Table 1.
Enrollment History Groups | |||||
---|---|---|---|---|---|
1992–1993 HMO Switchers | Continuous HMO | ||||
Model Variables | Group/Staff | IPA | Group/Staff | IPA | Continuous FFS |
Dependent Variables (Mean) | |||||
Admissions/beneficiary | |||||
1991 | .18 | .14 | .16 | .14 | .23 |
1995 | .29 | .25 | .24 | .22 | .33 |
Total inpatient d/y | |||||
1991 | 1.05 | .82 | .75 | .71 | 1.49 |
1995 | 1.41 | 1.17 | 1.05 | .92 | 1.96 |
Part I: Probability of one stay of at least one d/y | |||||
1991 | .12 | .11 | .11 | .11 | .15 |
1995 | .18 | .16 | .15 | .15 | .20 |
Part II: Log (inpatient d/y given one stay of at least one day) | |||||
1991 | 1.73 | 1.64 | 1.52 | 1.50 | 1.83 |
1995 | 1.62 | 1.54 | 1.50 | 1.37 | 1.80 |
Independent Variables (Mean) | |||||
Proportion of year in HMO (HMO Effect) | |||||
1991 | 0 | 0 | 1 | 1 | 0 |
1995 | .92† | .94† | 1 | 1 | 0 |
Other Independent Variables (Percentage in 1991)‡ | |||||
Male | 43.2 | 42.3 | 43.7 | 41.8 | 39.5 |
African American | 7.9 | 2.8 | 7.9 | 1.6 | 4.1 |
Medicaid-eligible | 11.3 | 4.9 | 5.3 | 2.7 | 18.9 |
Disabled, >64 years | 7.4 | 6.2 | 5.9 | 5.7 | 7.2 |
Age, years | |||||
65–69 | 33.0 | 30.2 | 31.9 | 25.5 | 25.1 |
70–74 | 28.6 | 30.4 | 30.5 | 31.3 | 27.8 |
75–79 | 19.3 | 20.6 | 20.1 | 22.2 | 21.0 |
80–84 | 11.6 | 11.6 | 10.8 | 12.7 | 13.9 |
85+ | 7.5 | 7.2 | 6.7 | 8.3 | 12.2 |
Death from ’93 through ’96 | 18.5 | 16.5 | 17.5 | 17.4 | 24.7 |
No. of Beneficiaries in 1991 | 39,383 | 84,728 | 10,861 | 7,415 | 108,966 |
HMO indicates health maintenance organization and FFS indicates fee-for-service.
Less than 100 percent because of disenrollment to FFS. Over the course of the study 8.6 percent of the beneficiaries who joined either a group/staff or IPA HMO in 1992 or 1993 disenrolled to FFS. This variable is 0 for those who disenrolled before 1995 and between 0 and 1 for those disenrolling in 1995.
The number of beneficiaries will change over time due to deaths and therefore so will the percentage. All percentages refer to 1991 except death.