PMID: 9180661Jun 1, 1997Paper

Older Medicare enrolees' choices for insured services

Journal of the American Geriatrics Society
M DanisR F DeVellis

Abstract

The Medicare Trust Fund is expected to be bankrupt in the next decade, thus threatening the viability of the Medicare Program. We have ascertained what Medicare enrollees' priorities for insured services would be, and why, if it were fiscally necessary to limit Medicare benefits to maintain the viability of the Program. A cross-sectional survey using anonymous, inperson interviews and an innovative instrument to elicit choices. General Internal Medicine outpatient clinic at a university teaching hospital. One hundred five adults, 65 years of age and older, who had primary care physician visits between July and September 1995. Desire to personally select insurance benefits, insurance benefit choices, and the reasons for selection or rejection of benefits. Subjects of various educational and economic backgrounds were able to carry out the selection process with relative case, and four-fifths of respondents preferred to make their own choices about insured services. The most frequently selected services were hospitalization, outpatient care, prescription drugs, eye care, and home care, in descending order. Subjects selected 52 different combinations of services. Only 2% of respondents picked the current Medicare service package. T...Continue Reading

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Citations

Sep 24, 2004·AJR. American Journal of Roentgenology·Leon LenchikHarry K Genant
Feb 24, 2004·The Gerontologist·Marion DanisSusan Dorr Goold
Jul 9, 2004·Critical Care Medicine·Marion Danis
Jul 23, 2002·Journal of General Internal Medicine·Audiey C Kao, Alex J Krasny
Jul 10, 2004·Journal of General Internal Medicine·Susan Dorr GooldMarion Danis
Jun 1, 1997·Journal of the American Geriatrics Society·A B Newman

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