The Effect of a Prepaid Group Practice on Children's Medical Care Use and Health Outcomes Compared to Fee-for-Service Care

by R. Burciaga Valdez

Download

Full Document

FormatFile SizeNotes
PDF file 2.4 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback62 pages $23.00 $18.40 20% Web Discount

To evaluate differences in medical expenditures and child health outcomes in a prepaid group practice compared with the fee-for-service (FFS) system when both serve comparable populations with the same service benefits, this Note uses data from Seattle participants in the Health Insurance Experiment. No differences in imputed total expenditures were observed for children randomly assigned to a health maintenance organization (HMO) or to FFS plans. Children on cost-sharing FFS plans, however, had fewer medical contacts and received fewer preventive services than those assigned to the HMO. No significant differences in physiologic outcomes (e.g., visual acuity, hemoglobin level) were observed between FFS and HMO children. The results of the experiment neither strongly support nor indict fee-for-service or prepaid care for children.

This report is part of the RAND Corporation Note series. The note was a product of the RAND Corporation from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.