FIGURE AND TABLES
Figure
6.1. Difference in PLCA Estimate of Surgical Cost versus DRG Weight.........................61
Tables
S.1.
S.2.
1.1.
2.1.
2.2.
2.3.
4.1.
4.2.
4.3.
4.4.
4.5.
4.6.
4.7.
4.8.
4.9.
5.1.
6.1.
Medicare Managed Care Market Profiles for the Demonstration Sites.....................iv
TSP Enrollments and Percentage of Planned Enrollments, as of June 1999.............iv
Subvention Demonstration Sites and Planned Enrollment Levels.............................. 7
Planned Process Evaluation Approach and Schedule.................................................12
Process Evaluation Data Collection Methods..............................................................13
Schedule for the First Round of Site Visits, Subvention Evaluation............................16
Characteristics of the Treatment Facilities in the Demonstration Sites......................27
Medicare Managed Care Market Profiles for the Demonstration Sites .....................28
Senior Prime Enrollment by Month..............................................................................29
Senior Prime Enrollments Relative to Planned Enrollments.......................................29
Counts of Dual Eligible Beneficiaries by Service Area ..............................................30
Senior Prime Enrollment Share and Previous HMO Experience of Enrollees..........31
Summary Dual Eligible Counts ....................................................................................32
Comparison of Enrollment Counts Using Different Matching Algorithms.................33
Ineligibility for DoD Benefits by Site............................................................................34
Simulation of Payment Effects for a Hypothetical Senior Prime Plan .......................50
Coefficients on Dummy Variable for Patients 65 or Older in Hospital Specific
Regressions of Patient Charges on DRG Dummies and LOS within each DRG......58
6.2. Coefficients on Dummy Variable for Patients 65 or older in MDC and
Hospital Specific Regressions of Patient Charges on DRG Dummies and
LOS within each DRG.................................................................................................59
7.1. MTF and Market Characteristics to Consider in Selecting Senior Prime Plans.........69
v