Cover: Prepaid Group Practice Effects on the Utilization of Medical Services and Health Outcomes for Children

Prepaid Group Practice Effects on the Utilization of Medical Services and Health Outcomes for Children

Results From a Controlled Trial

Published 1990

by R. Burciaga Valdez, John E. Ware, Willard G. Manning, Robert H. Brook, William H. Rogers, George A. Goldberg, Joseph P. Newhouse

Download

Download Free Electronic Document

FormatFile SizeNotes
PDF file 1.2 MB

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

Purchase

Purchase Print Copy

 Format Price
Add to Cart Paperback13 pages $20.00

A total of 693 children between the ages of 0 and 13 years were randomly assigned to either a staff model health maintenance organization (HMO) or to one of several fee-for-service insurance plans in Seattle to evaluate differences in medical expenditures and health outcomes. Although the fee-for-service plans varied the amount of cost sharing (0 percent to 95 percent), all children were covered for the same medical services, for either three or five years. No differences in imputed total expenditures were observed for children assigned to the HMO or any of the fee-for-service plans. Children with cost-sharing fee-for-service plans were perceived (by their mothers) to be in better health overall than those assigned to the HMO. No significant differences regarding physiological outcomes (e.g., visual acuity, hemoglobin level) were observed between the two groups. The results of this experiment neither strongly support nor indict fee-for-service or prepaid care for children.

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

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND 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.