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MeSH Review

Fee-for-Service Plans

 
 
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Disease relevance of Fee-for-Service Plans

 

Psychiatry related information on Fee-for-Service Plans

 

High impact information on Fee-for-Service Plans

  • Increases from 10% market share to 20% market share were associated with 2.0% decreases in Part A fee-for-service expenditures and 1.5% decreases in Part B fee-for-service expenditures [3].
  • In 1994 and 1997, fee-for-service physicians were more likely than other physicians to prefer use of CSF support while maintaining treatment dose and schedule instead of using dose-reduction strategies, and, when using a CSF, they were more likely to support longer CSF treatment schedules (P <.05 for both scenarios) [4].
  • Among U.S. physicians, those who said they used erythropoietin frequently were more likely to be in fee-for-service than managed care settings (OR = 2.2; 95% CI: 1.3 to 3.7) [5].
  • CONCLUSIONS: Both HMO and fee-for-service patients would likely benefit from greater use of beta-blockers and cholesterol-lowering agents [6].
  • Expenditure and utilization patterns of aged Medicare beneficiaries with chronic obstructive respiratory disease (COPD) (n = 42,472) were compared with all Medicare beneficiaries (n = 1,221,615) using a 5% nationally representative sample of aged Medicare beneficiaries participating in the fee-for-service program in 1992 [7].
 

Chemical compound and disease context of Fee-for-Service Plans

 

Biological context of Fee-for-Service Plans

 

Associations of Fee-for-Service Plans with chemical compounds

  • The estimated costs of preventive services for adolescents under a fee-for-service system were derived from a 1993 survey of nine Blue Cross and Blue Shield plans and four insurance companies [10].
  • RESULTS: In the 3 Medicare fee-for-service regions, payment denial due to nonconforming fluorescein angiograms ranged from 17% to 29% by region in 1245 beneficiaries [11].
  • An increase in the use of regional anaesthesia occurred but, since a similar increase occurred in the practice of those still on fee-for-service, it cannot be ascribed to the AFP [12].
  • METHODS: Drug cohorts were assembled, using population-based fee-for-service Medicaid claims, for patients between 18 and 65 years of age who had received at least one troglitazone (n = 7226) or rosiglitazone (n = 1480) prescription between 1 April, 1997, and 21 March, 2000 [13].
  • METHODS: California Medicaid fee-for-service pharmacy claims were analyzed from May 1999 through August 2000 for patients who received risperidone, olanzapine, or quetiapine [14].
 

Gene context of Fee-for-Service Plans

  • The most important determinant of support for CSF use was being in a fee-for-service practice (P < 0.001) [15].
  • Care in the demonstration sites was compared with care given in similar counties functioning under a traditional fee-for-service Medicaid system--Ventura County, Calif., and St Louis, Mo [16].
  • Male physicians trained before 1974 and physicians receiving fee-for-service were significantly more likely than other physicians to recommend screening by PSA [17].
  • Health outcomes and medicaid costs for frail older individuals: a case study of a MCO versus fee-for-service care [18].
  • Prostate cancer treatment and ten-year survival among group/staff HMO and fee-for-service Medicare patients [19].
 

Analytical, diagnostic and therapeutic context of Fee-for-Service Plans

References

  1. Health outcomes for a chronic disease in prepaid group practice and fee for service settings. The case of rheumatoid arthritis. Yelin, E.H., Shearn, M.A., Epstein, W.V. Medical care. (1986) [Pubmed]
  2. Fee-for-service insurance versus cost financing. Impact on mental health care systems. Spiro, H.R., Crocetti, G.M., Siassi, I. American journal of public health. (1975) [Pubmed]
  3. Association of managed care market share and health expenditures for fee-for-service Medicare patients. Baker, L.C. JAMA (1999) [Pubmed]
  4. Use of hematopoietic colony-stimulating factors: comparison of the 1994 and 1997 American Society of Clinical Oncology surveys regarding ASCO clinical practice guidelines. Health Services Research Committee of the American Society of Clinical Oncology. Bennett, C.L., Weeks, J.A., Somerfield, M.R., Feinglass, J., Smith, T.J. J. Clin. Oncol. (1999) [Pubmed]
  5. Use of erythropoietin in cancer patients: assessment of oncologists' practice patterns in the United States and other countries. Adams, J.R., Elting, L.S., Lyman, G.H., George, J.N., Lembersky, B.C., Armitage, J.O., Demetri, G.D., Bennett, C.L. Am. J. Med. (2004) [Pubmed]
  6. Quality of ambulatory care after myocardial infarction among Medicare patients by type of insurance and region. Seddon, M.E., Ayanian, J.Z., Landrum, M.B., Cleary, P.D., Peterson, E.A., Gahart, M.T., McNeil, B.J. Am. J. Med. (2001) [Pubmed]
  7. Capitation, managed care, and chronic obstructive pulmonary disease. Grasso, M.E., Weller, W.E., Shaffer, T.J., Diette, G.B., Anderson, G.F. Am. J. Respir. Crit. Care Med. (1998) [Pubmed]
  8. A longitudinal study of hospitalization rates for patients with chronic disease: results from the Medical Outcomes Study. Nelson, E.C., McHorney, C.A., Manning, W.G., Rogers, W.H., Zubkoff, M., Greenfield, S., Ware, J.E., Tarlov, A.R. Health services research. (1998) [Pubmed]
  9. Comparison of appendectomy medical expense and clinical outcome between fee for service and prospective payment system. Chen, B.H., Liu, H.W., Huang, S.L., Lin, F.C., Dai, M.G., Chen, Y.L., Hsieh, S.L., Huang, T.J. The Kaohsiung journal of medical sciences. (2000) [Pubmed]
  10. The cost of comprehensive preventive medical services for adolescents. Gans, J.E., Alexander, B., Chu, R.C., Elster, A.B. Archives of pediatrics & adolescent medicine. (1995) [Pubmed]
  11. Photodynamic therapy with verteporfin: observations on the introduction of a new treatment into clinical practice. Schein, O.D., Bressler, N.M., Price, P. Arch. Ophthalmol. (2005) [Pubmed]
  12. Does the method of payment affect anaesthetic practice? An evaluation of an alternate payment plan. Duncan, P.G., Ballantyne, M. Canadian journal of anaesthesia = Journal canadien d'anesthésie. (1997) [Pubmed]
  13. Impact of regulatory labeling for troglitazone and rosiglitazone on hepatic enzyme monitoring compliance: findings from the state of Ohio medicaid program. Cluxton, R.J., Li, Z., Heaton, P.C., Weiss, S.R., Zuckerman, I.H., Moomaw, C.J., Hsu, V.D., Rodriguez, E.M. Pharmacoepidemiology and drug safety. (2005) [Pubmed]
  14. High-cost use of second-generation antipsychotics under California's Medicaid program. Stahl, S.M., Grady, M.M. Psychiatric services (Washington, D.C.) (2006) [Pubmed]
  15. The association between physician reimbursement in the US and use of hematopoietic colony stimulating factors as adjunct therapy for older patients with acute myeloid leukemia: results from the 1997 American Society of Clinical Oncology survey. Health Services Research Committee of the American Society of Clinical Oncology. Bennett, C.L., Bishop, M.R., Tallman, M.S., Somerfield, M.R., Feinglass, J., Smith, T.J. Ann. Oncol. (1999) [Pubmed]
  16. Prepaid versus traditional Medicaid plans: effects on preventive health care. Carey, T., Weis, K., Homer, C. Journal of clinical epidemiology. (1990) [Pubmed]
  17. Prostate-specific antigen for prostate cancer screening. Do physician characteristics affect its use? Edlefsen, K.L., Mandelson, M.T., McIntosh, M.W., Andersen, M.R., Wagner, E.H., Urban, N. American journal of preventive medicine. (1999) [Pubmed]
  18. Health outcomes and medicaid costs for frail older individuals: a case study of a MCO versus fee-for-service care. Burton, L.C., Weiner, J.P., Stevens, G.D., Kasper, J. Journal of the American Geriatrics Society. (2002) [Pubmed]
  19. Prostate cancer treatment and ten-year survival among group/staff HMO and fee-for-service Medicare patients. Potosky, A.L., Merrill, R.M., Riley, G.F., Taplin, S.H., Barlow, W., Fireman, B.H., Lubitz, J.D. Health services research. (1999) [Pubmed]
  20. Quality of care for patients with rheumatoid arthritis. MacLean, C.H., Louie, R., Leake, B., McCaffrey, D.F., Paulus, H.E., Brook, R.H., Shekelle, P.G. JAMA (2000) [Pubmed]
  21. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Wolff, J.L., Starfield, B., Anderson, G. Arch. Intern. Med. (2002) [Pubmed]
  22. Effect of managed care insurance on the use of preventive care for specific ethnic groups in the United States. Haas, J.S., Phillips, K.A., Sonneborn, D., McCulloch, C.E., Liang, S.Y. Medical care. (2002) [Pubmed]
  23. Chronic disease and health system performance. Care of osteoarthritis across three health services. Lubeck, D.P., Brown, B.W., Holman, H.R. Medical care. (1985) [Pubmed]
  24. Measuring contributions to the clinical mission of medical schools and teaching hospitals. D'Alessandri, R.M., Albertsen, P., Atkinson, B.F., Dickler, R.M., Jones, R.F., Kirch, D.G., Longnecker, D.E., McAnarney, E.R., Parisi, V.M., Selby, S.E., Stapczynski, J.S., Thompson, J.W., Wasserman, A.G., Zuza, K.L. Academic medicine : journal of the Association of American Medical Colleges. (2000) [Pubmed]
 
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