Medicaid loophole. States get a break--for now.
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Biomedical subjects
Publications and source records attributed to J Greene.
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The shortage of radiologists and technologists poses a huge problem for hospitals as the demand for imaging services grows. It behooves hospital executives, therefore, to find creative ways to partner with their radiology groups--before somebody else does. This is the first installment in H&HN's quarterly Clinical Management series, which examines how hospitals are responding to dramatic shifts in specific clinical areas.
Physician portals provide quick, easy and secure access to patient records via the Internet. Hospital executives who have made the relatively low investment say it gives them a leg up on the competition for doctors--and their patients.
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Medicare health maintenance organization (HMO) enrollees use more preventive care services than their fee-for-service (FFS) counterparts. This may be because those who enroll in HMOs have characteristics that make them more disposed to use preventive care. To investigate this possibility, we examined the use of four preventive care services by respondents to the 1996 Medicare Current Beneficiary Survey (MCBS). Unadjusted preventive care use rates for HMO enrollees were slightly higher than rates for non-HMO enrollees with private supplemental insurance. However, after adjusting for enrollee characteristics (sociodemographics, health behaviors, health status, and functioning) we found that preventive care use rates for HMO enrollees were substantially higher--consistent with HMO enrollees being less disposed to use preventive care. In comparing preventive care service rates across groups, managers and policymakers may want to consider taking into account beneficiary characteristics that are correlated with the disposition to use preventive care.