SHMO


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Related to SHMO: schmoe

SHMO

Abbreviation for:
Senior Hospital Medical Officer
social health maintenance organisation, see there

SHMO

Abbrev. for Senior Hospital Medical Officer.
References in periodicals archive ?
Parallel community surveys conducted by the HCFA evaluator confirm the general similarity of SHMO members in terms of severe disability.
Core SHMO benefits include all Medicare-covered services, a range of ancillary medical services (e.g., prescription drugs), plus a full array of expanded community care and nursing home services for chronic conditions not covered by Medicare, HMOs, and Medicare supplementary insurance.
Care managers report that most needs can be met within the various limits (Abrahams et al., 1989; Greenlick et al., 1988; Leutz et al., 1988); and SHMO quarterly reports to HCFA show that only 10 to 20 percent of those using the LTC benefit have exceeded the cap (usually in nursing homes).
The two "new SHMO" models lead the way in overall losses: from a high of $11.0 million during the 4 years at Elderplan, down to $3.6 million at SCAN, $2.0 at Kaiser Permanente, and $1.5 million at Seniors Plus.
Several factors whould be considered in assessing SHMO losses.
The only clear differences is that the two news SHMO models--SCAN and Elderplan--spent lower proportions on physician and hospital services than did the HMO-based sites.
Are these LTC costs affordable in the context of SHMO financing?
Except at Kaiser Permanente, it has been expensive to persuade Medicare beneficiaries to join the SHMO. During the 4 years, costs per new member enrolled for direct mailing, newspaper advertisements, sales representatives, and advertising agencies averaged $378 at Seniors Plus, $528 at Elderplan, and $704 for SCAN Health Plan (Table 7).
No comprehensive analysis of marketing problems is available, but factors that may distinguish Kaiser Permanente are its strong reputation in Portland, its large internal market of Medicare eligibles (more than one-half of its SHMO members), and its decision not to market its regular Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) plan in competition with the SHMO.
Also, surveys conducted by the evaluator found that beneficiaries and opinion leaders seldom understood the nature of the SHMO's LTC benefits, reflecting Elderplan's and Kaiser Permanente's decisions not to highlight these benefits and SCAN's and Seniors Plus's apparent failure to communicate their uniqueness (Harrington, Newcomer, and Friedlob, 1987a).
the geriatric medical group that Elderplan formed for the SHMO experienced increasing staff turnover and operating deficits that were absorbed by Elderplan.