For more information on the MHSP
, please call Project Administrator, Catriona Learmont, on 07976 381 516 or email c.
Information concerning such issues as the setting where these patients received both medical and dental services before entering into the MHSP program, and further differentiation of this population with such variables as income and education, may provide some clues concerning our utilization findings between the races.
Since this program was at no cost to the patient, there probably is some self-selection by the patients into the dental portion of the MHSP, knowing that they otherwise may not be able to afford the cost of new or replacement complete dentures.
compression system has been selected to reduce satellite transponder costs and to enable MHSP to launch new interactive and transactional channels in the future at very little additional transmission cost.
In addition to its racing activities, MHSP also simulcasts special entertainment and news and special live sports events worldwide.
The composition of Medicare costs for MHSP services has changed dramatically since the early years of the program, as costs for pharmacy, dental, and other ancillary services have grown faster than costs for routine physician services throughout the 1980s.
In each year during the 1987-89 period, approximately 39 percent of MHSP patients used the MHSP for ancillary services only.
Among beneficiaries who did use MHSP physician services in 1989, the average cost to Medicare of the MHSP services provided was $1,313, of which 22 percent was for routine physician services; 44 percent was for pharmacy services; and 14 percent was for dental services and dentures.
Based on a comparison-group experimental design, the evaluator's best estimates are that, in 1989, the demonstration increased Medicare expenditures by $440 per beneficiary among MHSP patients who used MHSP physician services and by $500 per beneficiary among those who used the MHSP for ancillary services only.
The review of medical records obtained from MHSP clinics found one or more quality-of-care problems in 37 percent of the cases reviewed.
The primary objectives of the MHSP were to improve access to care in underserved urban areas, to shift the focus of delivery of care away from high cost emergency room settings, and to reduce inpatient costs by providing primary care and preventive care in an ambulatory setting.
MHSP participants do not pay the standard Medicare Part B deductibles or coinsurance.