Medicare HMO Enrollment: Area Differences Affected by Factors Other Than Payment Rates
HEHS-97-37
Published: May 02, 1997. Publicly Released: May 02, 1997.
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Highlights
Pursuant to a congressional request, GAO reviewed the factors affecting Medicare risk health maintenance organization (HMO) enrollment, focusing on: (1) the patterns in HMO enrollment and Medicare payment rates; (2) selected geographical areas with higher enrollment, lower payment rates and areas with lower enrollment, higher payment rates; and (3) how the presence or absence of certain factors could affect enrollment.
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Cost analysisEmployee medical benefitsHealth care programsHealth care servicesHealth insurance cost controlHealth maintenance organizationsInsurance premiumsManaged health careMedicarePaymentsPopulation statistics