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- catalog abstract "Congress established a demonstration that allows beneficiaries of the Department of Defense (DoD) health benefits program, who also are Medicare-eligible, to enroll in the Federal Employees Health Benefits Program (FEHBP). The three-year demonstration began January 1, 2000. The DoD Office of Health Affairs is evaluating the costs and other effects of the demonstration. One source of cost effects may be risk selection, where beneficiaries who choose the FEHBP option are more or less costly than those who do not enroll. Health Affairs asked RAND to apply current theory and knowledge to identify how selection bias might occur as Medicare-eligible DoD beneficiaries enrolled in FEHBP plans under this demonstration, and to suggest an analytic approach to estimate the effects of selection on DoD costs. This report presents the results of that analysis. It describes the supplemental health benefits options available to Medicare beneficiaries in the demonstration sites, reviews the theoretical literature on risk selection, and develops hypotheses regarding risk selection that can be tested in the evaluation of the demonstration. It also suggests analytic methods for measuring selection and estimating the extent to which it may occur for enrollments in the FEHBP demonstration. The methods are designed to estimate (1) the extent to which adverse selection occurs in Medicare supplemental insurance enrollments for the DoD FEHBP demonstration, and (2) how much effect selection has on DoD health care costs for Medicare-eligible beneficiaries.".
- catalog contributor b12604797.
- catalog contributor b12604798.
- catalog contributor b12604799.
- catalog contributor b12604800.
- catalog contributor b12604801.
- catalog created "2002.".
- catalog date "2002".
- catalog date "2002.".
- catalog dateCopyrighted "2002.".
- catalog description "Congress established a demonstration that allows beneficiaries of the Department of Defense (DoD) health benefits program, who also are Medicare-eligible, to enroll in the Federal Employees Health Benefits Program (FEHBP). The three-year demonstration began January 1, 2000. The DoD Office of Health Affairs is evaluating the costs and other effects of the demonstration. One source of cost effects may be risk selection, where beneficiaries who choose the FEHBP option are more or less costly than those who do not enroll. Health Affairs asked RAND to apply current theory and knowledge to identify how selection bias might occur as Medicare-eligible DoD beneficiaries enrolled in FEHBP plans under this demonstration, and to suggest an analytic approach to estimate the effects of selection on DoD costs. This report presents the results of that analysis. It describes the supplemental health benefits options available to Medicare beneficiaries in the demonstration sites, reviews the theoretical literature on risk selection, and develops hypotheses regarding risk selection that can be tested in the evaluation of the demonstration. It also suggests analytic methods for measuring selection and estimating the extent to which it may occur for enrollments in the FEHBP demonstration. The methods are designed to estimate (1) the extent to which adverse selection occurs in Medicare supplemental insurance enrollments for the DoD FEHBP demonstration, and (2) how much effect selection has on DoD health care costs for Medicare-eligible beneficiaries.".
- catalog description "Includes bibliographical references and index.".
- catalog extent "xiv, 195 p. :".
- catalog identifier "083303121X".
- catalog issued "2002".
- catalog issued "2002.".
- catalog language "eng".
- catalog publisher "Santa Monica, Calif. : Rand,".
- catalog spatial "United States.".
- catalog subject "2002 K-042".
- catalog subject "352.6/7 21".
- catalog subject "Discrimination United States.".
- catalog subject "Federal Employees Health Benefits Program (U.S.)".
- catalog subject "Government employees' health insurance United States.".
- catalog subject "Insurance Selection Bias United States.".
- catalog subject "Medicare Part B economics.".
- catalog subject "RA412.2 .F374 2002".
- catalog subject "United States. Department of Defense Officials and employees Health and hygiene.".
- catalog subject "United States. Department of Defense Officials and employees Insurance requirements.".
- catalog subject "United States. Department of Defense.".
- catalog subject "WT 31 F231e 2002".
- catalog title "Exploration of selection bias issues for the DoD Federal Employees Health Benefits Program demonstration / Donna O. Farley, Barbara O. Wynn.".
- catalog type "text".