Yizhak Twersky, MD; Harold Lipsky, MD
Twersky Y., Lipsky H.; Capitation and the Medicaid Elderly. Ann Intern Med. 1994;121:469-470. doi: 10.7326/0003-4819-121-6-199409150-00018
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Published: Ann Intern Med. 1994;121(6):469-470.
TO THE EDITOR:
Based on their study in which patients with prepaid care and patients with fee-for-service care received similar medical care, Lurie and colleagues  concluded that enrolling elderly Medicaid patients in prepaid health plans is not harmful. This conclusion is flawed. The primary coverage for most patients in this study was Medicare; Medicaid was only used for the copayment and deductible portion of the Medicare program and the services not covered by Medicare such as dental care, occupational therapy, and so forth. To capitate the copayment (which is already severely limited by statute) would not alter access to health care, and to imply that prepaid care is as good as fee-for-service based on this maneuver is misleading.
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