Social health maintenance organizations' service use and costs, 1985-89.
Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic HMO benefit package, had higher start up costs and financial losses over the first 5 years than expected, and controlling costs continues to be a challenge to the sites and their sponsors.
Harrington
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Department of Social and Behavioral Sciences, University of California, San Francisco 94143.
Newcomer
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RJ
D000368:Aged; D002140:California; D002908:Chronic Disease / Q000191:economics; D003191:Comprehensive Health Care / Q000191:economics*; D005376:Financial Management / Q000706:statistics & numerical data*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006279:Health Maintenance Organizations / Q000191:economics* / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data*; D008910:Minnesota; D009519:New York City; D009922:Oregon; D010865:Pilot Projects; D014481:United States