Managed Care

 

Study: HMOs Beat FFS In Diagnosing Breast Cancer

MANAGED CARE April 1999. © MediMedia USA

Study: HMOs Beat FFS In Diagnosing Breast Cancer

MANAGED CARE April 1999. ©1999 Stezzi Communications

Women who are enrolled in Medicare HMOs and who are diagnosed with breast cancer are more likely to be diagnosed at an earlier stage than women covered by fee-for-service Medicare, according to research in the Journal of the American Medical Association. A National Cancer Institute/Health Care Financing Administration study of 22,000 women with breast cancer shows that 10.8 percent of fee-for-service beneficiaries were diagnosed at late stages, compared with 7.6 percent of HMO enrollees. Differences in early-stage detection rates were statistically insignificant.

The authors, who were careful to refrain from claiming that managed care is superior to fee-for-service medicine, noted that early-diagnosis rates varied widely among HMOs. However, researchers examined records of women who were diagnosed between 1988 and 1993 — a time when most plans did not yet adhere to National Committee for Quality Assurance standards that suggest regular screening mammograms for enrollees.

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Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014