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. 1982 Mar;3(3):1–11.
Worcester, Massachusetts Closed Panel, Federally
Qualified HMO
Private Membership = 34,000
Reimbursement—Based on ACR = 91.4 Percent Area Cost in Year 1 = $119.12
95 Percent AAPCC in Year 2 = $120.19
95 Percent AAPCC in Year 3 = $144.86
Additional Benefits:
  • —Reduced Deductible and Coinsurance

  • —Preventive Services

  • —Eye exams and One Pair of Eyeglasses

  • —Prescriptions with $1 Copayment (Years 1 and 2); $2 (Year 3)

  • —Unlimited Hospital Days

Premium —$7.50 per Member (Years 1 and 2); $15 (Year 3)
Marketing —Dual Choice for Medicare Supplemental Policyholders, Meetings, Mailings
Enrollment —5,600 Beneficiaries
Open Enrollment— February-March 1980
September 1980-January 1981
September-November 1981
10 Percent Penetration