Managed care and inpatient mortality in adults: effect of primary payer

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• 作者：Anika L. Hines ; Susan O. Raetzman ; Marguerite L. Barrett…
• 关键词：Managed care ; Inpatient mortality ; Fee for service
• 刊名：BMC Health Services Research
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：595KB
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963
• 卷排序：17

文摘

BackgroundBecause managed care is increasingly prevalent in health care finance and delivery, it is important to ascertain its effects on health care quality relative to that of fee-for-service plans. Some stakeholders are concerned that basing gatekeeping, provider selection, and utilization management on cost may lower quality of care. To date, research on this topic has been inconclusive, largely because of variation in research methods and covariates. Patient age has been the only consistently evaluated outcome predictor. This study provides a comprehensive assessment of the association between managed care and inpatient mortality for Medicare and privately insured patients.