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Characteristics and perceptions of the Medicare population: 2001-2005. 2001-2005年医疗保险人口的特征和认知。
Health Care Financing Review Pub Date : 2008-01-01
Maggie S Murgolo
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引用次数: 0
Medicaid waiver personal care services: results of a statewide survey. 医疗补助豁免个人护理服务:一项全州调查的结果。
Health Care Financing Review Pub Date : 2008-01-01
Anne P Glass, Karen A Roberto, Nancy Brossoie, Pamela B Teaster, Donna Q Butler
{"title":"Medicaid waiver personal care services: results of a statewide survey.","authors":"Anne P Glass,&nbsp;Karen A Roberto,&nbsp;Nancy Brossoie,&nbsp;Pamela B Teaster,&nbsp;Donna Q Butler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Through a statewide telephone survey of 819 beneficiaries (or their proxies), we collected data regarding client and aide demographics, as well as clients' satisfaction, outcomes, perspectives on staff performance, and complaints associated with home-based personal care services provided under the Virginia Medicaid Elderly and Disabled (E&D) waiver. Most respondents indicated that services improved their lives, and they were generally satisfied. Opportunities for improvement exist, however, especially related to the amount of time spent with the client, the need for training, and communication issues. Ongoing use of client/family caregiver surveys is warranted to allow continued monitoring of service provision.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 2","pages":"53-66"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28104232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Medicare Health Support chronic disease pilot program. 医疗保险健康支持慢性病试点项目的评估。
Health Care Financing Review Pub Date : 2008-01-01
Jerry Cromwell, Nancy McCall, Joe Burton
{"title":"Evaluation of Medicare Health Support chronic disease pilot program.","authors":"Jerry Cromwell,&nbsp;Nancy McCall,&nbsp;Joe Burton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare Program is conducting a randomized trial of care management services among fee-for-service (FFS) beneficiaries called the Medicare Health Support (MHS) pilot program. Eight disease management (DM) companies have contracted with CMS to improve clinical quality, increase beneficiary and provider satisfaction, and achieve targeted savings for chronically ill Medicare FFS beneficiaries. In this article, we present 6-month intervention results on beneficiary selection and participation rates, mortality rates, trends in hospitalizations, and success in achieving Medicare cost savings. Results to date indicate limited success in achieving Medicare cost savings or reducing acute care utilization.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 1","pages":"47-60"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27864879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of select psychiatric diagnoses in long-term care: 1997-2007. 1997-2007年长期护理中选择精神病诊断的患病率。
Health Care Financing Review Pub Date : 2008-01-01
Joseph E Regan
{"title":"Prevalence of select psychiatric diagnoses in long-term care: 1997-2007.","authors":"Joseph E Regan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare Current Beneficiary Survey (MCBS) is a longitudinal survey of a nationally representative sample of Medicare enrollees. The survey collects information on a variety of topics including beneficiaries' health status. This information is collected from two groups of beneficiaries: those living in the community and those living in facilities. Information is obtained on specific medical diagnoses and conditions for beneficiaries residing in a facility.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 2","pages":"105-14"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28104238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cigarette smoking and health-related quality of life in Medicare beneficiaries. 医疗保险受益人吸烟与健康相关的生活质量
Health Care Financing Review Pub Date : 2008-01-01
Ron D Hays, Ashley Wilder Smith, Bryce B Reeve, Karen L Spritzer, Stephen E Marcus, Steven B Clauser
{"title":"Cigarette smoking and health-related quality of life in Medicare beneficiaries.","authors":"Ron D Hays,&nbsp;Ashley Wilder Smith,&nbsp;Bryce B Reeve,&nbsp;Karen L Spritzer,&nbsp;Stephen E Marcus,&nbsp;Steven B Clauser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined associations between cigarette smoking, cancer, and self-reported physical (SF-36 Physical Component Summary Score, [PCS]) and mental health (SF-36 Mental Component Summary Score, [MCS]) among 123,567 Medicare beneficiaries enrolled in managed care plans. As expected for a sample of older individuals, the SF-36 PCS mean (42.6) was lower than the U.S. general population mean of 50. The SF-36 MCS mean (51.7) for the sample was higher than the general population mean. In addition, least squares means revealed significantly poorer health for current smokers and those who recently quit, regardless of their cancer status. Although statistically significant, the differences between current smokers and never smokers were small among those with or without cancer. Encouraging smokers to quit and providing abstinence support to persons who have recently quit may help reduce health-related impacts of cigarette use.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"57-67"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SEER-MHOS: a new federal collaboration on cancer outcomes research. SEER-MHOS:一项新的癌症结果研究联邦合作项目。
Health Care Financing Review Pub Date : 2008-01-01
Steven B Clauser, Samuel C Haffer
{"title":"SEER-MHOS: a new federal collaboration on cancer outcomes research.","authors":"Steven B Clauser,&nbsp;Samuel C Haffer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding and improving psychosocial services in long-term care. 了解和改善长期护理中的社会心理服务。
Health Care Financing Review Pub Date : 2008-01-01
Sonya E Bowen, Sheryl Zimmerman
{"title":"Understanding and improving psychosocial services in long-term care.","authors":"Sonya E Bowen,&nbsp;Sheryl Zimmerman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this issue of the Health Care Financing Review, we present research that speaks to the importance of psychosocial care and its relationship to the overall well-being and quality of life for people receiving long-term care (LTC) services in nursing homes and community-based settings. The articles address numerous psychosocial processes of care and outcomes within the LTC service spectrum. This overview discusses the rationale for examining psychosocial services in the context of quality of life in LTC; summarizes the focus of the articles in this issue; and highlights current CMS initiatives relevant to psychosocial needs in LTC including national data sources that measure psychosocial services and outcomes of care and can be used to develop programs to improve care and outcomes.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28179778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overview of the SEER--Medicare Health Outcomes Survey linked dataset. SEER概述-医疗保险健康结果调查链接数据集。
Health Care Financing Review Pub Date : 2008-01-01
Anita Ambs, Joan L Warren, Keith M Bellizzi, Marie Topor, Samuel C Haffer, Steven B Clauser
{"title":"Overview of the SEER--Medicare Health Outcomes Survey linked dataset.","authors":"Anita Ambs,&nbsp;Joan L Warren,&nbsp;Keith M Bellizzi,&nbsp;Marie Topor,&nbsp;Samuel C Haffer,&nbsp;Steven B Clauser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Surveillance, Epidemiology, and End Results (SEER)--Medicare Health Outcomes Survey (MHOS) links cancer registry data with survey data from Medicare managed care enrollees. The linked file includes clinical information about the cancer with self-reported data about symptoms, functional status and health-related quality of life (HRQOL) for Medicare managed care enrollees. This article provides a description of the SEER-MHOS data as a tool to study cancer among Medicare enrollees. In order to highlight the strengths of the database, we also present some descriptive statistics from the database.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"5-21"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overview: disease management. 概述:疾病管理。
Health Care Financing Review Pub Date : 2008-01-01
Mary C Kapp
{"title":"Overview: disease management.","authors":"Mary C Kapp","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27864876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case selection for a Medicaid chronic care management program. 医疗补助慢性护理管理项目的病例选择。
Health Care Financing Review Pub Date : 2008-01-01
Sharada Weir, Gideon Aweh, Robin E Clark
{"title":"Case selection for a Medicaid chronic care management program.","authors":"Sharada Weir,&nbsp;Gideon Aweh,&nbsp;Robin E Clark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medicaid agencies are beginning to turn to care management to reduce costs and improve health care quality. One challenge is selecting members at risk of costly, preventable service utilization. Using claims data from the State of Vermont, we compare the ability of three pre-existing health risk predictive models to predict the top 10 percent of members with chronic conditions: Chronic Illness and Disability Payment System (CDPS), Diagnostic Cost Groups (DCG), and Adjusted Clinical Groups Predictive Model (ACG-PM). We find that the ACG-PM model performs best. However, for predicting the very highest-cost members (e.g, the 99th percentile), the DCG model is preferred.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 1","pages":"61-74"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27864880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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