The American journal of managed care
-
Comparative Study
Hospice use in Medicare managed care and fee-for-service systems.
To examine whether patterns of hospice use by older Medicare beneficiaries are consistent with the differing financial incentives in Medicare managed care (MC) and fee-for-service (FFS) settings. Specifically, are use patterns consistent with incentives that might encourage hospice use for MC enrollees and discourage hospice use for FFS enrollees? ⋯ System of care is an important determinant of hospice use in the elderly Medicare population.
-
Randomized Controlled Trial Clinical Trial
A randomized trial of nurse specialist home care for women with high-risk pregnancies: outcomes and costs.
To examine prenatal, maternal, and infant outcomes and costs through 1 year after delivery using a model of prenatal care for women at high risk of delivering low-birth-weight infants in which half of the prenatal care was provided in women's homes by nurse specialists with master's degrees. ⋯ This model of care provides a reasoned solution to improving pregnancy and infant outcomes while reducing healthcare costs.