Portal de Periódicos da CAPES

S/HMOs, The Second Generation: Building on the Experience of the First Social Health Maintenance Organization Demonstrations

1997; Wiley; Volume: 45; Issue: 1 Linguagem: Inglês

10.1111/j.1532-5415.1997.tb00987.x

1532-5415

Robert L. Kane, Rosalie A. Kane, Michael Finch, Charlene Harrington, Robert Newcomer, Nancy H. Miller, Melissa Hulbert,

Geriatric Care and Nursing Homes

Journal of the American Geriatrics SocietyVolume 45, Issue 1 p. 101-107 S/HMOs, The Second Generation: Building on the Experience of the First Social Health Maintenance Organization Demonstrations Robert L. Kane MD, Corresponding Author Robert L. Kane MD University of Minnesota School of Public Health, San FranciscoUniversity of Minnesota School of Public Health, D-351 Mayo (Box 197), 420 Delaware St. SE, Minneapolis, MN 55455.Search for more papers by this authorRosalie A. Kane DSW, Rosalie A. Kane DSW University of Minnesota School of Public Health, San FranciscoSearch for more papers by this authorMichael Finch PhD, Michael Finch PhD University of Minnesota School of Public Health, San FranciscoSearch for more papers by this authorCharlene Harrington PhD, Charlene Harrington PhD the University of California, San FranciscoSearch for more papers by this authorRobert Newcomer PhD, Robert Newcomer PhD the University of California, San FranciscoSearch for more papers by this authorNancy Miller PhD, Nancy Miller PhD Health Care Financing Administration.Search for more papers by this authorMelissa Hulbert MPS, Melissa Hulbert MPS Health Care Financing Administration.Search for more papers by this author Robert L. Kane MD, Corresponding Author Robert L. Kane MD University of Minnesota School of Public Health, San FranciscoUniversity of Minnesota School of Public Health, D-351 Mayo (Box 197), 420 Delaware St. SE, Minneapolis, MN 55455.Search for more papers by this authorRosalie A. Kane DSW, Rosalie A. Kane DSW University of Minnesota School of Public Health, San FranciscoSearch for more papers by this authorMichael Finch PhD, Michael Finch PhD University of Minnesota School of Public Health, San FranciscoSearch for more papers by this authorCharlene Harrington PhD, Charlene Harrington PhD the University of California, San FranciscoSearch for more papers by this authorRobert Newcomer PhD, Robert Newcomer PhD the University of California, San FranciscoSearch for more papers by this authorNancy Miller PhD, Nancy Miller PhD Health Care Financing Administration.Search for more papers by this authorMelissa Hulbert MPS, Melissa Hulbert MPS Health Care Financing Administration.Search for more papers by this author First published: 27 April 2015 https://doi.org/10.1111/j.1532-5415.1997.tb00987.xCitations: 34 Financing for this study was received from the Health Care Financing Administration, Contract No. 5000-93-0033. The information contained in this paper represents the opinions of the authors and does not necessarily reflect the official position of the sponsoring agency. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat REFERENCES 1 Finch M., Kane RA, Kane RL et al. Design of the 2nd Generation S/HMO Demonstration: An Analysis of Multiple Incentives. Report prepared for HCFA. Minneapolis: University of Minnesota, 1992. 2 Manton KG, Newcomer R., Vertrecs JC et al. A method for adjusting capitation payments to managed care plans using multivariate patterns of health and functioning: The experience of Social/Health Maintenance Organizations. Med Care 1994; 32: 277–297. 3 Manton KG, Newcomer R., Lowrimore GR et al. Social/Health Maintenance Organization and fee-for-service health outcomes over time. Health Care Financ Rev 1993; 15: 173–202. 4 Harrington C., Newcomer RJ, Preston S.. A comparison of S/HMO disenrollees and continuing members. Inquiry 1993; 30: 429–440. 5 Harrington C., Newcomer RJ. Social health maintenance organizations' service use and costs, 1985–89. Health Care Financ Rev 1991; 12: 37–52. 6 Newcomer R., Manton K., Harrington C. et al. Case mix controlled service use and expenditures in the social/health maintenance organization demonstration. J Gerontol Med Sci 1995; 50A: M35–44. 7 Harrington C., Newcomer R., Moore T.. HMO Medicare risk contract enrollment success: An overview of contributing factors. Inquiry 1988; 25: 33–44. 8 Newcomer R., Harrington C., Friedlob A.. Awareness and enrollment in the Social/HMO. Gerontologist 1990; 30: 86–93. 9 Newcomer RJ, Harrington C., Friedlob A.. Social Health Maintenance organizations: Assessing their initial experience. Health Services Research 1990; 25: 425–454. 10 Harrington C., Lynch M., Newcomer RJ. Medical services in social health maintenance organizations. Gerontologist 1993; 33: 790–800. 11 Manton K., Tolley HD, Newcomer R. et al. Disenrollment patterns of elderly in managed care and fee for service. J Actuarial Pract 1994; 2: 171–196. 12 Newcomer R., Preston S., Harrington C.. Health plan satisfaction and risk of disenrollment among Social/HMO and fee for service recipients. Inquiry 1996; 33. 13 Leutz W., Greenlick M., Capitman J.. Integrating acute and long-term care. Health Affairs 1994; 13: 58–73. 14 Leutz W., Greenlick MR, Ripley J. et al. Medical services in Social HMOs: A reply to Harrington et al. Geron tologist 1995; 35: 6–9. 15 Leutz W., Greenlick MR. Comments on: A method for adjusting capitation payments to managed care plans using multivariate patterns of health and functioning: The experience of Social/Health Maintenance Organizations. Med Care 1995; 33: 1228–1231. 16 Schwab TC, von Sternberg T.. Medical directors' response: Medical services in the Social HMO. Gerontologist 1995; 35: 9. 17 Newcomer RJ, Harrington C., Manton KG, Lynch M.. A response to representatives from the Social HMOs regarding program evaluation. Gerontologist 1995; 35: 292–294. 18 Manton K., Newcomer R., Lowrimore G. et al. Evaluating long term care demonstrations in real time with study design and plan performance interactions. Med Care 1995; 33: 1210–1227. 19 Morris R.. The development of parallel services for the elderly and disabled. Gerontologist 1974; 14: 14–19. 20 Callahan J., Wallack S.. Reforming the Long-Term Care System. Lexington, MA: Lexington Books, 1981. 21 Leutz WN, Greenberg JN, Abrahams R. et al. Changing Health Care for an Aging Society. Lexington, MA: DC Heath, 1985. 22 Macko P., Dunn S., Blech M. et al. The Social HMOs: Meeting the challenge of integrated team care coordination. J Case Manage 1995; 4: 102–106. 23 Halfors D., Leutz W., Capitman J., Ritter G.. Stability of frailty in the Social/Health Maintenance Organization. Health Care Financ Rev 1994; 15: 105–116. 24 Newcomer R., Harrington C., Yordi C., Friedlob A.. Report to Congress: evaluation of the Social Health Maintenance Organization demonstration. Washington, DC: Health Care Financing Administration, 1989. 25 Abrahams R., Capitman J., Leutz W., Macko P.. Variations in care planning practice in the social/HMO: An exploratory study. Gerontologist 1989; 29: 725–736. 26 Suck AE, Siu AL, Wieland GD et al. Comprehensive geriatric assessment: A meta-analysis of controlled trials. Lancet 1993; 342: 1032–1036. 27 Boult C., Boult L., Kane RL. How effective is geriatrics? A review of the evidence. In: PR Katz, RL Kane, MD Mezey, eds. Quality Care in Geriatric Settings. New York: Springer Publishing Company, Inc., 1995. 28 Fox PD, Heinen L., Kramer AM et al. Initiatives in Service Delivery for the Elderly in HMOs (prepared for The Robert Wood Johnson Foundation). Washington, DC: Lewin/ICF, 1991. 29 Friedman B., Kane RL. HMO medical directors' perceptions of geriatric practice in Medicare HMOs. J Am Geriatr Soc 1993; 41: 1144–1149. 30 Pacala JT, Boult C., Hepburn KW et al. Case management of older adults in Health Maintenance Organizations. J Am Geriatr Soc 1995; 43: 538–542. 31 Ladd RC, Kane RL, Kane RA, Nielsen WJ. State LTC Profiles Report Minneapolis: National LTC Mentoring Program, Institute for Health Services Research, School of Public Health, University of Minnesota, 1995. 32 Mauser E., Miller NA. A profile of home health users in 1992. Health Care Financ Rev 1994; 16. 33 Weissert WG, Cready CM, Pawelak JE. The past and future of home and community-based long-term care. Milbank Q 1988; 66: 309–388. 34 Weissert WG. Seven reasons why it is so difficult to make community-based long-term care cost-effective. Health Serv Res 1985; 20: 423–434. 35 Kane RA, Wilson KB. Assisted living in the United States: A new paradigm for residential care for frail older persons?: Washington, DC: American Association of Retired Persons, 1993. 36 Kane RL, Kane RA. A Will and A Way: What Americans Can Learn About Long-Term Care From Canada. New York: Columbia University Press, 1985. Citing Literature Volume45, Issue1January 1997Pages 101-107 ReferencesRelatedInformation