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Coverage of Certain Demonstration Projects under Medicare Modernization Act CMS Research Presentations at AcademyHealth 2004 The Medicare Replacement Drug Demonstration Medicaid Analytic eXtract (MAX) View CMS Chart Series Need Data? ResDAC offers help in finding and using CMS data. |
Evaluation of the Social Health Maintenance Organization Demonstration (SHMO)
This demonstration project was implemented to test the concept of a social health maintenance organization (S/HMO) for acute and long-term care. An S/HMO integrates health and social services under the direct financial management of the provider of services. All services were provided by or through the S/HMO at a fixed, annual, prepaid capitation sum. Four demonstration sites were selected to participate; of the four, two were health maintenance organizations (HMOs) that have added long-term care services to their existing service packages and two were long-term care providers that have added acute-care service packages. One of these sites closed in January 1995. One additional site participated in a subsequent demonstration (S/HMO II) testing a modified version of the S/HMO model.
Evaluation Highlights:
Full Report:
Report to Congress on Evaluation Results for the Social/Health Maintenance Organization II Demonstration - (Thompson, T.G.; Year 2002, .pdf 474)
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