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1992 Average Monthly Aged Aged Aged Average Monthly FFS Beneficiaries Who Enrolled beneficiaries with chronic Beneficiaries With Multiple beneficiaries with selected better health status California Medicare hmos chronic illnesses cohort Conditions and Age congestive heart failure Cost of FFS Costly Beneficiaries Costs for Beneficiaries counties Data Sources diabetes mellitus disenroll from hmos Disenrolled Early Disenrolled to FFS disenrollment patterns early disenrollment rates enroll in hmos enrollees with chronic enrollment and disenrollment favorable selection FFS Beneficiaries ffs program five chronic conditions health maintenance organization health status group hmo enrollees hypertension ischemic heart disease joined an hmo Mathematica Policy Research Medicare beneficiaries enrolled Medicare Managed Medigap Methodology Monthly FFS Cost multiple chronic conditions Number of Selected Numbers in percent Payment Review Commission Physician Payment Review plans prior costs Remained in FFS returned to ffs risk contract HMOs selected chronic conditions selected conditions 224 selected conditions 580 single chronic condition stayed in ffs