Title | Health Effects of Managed Care among the Near-Elderly |
Publication Type | Journal Article |
Year of Publication | 2006 |
Authors | Xu, X, Jensen, GA |
Journal | Journal of Aging and Health |
Volume | 18 |
Issue | 4 |
Pagination | 507-33 |
Keywords | Healthcare, Medicare/Medicaid/Health Insurance |
Abstract | OBJECTIVE: The authors evaluate whether enrolling in a health maintenance organization (HMO) or preferred provider organization (PPO) affects the health of adults ages 55 to 64, relative to fee-for-service plans. METHODS: A nationwide random sample of 4,044 adults with employer-sponsored health insurance is drawn from the 1994 to 2000 waves of the Health and Retirement Study. Multinomial logit regressions are estimated for self-reported general health status, first using a sample of all near-elders, then using subsamples of near-elders with and without longstanding chronic health conditions. The possibility of selection bias into managed care plans is considered and explicitly addressed in model estimation. RESULTS: We find no ill effects of HMOs on health status, and older adults with a history of chronic health conditions actually fare better upon enrolling in these plans. DISCUSSION: More research is needed to understand the reasons for the observed beneficial effects of managed care. |
Endnote Keywords | Health Insurance Coverage/health outcomes |
Endnote ID | 16710 |
Citation Key | 7090 |