Serving rural medicare risk enrollees: HMOs' decisions, experiences, and future plans

Michelle M Casey

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

This article identifies factors that influence health maintenance organizations' (HMOs) decisions about offering a Medicare risk product in rural areas; describes HMOs' recent experiences serving rural Medicare risk enrollees; and assesses the potential impact of Medicare program changes on the future willingness of liMOs to offer a Medicare risk product in rural areas. Data for the analysis were collected through interviews with a national sample of 27 HMOs. The results underscore the importance of adjusted average per capita cost (AAPCC) rates in HMOs' decisions to offer Medicare risk products in rural areas, but also indicate that other factors influence these decisions.

Original languageEnglish (US)
Pages (from-to)73-81
Number of pages9
JournalHealth Care Financing Review
Volume20
Issue number1
StatePublished - Dec 1 1998

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