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Out-of-plan use by Medicare enrollees in a risk-sharing health maintenance organization

In this study, we analyzed the cost and volume effects of a waiver that eliminated lock-in restrictions on out-of-plan use in a health maintenance organization (HMO) with a Medicare risk-sharing contract. We compared out-of-plan cost and number of claims during a 15-month base line period when the l...

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Autori principali: Haglund, Claudia L., Martin, Diane P., Diehr, Paula, Johnston, Ric, Richardson, William C.
Natura: Artigo
Lingua:Inglês
Pubblicazione: CENTERS for MEDICARE & MEDICAID SERVICES 1985
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Accesso online:https://ncbi.nlm.nih.gov/pmc/articles/PMC4191498/
https://ncbi.nlm.nih.gov/pubmed/10311436
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