Cover: HMO Vs Fee-for-Service Care of Older Persons with Acute Myocardial Infarction

HMO Vs Fee-for-Service Care of Older Persons with Acute Myocardial Infarction

Published in: American Journal of Public Health, v. 82, no. 12, Dec. 1992, p. 1626-1630

Posted on rand.org 1992

by David Carlisle, Albert L. Siu, Emmett B. Keeler, Elizabeth A. McGlynn, Katherine L. Kahn, Lisa V. Rubenstein, Robert H. Brook

Compares care for older patients with acute myocardial infarction in HMOs with their care under the fee-for-service system. It demonstrates that the survival rate in HMOs was exactly the same as in traditional fee-for-service facilities and that compliance with process criteria was higher for the HMO group as a whole. This article supports the view that HMOs can provide as good care as the fee-for-service system and suggests that health care reform using managed care organizations will not decrease quality of care.

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