| Document Type
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BL
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| Record Number
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1037340
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| Doc. No
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b791710
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| Main Entry
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Farley, Donna.
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| Title & Author
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Exploration of selection bias issues for the DoD Federal Employees Health Benefits Program demonstration /\ Donna O. Farley, Barbara O. Wynn.
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| Publication Statement
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Santa Monica, CA :: Rand,, 2002.
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| Page. NO
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xiv, 195 pages :: maps ;; 28 cm
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| ISBN
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083303121X
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: 9780833031211
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| Notes
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"MR-1482."
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| Bibliographies/Indexes
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Includes bibliographical references and index.
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| Abstract
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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.
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| Subject
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United States.-- Officials and employees-- Health and hygiene.
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United States.-- Officials and employees-- Insurance requirements.
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United States
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United States.
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Federal Employees Health Benefits Program (U.S.)
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Federal Employees Health Benefits Program (U.S.)
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Federal Employees Health Benefits Program (U.S.)
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Discrimination-- United States.
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Government employees' health insurance-- United States.
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BUSINESS ECONOMICS-- Human Resources Personnel Management.
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Discrimination.
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Government employees' health insurance.
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Government employees.
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Medical services.
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MEDICAL-- Health Policy.
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Medicare Part B-- economics.
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| Subject
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Insurance Selection Bias.
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| Subject
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United States.
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United States.
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| Dewey Classification
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352.6/7
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| LC Classification
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RA412.2.F374 2002
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| NLM classification
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2002 K-042
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WT 31F231e 2002
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| Added Entry
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Wynn, Barbara O.
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| Added Entry
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Rand Corporation.
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