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社会健康维护组织的服务使用情况及成本,1985 - 1989年

Social health maintenance organizations' service use and costs, 1985-89.

作者信息

Harrington C, Newcomer R J

机构信息

Department of Social and Behavioral Sciences, University of California, San Francisco 94143.

出版信息

Health Care Financ Rev. 1991 Spring;12(3):37-52.

Abstract

Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic HMO benefit package, had higher start up costs and financial losses over the first 5 years than expected, and controlling costs continues to be a challenge to the sites and their sponsors.

摘要

本文展示了来自四个社会健康维护组织(S/HMO)示范项目的综合利用和财务数据,这些数据是作为对医疗保健财务管理局开展的S/HMO示范项目进行全国评估的一部分而收集和分析的。这些S/HMO除了提供基本的健康维护组织福利套餐外,还提供6500美元至12000美元的慢性病护理福利,在前五年的启动成本和财务损失高于预期,控制成本对这些试点及其赞助商来说仍然是一项挑战。

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本文引用的文献

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The social HMO demonstration: early experience.社会健康维护组织示范项目:早期经验
Health Aff (Millwood). 1988 Summer;7(3):66-79. doi: 10.1377/hlthaff.7.3.66.
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