. Bryan Dowd & Matthew L. Maciejewski & Heidi O'Connor & Gerald Riley & Yisong Geng, 2011. "Health plan enrollment and mortality in the Medicare program," Health Economics, John Wiley & Sons, Ltd., vol. 20(6), pages 645-659, June.

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