Decision Making in Managed Care Organizations

This project examines a broad range of managed-care decision making strategies, their implications for the development and diffusion of new technologies, and their impact on future health care costs, especially Medicare program costs.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Goody, Brigid
410-786-6640

PIC ID: 7170

PERFORMER: Health Economics Research, Inc.
Waltham, MA

EXPECTED DATE OF COMPLETION: 04/28/2000

Evaluation of Group-Specific Volume Performance Standards Demonstration

The goal of the demonstration is to test the feasibility of this partial risk bearing payment arrangement between the Health Care Financing Administration and qualifying physician-based organizations in the fee-for-service (FFS) market. FFS rules apply within the context of a performance target, beneficiaries are not enrolled, and physician-sponsored organizations develop structures and processes to manage the services and cost of care received by FFS patients.

AGENCY SPONSOR: Center for Health Plans & Providers

FEDERAL CONTACT: Mason, Cynthia K.
410-786-6680

PIC ID: 7181

PERFORMER: Health Economics Research, Inc.
Waltham, MA

EXPECTED DATE OF COMPLETION: 06/01/2001