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Elderly veterans receiving care at a Veterans Affairs Medical Center while enrolled in Medicare-financed HMOs. Is the taxpayer paying twice?

Abstract：

:Elderly veterans who visit our Veterans Affairs (VA) Medical Center primary care clinic often mention they are enrolled in HMOs. Approximately 20% of patients hospitalized at our facility report health insurance coverage. Of 1,000 hospitalizations during a 6-month period in which veterans reported insurance coverage, 337 involved elderly veterans. Of these 337 hospitalizations, 218 (65%) were for 174 veterans who stated they were enrolled in a Medicare-financed HMO. The VA's Medical Care Cost Recovery Program deemed only 46 (21%) of the hospitalizations billable and received reimbursement for 20 (9%). Thus, the VA is providing costly services already paid for by the Health Care Financing Administration under prepaid capitation contracts, and recovers minimal reimbursement from the HMOs.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Passman LJ,Garcia RE,Campbell L,Winter E

doi

10.1046/j.1525-1497.1997.012004247.x

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

247-9

issue

4

eissn

0884-8734

issn

1525-1497

journal_volume

12

pub_type

杂志文章

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