Prepaid Health Plans
Mostrando 1-12 de 15 artigos, teses e dissertações.
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1. Proposta de um instrumento para avaliação de serviços hospitalares com base em critéios de assistência, infraestrutura e práticas de gestão
Esta pesquisa propõe um instrumento para avaliação de serviços hospitalares com base em critérios de assistência, infraestrutura e práticas de gestão, como forma de contribuir para o gerenciamento dos negócios em saúde no Brasil. Desta forma, identificou-se que os planos/seguros de saúde e os hospitais brasileiros não possuem um instrumento abran
Publicado em: 2010
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2. A Qualidade de Vida das mulheres com Incontinência Urinária em Maceió- AL / The quality of life in the woman with urinary incontinence in the city of Maceió-Alagoas
Contexto: A incontinência urinária é definida como qualquer queixa de perda involuntária de urina. É uma condição que afeta a população mundial, principalmente a feminina. Há um consenso na literatura internacional de que esta condição pode afetar adversamente a qualidade de vida. Objetivo: Esta pesquisa teve como objetivo investigar a qualidade
Publicado em: 2010
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3. A Saúde dos Idosos: Os planos de saúde e a ANS
Este trabalho teve por objetivo a Investigação do papel da ANS Agência Nacional de Saúde Suplementar - como agente de regulação e regulamentação de assistência à saúde dos usuários idosos, pelas operadoras de planos privados de saúde. O tema se torna particularmente importante em razão da transição demográfica, do aumento na expectativa de v
Publicado em: 2006
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4. A health insurance s high medical expenditures / "Gastos elevados na assistência médico-hospitalar de um plano de saúde"
Administradores de saúde estão preocupados com a persistente elevação dos gastos com saúde. Um problema econômico, social e médico. Objetivando estudar as características das pessoas que produzem gastos elevados com saúde, tomou-se a população de um plano de saúde, identificou-se 1% dos casos que mais gastaram com assistência médico-hospitalar
Publicado em: 2005
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5. Use of outpatient mental health services in HMO and fee-for-service plans: results from a randomized controlled trial.
Does a prepaid group practice (PGP) deliver less outpatient mental health care than the fee-for-service (FFS) sector when they serve comparable populations with comparable benefits? To examine this issue, we used data from the Rand Health Insurance Study, which randomized families into a prepaid group practice or FFS insurance plans. Participants in a FFS pl
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6. The effects of a prepaid group practice on mental health outcomes.
Does a prepaid group practice relative to comparable fee-for-service plans lead to different mental health outcomes for its beneficiaries? To answer this question, we used data from the RAND Health Insurance Experiment. We observed no statistically significant or clinically meaningful differences in mental health outcomes for families randomly assigned to Gr
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7. Consumer Sponsorship and Physician Sponsorship of Prepaid Group Practice Health Plans: Some Similarities and Differences
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8. Mental health care utilization in prepaid and fee-for-service plans among depressed patients in the Medical Outcomes Study.
OBJECTIVE: We compare mental health utilization in prepaid and fee-for-service plans and analyze selection biases. DATA SOURCE: Primary data were collected every six months over a two-year interval for a panel of depressed patients participating in the Medical Outcomes Study, an observational study of adults in competing systems of care in three urban areas
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9. Policy implications of startup utilization by enrollees in prepaid group plans.
This article discusses several policy implications of the so-called startup effect, in which high initial health services utilization by new enrollees in prepaid group plans ( PGPs ) becomes reduced with the increasing duration of membership. Results of research in a developing PGP are analyzed as they relate to a mathematical model of startups for two measu
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10. No exit? The effect of health status on dissatisfaction and disenrollment from health plans.
OBJECTIVE: To examine the implications of serious and chronic health problems on the willingness of enrollees to switch health plans if they are dissatisfied with their current arrangements. DATA SOURCE: A large (20,283 respondents) survey of employees of three national corporations committed to the model of managed competition, with substantial enrollment i
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11. The effects of method of presenting health plan information on HMO enrollment by Medicaid beneficiaries.
Marketing strategies are critical for enhancing HMO enrollments among Medicaid beneficiaries when they are provided a choice of health plans. This study examined one component of marketing HMOs--the method of communicating the HMO's attributes. The purpose of the analysis was to determine if characteristics of Medicaid beneficiaries who enroll in HMOs vary b
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12. Do HMOs reduce health care costs? A multivariate analysis of two Medicare HMO demonstration projects.
Charge data from two Medicare HMO demonstration projects were analyzed to determine if prepaid plans achieved cost savings for enrolled beneficiaries. Fallon Community Health Plan of Massachusetts did not reduce total charges significantly for survivors in their first year postenrollment. However, the plan enjoyed reductions in total charges per month after