Health Maintenance Organizations

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  Subject Areas on Research

  • A method for adjusting capitation payments to managed care plans using multivariate patterns of health and functioning: the experience of Social/Health Maintenance Organizations. 
  • A response to representatives from the social HMOs regarding program evaluation. 
  • Acceptance of external funds by physician organizations: issues and policy options. 
  • Access to bone marrow transplantation for leukemia and lymphoma: the role of sociodemographic factors. 
  • An analysis of disenrollment from Medicare managed care plans by Medicare beneficiaries with diabetes. 
  • Analysis of underwriting factors for AAPCC (adjusted average per capita cost). 
  • Aspirin treatment after myocardial infarction: are health maintenance organization members, women, and the elderly undertreated? 
  • Association Between Patient Characteristics and Treatment Procedure Among Patients With Uterine Leiomyomas. 
  • Association between Smoking and Uveitis: Results from the Pacific Ocular Inflammation Study. 
  • Association of insurance status with inpatient treatment for coronary artery disease: findings from the Get With the Guidelines program. 
  • Can tailored interventions increase mammography use among HMO women? 
  • Case mix controlled service use and expenditures in the social/health maintenance organization demonstration. 
  • Children's health care use in the Healthy Kids Program. 
  • Comparing mortality and time until death for medicare HMO and FFS beneficiaries. 
  • Computerized prompts for cancer screening in a community health center. 
  • Controlling risk in capitation payment. Multivariate definitions of risk groups. 
  • Diagnosed mental disorder in children and use of health services in four organized health care settings. 
  • Diagnostic test use in different practice settings. A controlled comparison. 
  • Differences in providers' beliefs about benefits and risks of hormone replacement therapy in managed care. 
  • Direct access to dermatologists. 
  • Disenrollment from Medicare HMOs. 
  • Do anticoagulation management services improve care? Implications of the Managing Anticoagulation Services Trial. 
  • Does payment drive procedures? Payment for specialty services and procedure rate variations in 3 HMOs. 
  • Effect of prepaid health plans on a family practice residency. 
  • Establishing a Vision and Eye Health Surveillance System for the Nation: A Status Update on the Vision and Eye Health Surveillance System. 
  • Ethics, law, and medicine: today's crossroads. 
  • Evaluating long-term care demonstrations in real time with study design and plan performance interactions. 
  • Evaluation of disease-state management of dialysis patients. 
  • Exploring the generalist-subspecialist interface in internal medicine. 
  • Failure of Medicare health maintenance organizations to control the cost of colon resections in elderly patients. 
  • Feasibility of a tailored intervention to improve preventive care use in women. 
  • Frequency of high-risk use of QT-prolonging medications. 
  • Health Optimization Program for Elders: Improving the Transition From Hospital to Skilled Nursing Facility. 
  • Health plan enrollment and mortality in the Medicare program. 
  • Hospital pharmacy decisions, cost containment, and the use of cost-effectiveness analysis. 
  • How should hospitals relate to Medicare HMOs? 
  • Impact of a managed-Medicare physical activity benefit on health care utilization and costs in older adults with diabetes. 
  • Impact of generalized social anxiety disorder in managed care. 
  • Improving blood pressure control through a clinical pharmacist outreach program in patients with diabetes mellitus in 2 high-performing health systems: the adherence and intensification of medications cluster randomized, controlled pragmatic trial. 
  • Improving the quality of anticoagulation of patients with atrial fibrillation in managed care organizations: results of the managing anticoagulation services trial. 
  • Incidence of herpes zoster ophthalmicus: results from the Pacific Ocular Inflammation Study. 
  • Incidence of scleritis and episcleritis: results from the Pacific Ocular Inflammation Study. 
  • Insurance coverage and care of patients with non-ST-segment elevation acute coronary syndromes. 
  • Medicare HMO penetration and mortality outcomes of ischemic stroke. 
  • Medication adherence and associated outcomes in medicare health maintenance organization-enrolled older adults with Parkinson's disease. 
  • Multiple prior years of health expenditures and Medicare health plan choice. 
  • Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization. A randomized, controlled trial. 
  • On-call: now, and then. 
  • Outcome at 6 months for 50 adolescents with major depression treated in a health maintenance organization. 
  • Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model. 
  • Personalized medicine and cancer supportive care: appropriate use of colony-stimulating factor support of chemotherapy. 
  • Physician communication in managed care organizations: opinions of primary care physicians. 
  • Physicians who report health insurance fraud and their practice type: health maintenance organization vs fee-for-service. 
  • Preference for equity as a framing effect. 
  • Primary care providers. The view from where I stand. 
  • Prior and current costs in capitated health plans: the effects of health status at enrollment. 
  • Psychopathology in pediatric primary care: the new hidden morbidity. 
  • Quality assessment in contracting for tertiary care services by HMOs: a case study of three markets. 
  • Selection experiences in Medicare HMOs: pre-enrollment expenditures. 
  • Service utilization and psychiatric diagnosis in pediatric primary care: the role of the gatekeeper. 
  • Service utilization comparison of South Carolina Medicaid fee-for-service (FFS), Physician Enhanced Plan (PEP) and Health Maintenance Organization (HMO) models. 
  • Social/health maintenance organization and fee-for-service health outcomes over time. 
  • Study protocol: the Adherence and Intensification of Medications (AIM) study--a cluster randomized controlled effectiveness study. 
  • The 'offset effect' of mental health treatment on ambulatory medical care utilization and charges. Month-by-month and grouped-month analyses of a five-year study. 
  • The Unrealized Potential of Malpractice Arbitration 
  • The determinants of HMOs' contracting with hospitals for bypass surgery. 
  • The effect of managed care penetration on the treatment of AMI in the fee-for-service Medicare population. 
  • The factuality of health records. 
  • The family physician and HMO/IPA contracts. 
  • The impact of TennCare on patient satisfaction with care. 
  • The pediatrician as gatekeeper to mental health care for children: do parents' concerns open the gate? 
  • Treatment regimen determines the relationship between depression and glycemic control. 
  • Uses of ambulatory health/mental health utilization data in organized health care settings. 
  • Uveitis in the elderly: epidemiological data from the National Long-term Care Survey Medicare Cohort. 
  • Variations in cataract extraction rates in Medicare prepaid and fee-for-service settings. 
  • Vision loss among diabetics in a group model Health Maintenance Organization (HMO). 
  • Who gets treated? Factors associated with referral in children with psychiatric disorders. 
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  Keywords of People

  • Curtis, Lesley H., Professor in Population Health Sciences, Medicine, General Internal Medicine