A Paradigm Shift in the Golden Years The Transition from Federal Medicare to Managed Care Medicare

 
 
 
 

A Paradigm Shift in the Golden Years The Transition from Federal Medicare to Managed Care Medicare

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dc.contributor.advisor Mikanowicz, Carolyn K. en_US
dc.contributor.author Striegel, Mary en_US
dc.date.accessioned 2008-06-30T15:36:58Z
dc.date.available 2008-06-30T15:36:58Z
dc.date.created 1999 en_US
dc.date.issued 2008-06-30T15:36:58Z
dc.identifier.uri http://rave.ohiolink.edu/etdc/view?acc_num=ysu998075386 en_US
dc.identifier.uri http://hdl.handle.net/2374.OX/2999
dc.description Traditional federal Medicare, which provides health insurance coverage for approximately 13% of the national population, spent $213 billion in 1997. Due to medical advances, escalating healthcare costs and the rising senior population, the existing Medicare program is predicted to be bankrupt by the year 2001. In an attempt to prevent this, the U.S. Department of Health and Human Services enacted legislation to allow commercial insurance plans to offer a managed care Medicare option. Because of low out-of-pocket costs and the extensive use of prevention programs associated with managed care Medicare, senior citizens are rapidly converting to these plans. It is important, then, to examine the quality of healthcare offered by both managed care Medicare and the traditional Medicare plan. This observational study used a descriptive correlation research design composed of a convenience sampling of Allegheny County, PA senior citizens attending community based, congregate senior centers. An adaptation of the Consumer Assessment of Health Plan Survey was used to determine perceptions of quality of care and sociodemographic variables. Using a proportional odds model, it was revealed in the data that the overall quality rating for type of insurance plan was predicted by the rating of physicians' skills, the perception that the plan provided the services needed, the amount of time the physician spent with the subject and educational level. en_US
dc.format application/pdf en_US
dc.format vi, 83p. en_US
dc.rights unrestricted en_US
dc.rights Copyright and permissions information available at the source archive en_US
dc.subject Medicare en_US
dc.title A Paradigm Shift in the Golden Years The Transition from Federal Medicare to Managed Care Medicare en_US
dc.type Electronic Thesis or Dissertation en_US
dc.degree.name Master of Health and Human Services en_US
dc.degree.level masters en_US
dc.degree.discipline Health Professions en_US
dc.degree.grantor Youngstown State University en_US
dc.contributor.publisher Youngstown State University / OhioLINK en_US

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