Medicare, managed care, and vision services to the elderly.
Proportionately, fewer Medicare patients are enrolled in HMOs than in fee-for-service programs. Despite the advantages of selecting the HMO option, only 2.9 million beneficiaries are enrolled. Integrating Medicare into health care reform will be a major challenge to this administration. There is general recognition that it will be difficult to control health costs if people at least 65 years of age remain outside the system. With renewed marketing programs directed toward the elderly, we can expect further increases in Medicare HMO enrollment.
Center for Vision Care Policy, State University of New York, New York City 10010, USA.
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D000368:Aged; D003625:Data Collection; D018588:Fee-for-Service Plans / Q000706:statistics & numerical data; D018166:Health Care Reform; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data*; D006299:Health Services for the Aged / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D006278:Medicare / Q000458:organization & administration* / Q000706:statistics & numerical data; D014481:United States; D015351:Vision Screening / Q000191:economics*