Profiling Resource Use by Primary-Care Practices

Managed Medicare Implications

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)23-42
Number of pages20
JournalHealth Care Financing Review
Volume17
Issue number4
StatePublished - 1996
Externally publishedYes

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Medicare
Primary Health Care
utilization
Costs and Cost Analysis
Fee-for-Service Plans
Group Practice
group practice
gatekeeper
Managed Care Programs
Ambulatory Care
costs
managed care
resources
fee
Health Services
health service
market

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Parente, S. T., Weiner, J., Garnick, D. W., Fowles, J., Lawthers, A. G., & Heather Palmer, R. (1996). Profiling Resource Use by Primary-Care Practices: Managed Medicare Implications. Health Care Financing Review, 17(4), 23-42.

Profiling Resource Use by Primary-Care Practices : Managed Medicare Implications. / Parente, Stephen T.; Weiner, Jonathan; Garnick, Deborah W.; Fowles, Jinnet; Lawthers, Ann G.; Heather Palmer, R.

In: Health Care Financing Review, Vol. 17, No. 4, 1996, p. 23-42.

Research output: Contribution to journalArticle

Parente, ST, Weiner, J, Garnick, DW, Fowles, J, Lawthers, AG & Heather Palmer, R 1996, 'Profiling Resource Use by Primary-Care Practices: Managed Medicare Implications', Health Care Financing Review, vol. 17, no. 4, pp. 23-42.
Parente ST, Weiner J, Garnick DW, Fowles J, Lawthers AG, Heather Palmer R. Profiling Resource Use by Primary-Care Practices: Managed Medicare Implications. Health Care Financing Review. 1996;17(4):23-42.
Parente, Stephen T. ; Weiner, Jonathan ; Garnick, Deborah W. ; Fowles, Jinnet ; Lawthers, Ann G. ; Heather Palmer, R. / Profiling Resource Use by Primary-Care Practices : Managed Medicare Implications. In: Health Care Financing Review. 1996 ; Vol. 17, No. 4. pp. 23-42.
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