Social health maintenance organizations' service use and costs, 1985-89

Health Care Financ Rev. 1991 Spring;12(3):37-52.

Abstract

Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic HMO benefit package, had higher start up costs and financial losses over the first 5 years than expected, and controlling costs continues to be a challenge to the sites and their sponsors.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • California
  • Chronic Disease / economics
  • Comprehensive Health Care / economics*
  • Financial Management / statistics & numerical data*
  • Health Expenditures / statistics & numerical data
  • Health Maintenance Organizations / economics*
  • Health Maintenance Organizations / statistics & numerical data
  • Hospitalization / statistics & numerical data
  • Humans
  • Income / statistics & numerical data
  • Medicare / statistics & numerical data*
  • Minnesota
  • New York City
  • Oregon
  • Pilot Projects
  • United States