{"id":"https://openalex.org/W114241694","doi":null,"title":"Implementing the second generation social health maintenance organization.","display_name":"Implementing the second generation social health maintenance organization.","publication_year":2000,"publication_date":"2000-07-01","ids":{"openalex":"https://openalex.org/W114241694","mag":"114241694","pmid":"https://pubmed.ncbi.nlm.nih.gov/10894325"},"language":"en","primary_location":{"id":"pmid:10894325","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10894325","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000598011","display_name":"R Newcomer","orcid":"https://orcid.org/0000-0003-3971-8303","observed_orcids":["https://orcid.org/0000-0003-3971-8303"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R Newcomer","raw_affiliation_strings":["Department of Social & Behavioral Sciences, University of California, San Francisco 94118, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Social & Behavioral Sciences, University of California, San Francisco 94118, USA","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021707586","display_name":"Charlene A. Harrington","orcid":"https://orcid.org/0000-0001-5716-4362","observed_orcids":["https://orcid.org/0000-0001-5716-4362"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C Harrington","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5111661626","display_name":"Robert L Kane","orcid":"https://orcid.org/0009-0000-6844-0596","observed_orcids":["https://orcid.org/0009-0000-6844-0596"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R Kane","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.7125,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.96540011,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"48","issue":"7","first_page":"829","last_page":"34"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9340999722480774,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9340999722480774,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.031199999153614044,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.00800000037997961,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.5130000114440918},{"id":"https://openalex.org/keywords/centers-for-medicare-medicaid-services","display_name":"Centers for Medicare and Medicaid Services","score":0.6340000033378601},{"id":"https://openalex.org/keywords/elderly-care","display_name":"elderly care","score":0.7059999704360962},{"id":"https://openalex.org/keywords/chronic-illness-care","display_name":"chronic care","score":0.5730000138282776},{"id":"https://openalex.org/keywords/geriatric-screening","display_name":"geriatric screening","score":0.5580000281333923},{"id":"https://openalex.org/keywords/care-management","display_name":"care management","score":0.7139999866485596},{"id":"https://openalex.org/keywords/home-care","display_name":"home care","score":0.7319999933242798},{"id":"https://openalex.org/keywords/geriatric-consultation","display_name":"geriatric consultation","score":0.5809999704360962},{"id":"https://openalex.org/keywords/medicare-beneficiaries","display_name":"Medicare beneficiaries","score":0.32100000977516174}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8435112237930298},{"id":"https://openalex.org/C2776196091","wikidata":"https://www.wikidata.org/wiki/Q5035821","display_name":"Capitation","level":3,"score":0.7002966403961182},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.5193144679069519},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5071883201599121},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5051961541175842},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.5024547576904297},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.46416738629341125},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4552842378616333},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.4380875825881958},{"id":"https://openalex.org/C2776807786","wikidata":"https://www.wikidata.org/wiki/Q5113964","display_name":"Chronic care","level":3,"score":0.4213407039642334},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4088289141654968},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3215126395225525},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.26042822003364563},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.10262182354927063},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.09756234288215637},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.09336405992507935},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005544","descriptor_name":"Forecasting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006299","descriptor_name":"Health Services for the Aged","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009505","descriptor_name":"Nevada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013221","descriptor_name":"State Health Plans","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:10894325","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10894325","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"Journal Article"},{"id":"mag:114241694","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10894325","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9789000153541565}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W1984560907","https://openalex.org/W1984972278","https://openalex.org/W2017330307","https://openalex.org/W2021644127","https://openalex.org/W2029525778","https://openalex.org/W2112946598","https://openalex.org/W2236084728"],"related_works":["https://openalex.org/W1574930346","https://openalex.org/W2106450638","https://openalex.org/W2017330307","https://openalex.org/W7098079624","https://openalex.org/W2232316795","https://openalex.org/W9926670","https://openalex.org/W1626874733","https://openalex.org/W2203970186","https://openalex.org/W2412986946","https://openalex.org/W2425570793"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1],"1996":[2],"the":[3,13,20,25,74,153,158,185,215,218,265,299,306,311],"Health":[4,163,276],"Care":[5,125],"Financing":[6],"Administration":[7],"implemented":[8],"a":[9,33,42,112,222,251,271,320,330],"second":[10],"generation":[11],"of":[12,24,92,98,152,160,165,202,214,217,239,278,301],"Social":[14,27,154,280],"HMO":[15,155,281],"demonstration.":[16],"This":[17,94],"model":[18,36],"retained":[19],"chronic":[21,290],"care":[22,40,63,76,100,241,291],"benefits":[23,77],"original":[26],"HMOs":[28],"while":[29],"attempting":[30],"to":[31,85,104,118,225,243,269,288,310,323],"develop":[32],"geriatric":[34,81,113,220],"service":[35,232],"integrated":[37],"into":[38,292],"primary":[39,99,240],"and":[41,44,70,90,102,107,115,141,174,192,196,234,236,246,250,334],"screening":[43,223],"assessment":[45],"process":[46],"focused":[47],"directly":[48],"on":[49,73,286,332],"healthcare":[50],"risk":[51,338],"factors.":[52],"Other":[53],"refinements":[54],"included":[55],"risk-adjusted":[56,302],"capitation":[57,314],"payment,":[58,315],"broadened":[59],"eligibility":[60],"for":[61,67,122,129,230,254,319,339],"expanded":[62,75],"benefits,":[64,69],"low":[65],"co-payments":[66],"these":[68],"no":[71],"caps":[72],"expenditures.":[78,341],"OBJECTIVES:":[79],"The":[80,295],"approach":[82],"is":[83,127],"designed":[84,128],"facilitate":[86],"integration":[87],"among":[88],"providers":[89],"levels":[91],"care.":[93],"includes":[95],"timely":[96,237],"application":[97,238],"monitoring":[101],"treatment":[103,146,242],"reduce":[105,244],"illness":[106,245],"disability":[108,235],"as":[109,111],"well":[110],"education":[114,249],"consultation":[116,252],"program":[117,224,253,282],"provide":[119],"specialty":[120],"support":[121],"complex":[123,255],"cases.":[124],"management":[126],"those":[130,134,142],"requiring":[131],"home-based":[132],"care,":[133],"discharged":[135],"from":[136],"hospitals":[137],"or":[138],"nursing":[139],"homes,":[140],"having":[143],"difficulty":[144],"with":[145,168,194,305],"regimens.":[147],"DESIGN:":[148],"A":[149],"case":[150],"study":[151,186],"implementation":[156,261],"through":[157],"Fall":[159],"1999.":[161],"SETTING:":[162],"Plan":[164,277],"Nevada":[166],"(HPN),":[167],"locations":[169],"in":[170,209,211],"Las":[171],"Vegas,":[172],"Reno,":[173],"surrounding":[175],"areas.":[176],"PARTICIPANTS:":[177],"More":[178],"than":[179],"25,000":[180],"Medicare":[181,313],"beneficiaries":[182],"participated":[183],"during":[184],"period.":[187],"MEASUREMENTS:":[188],"Administrative":[189],"reports,":[190],"charts,":[191],"interviews":[193],"administrators":[195],"clinicians.":[197],"RESULTS:":[198],"Within":[199],"12":[200],"months":[201],"operation":[203],"under":[204],"this":[205],"authority,":[206],"HPN":[207],"succeeded":[208],"putting":[210],"place":[212],"most":[213],"components":[216],"planned":[219],"approach:":[221],"identify":[226],"patients":[227],"\"at":[228],"risk\"":[229],"high":[231,340],"costs":[233],"disability.":[247],"Geriatric":[248],"cases":[256],"were":[257],"available,":[258],"but":[259],"full":[260,272],"was":[262,267],"delayed":[263],"until":[264],"plan":[266,322],"able":[268],"hire":[270],"time":[273],"geriatrician.":[274],"CONCLUSIONS:":[275],"Nevada's":[279],"reflects":[283],"current":[284],"perspectives":[285],"how":[287],"integrate":[289],"an":[293],"HMO.":[294],"accomplishments":[296],"affirm":[297],"that":[298,327],"provision":[300],"reimbursement,":[303],"along":[304],"5":[307],"%":[308],"supplement":[309],"normal":[312],"are":[316],"sufficient":[317],"incentives":[318],"health":[321],"restructure":[324],"itself":[325],"so":[326],"it":[328],"places":[329],"priority":[331],"retaining":[333],"serving":[335],"populations":[336],"at":[337]},"counts_by_year":[{"year":2020,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}