Cost and outcomes of Medicare reimbursement for HMO preventive services.
Year: 1999
Type: article
Study design: Clinical Trial
Abstract: Medicare beneficiaries enrolled in a health maintenance organization (HMO) were randomized to a preventive services benefit package for 2 years or to usual care. At 24- and 48-month follow-ups, the treatment group had completed more advance directives, participated in more exercise, and consumed less dietary fat than the control group. Unexpectedly, more deaths occurred in the treatment group. Surviving treatment-group enrollees reported higher satisfaction with health, less decline in self-rated health status, and fewer depressive symptoms than surviving control participants. Despite these changes, the intervention did not yield lower cost per quality-adjusted life year in this historically prevention-oriented HMO.
Source: PubMed Central
Authors: D L Patrick, D Grembowski, M Durham, S A Beresford, P Diehr, J Ehreth, J Hecht, J Picciano, W Beery
Institution: University of Washington
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W131072153