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  1. Fulltext. Preventive services for the elderly : would coverage affect utilization and costs under medicare ?

    Article - En anglais



    This study was undertaken to determine whether adding a benefit for preventive services to older Medicare beneficiaries would affect utilization and costs under medicare.


    The demonstration used an experimental design, enrolling 4195 older, community-dwelling Medicare recipients.

    Medicare claims data for the 2 years in which the preventive visits occured were compared for the intervention (n=2105) and control (n=2090) groups.

    Monthly allowable charges and number of hospital discharges and ambulatory visits were compared.


    There were no significant differences in the charges between the groups owing to the intervention, although total charges were somewhat lower for the intervention group even when the cost of the intervention was included.

    Charges for both groups rose significantly as would be expected for an aging population.

    A companion paper describes a modest health benefit.


    There appears to be a modest health benefit with no negative cost impact.

    This finding gives an early quantitative basis for the discussion of whether to extend Medicare benefits to include a general preventive visit from a primary care clinician.

    Mots-clés Pascal : Programme sanitaire, Prévention, Vieillard, Analyse coût, Assurance maladie, Utilisation, Economie santé, Service santé, Maryland, Medicare, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Sanitary program, Prevention, Elderly, Cost analysis, Health insurance, Use, Health economy, Health service, Maryland, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0220409

    Code Inist : 002B30A03B. Création : 09/06/1995.