Managed Care and People With Disabilities Research Inventory. Managed Care and People With Disabilities Research Inventory : Table 37

02/01/1996

: Table 37

CONTACT PERSON NAME:   Nancy Miller
ORGANIZATION:   HCFA (ORD)
TELEPHONE:   (410) 786-6648
NAME OF STUDY:   Social HMO II
PROJECT DIRECTOR/PI:   Robert Kane, University of Minnesota
FUNDING SOURCE:   Division of Aging and Disability
PROJECT DATES:   Current
RESEARCH QUESTIONS/GOALS:   To develop a predictive model of costs, using functional measures, health status measures, data on medical conditions, and demographic information for the Social HMO II sites (second generation Social HMOs).
PROJECT DESCRIPTION:   HCFA recently selected six organizations to participate in the second generation Social HMO. Social HMO II will focus on the refining the targeting and financing methodologies and benefit design of a Social HMO, with an emphasis on geriatric care and the expansion of the model to special populations, such as beneficiaries living in rural settings and those who are dually entitled to Medicare and Medicaid. Approximately 85,000 individuals are expected to enroll in Social HMO II.
BRIEF DESCRIPTION OF METHODS AND DATA:   Coefficients from the predictive model will be used to create risk-adjusted AAPCC payments for enrollees, replacing the current AAPCC rate cell structure.
AVAILABILITY OF RESULTS:   Findings will be available for presentation for Fall 1996.