This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (2)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Mike Hash
Acting Administrator
Health Care Financing Administration

JAMA. 2000;284:2988.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Physicians gather a treasure trove of data on care they provide to Medicare beneficiaries. The aggregate information is invaluable and has been the basis for scientific studies published in the Journal of the American Medical Association and elsewhere.

However, such data have not been routinely collected on care provided to the 6 million beneficiaries in Medicare + Choice plans (health maintenance organizations [HMOs] and other private plans under contract with Medicare). That is changing, and physicians need to know why and how it affects them.

The Balanced Budget Act of 1997 mandated that payment to Medicare + Choice plans be "risk adjusted" so plans will be paid more for enrollees with costlier health care needs. Data on individual beneficiaries' use of health services in a given year will be used to adjust payment for each beneficiary in a Medicare + Choice plan the following year. The adjustments are . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Managed Care in Transition
Dudley and Luft
NEJM 2001;344:1087-1092.
FULL TEXT