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Titolo:
PREVENTIVE SERVICES FOR THE ELDERLY - WOULD COVERAGE AFFECT UTILIZATION AND COSTS UNDER MEDICARE
Autore:
BURTON LC; STEINWACHS DM; GERMAN PS; SHAPIRO S; BRANT LJ; RICHARDS TM; CLARK RD;
Indirizzi:
JOHNS HOPKINS MED INST,SCH HYG & PUBL HLTH,CTR HLTH SERV RES & DEV,624 N BROADWAY BALTIMORE MD 21205 NIA,GERONTOL RES CTR BALTIMORE MD 21224
Titolo Testata:
American journal of public health
fascicolo: 3, volume: 85, anno: 1995,
pagine: 387 - 391
SICI:
0090-0036(1995)85:3<387:PSFTE->2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
L.C. Burton et al., "PREVENTIVE SERVICES FOR THE ELDERLY - WOULD COVERAGE AFFECT UTILIZATION AND COSTS UNDER MEDICARE", American journal of public health, 85(3), 1995, pp. 387-391

Abstract

Objectives. This study was undertaken to determine whether adding a benefit for preventive services to older Medicare beneficiaries would affect utilization and costs under Medicare. Methods. The demonstrationused an experimental design, enrolling 4195 older, community-dwellingMedicare recipients. Medicare claims data for the 2 years in which the preventive visits occurred were compared for the intervention (n = 2105) and control (n = 2090) groups. Monthly allowable charges for PartA and Part B services and number of hospital discharges and ambulatory visits were compared. Results. There were no significant differencesin the charges between the groups owing to the intervention, althoughtotal charges were somewhat lower for the intervention group even when the cost of the intervention was included. Charges for both groups rose significantly as would be expected for an aging population. A companion paper describes a modest health benefit. Conclusions. There appears to be a modest health benefit with no negative cost impact. This finding gives an early quantitative basis for the discussion of whetherto extend Medicare benefits to include a general preventive visit from a primary care clinician.

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Documento generato il 26/11/20 alle ore 20:19:31