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 on January 01, 1992

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

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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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