Social/health maintenance organization and fee-for-service health outcomes over time.

Journal Article (Journal Article)

Evaluating the performance of long-term care (LTC) demonstrations requires longitudinal assessment of multiple outcomes where selective mortality and disenrollment, if not accounted for, can give the appearance of reduced (or enhanced) efficacy. We assessed outcomes in social/health maintenance organizations (S/HMOs) and Medicare fee-for-service (FFS) care using a multivariate model to estimate active life expectancy (ALE). S/HMO enrollees and samples of FFS clients in four sites were analyzed and outcome differences assessed for a 3-year period. Results provide insights into S/HMO performance under different conditions and, more generally, into evaluating LTC demonstrations without randomized client and control groups.

Full Text

Duke Authors

Cited Authors

  • Manton, KG; Newcomer, R; Lowrimore, GR; Vertrees, JC; Harrington, C

Published Date

  • January 1, 1993

Published In

Volume / Issue

  • 15 / 2

Start / End Page

  • 173 - 202

PubMed ID

  • 10135342

Pubmed Central ID

  • PMC4193417

Electronic International Standard Serial Number (EISSN)

  • 1554-9887

International Standard Serial Number (ISSN)

  • 0195-8631


  • eng