OBJECTIVE: To compare expenditures for medical care in a closed-panel gatekeeper HMO
and an open-panel point-of-service (POS) plan that share the same provider network. DATA …

This study compares expenditures for physician services in a closed panel gatekeeper
health maintenance organization (HMO) and an open panel point of service HMO that share …

Objective: To assess utilization of ambulatory vis-its to primary care physicians (PCPs) and
to specialists in 2 different managed care models: a closed panel gatekeeper health …

Purchasers of medical care in the United States have focused attention on the gatekeeping
role performed by primary care physicians as a means to control expenditures while …

Approximately 50% of the annual increase in hospital costs comes from increased resource
use per hospital admission. Health maintenance organizations (HMOs), given their fixed …

OBJECTIVE. To determine if implementation of a PPS for Medicare hospital outpatient
department (HOPD) services will have distributional consequences across hospital types …

Fee‐for‐service payment is not the (main) problem - PMC Back to Top Skip to main content NIH
NLM Logo Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation …

Prepaid plans provide an increasingly large share of today's health care in the United
States. At present, 27.7 million people are enrolled in health maintenance organizations …

This article analyzes the effect of gatekeeper and network restrictions on use of health‐care
services using simulation‐based estimation methods. Data from the Community Tracking …

The ability to achieve reductions in health care costs is determined in part by physician
payment mechanisms. This study observes the response to a change in the reimbursement …