Federal Oversight of Medicare HMOs: Assuring Beneficiary Protection : Hearing Before the Special Committee on Aging, United States Senate, One Hundred Fourth Congress, First Session, Washington, DC, August 3, 1995, Volume 4
U.S. Government Printing Office, 1995 - Health care reform - 182 pages
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AGENCY COMMENTS 25
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access problems accreditation appeal rights appeals process believe California CHAIRMAN CHCR Committee on Aging Competitive Medical Plans complaints cost coverage Dallek denial denied Disabled/ESRD disenrollment rates employers enrollees and disenrollees enrollment ensure ESRD federal fee-for-service ficiaries going HCFA HCFA's Health Care Financing Health Maintenance Organizations health plans health status HEDIS HICAP HMO enrollees HMO experience HMO refused HMO's home health hospital issues JAGGAR managed care plans managed care programs Medicaid Medicare beneficiaries Medicare enrollees Medicare HMOs Medicare program Medicare risk HMOs monitoring months NCQA nursing home out-of-plan oversight patient payments percent physical therapy primary care physician primary HMO doctors private sector Proportion of beneficiaries quality assurance reasons for leaving received referrals responses retroactive disenrollment risk contracts sampled HMO scheduled appointments Senator Pryor service access skilled nursing specialists specialty staff standards surgery survey Thank VLADECK waiting