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行为健康风险承保——费率制定与财务报告指南

Behavioral health at-risk contracting--a rate development and financial reporting guide.

作者信息

Zinser G R

机构信息

Vista Hill Foundation, USA.

出版信息

Behav Healthc Tomorrow. 1994 Jul-Aug;3(4):27-35.

Abstract

The process of developing rates for behavioral capitation contracts can seem mysterious and intimidating. The following article explains several key features of the method used to develop capitation rates. These include: (1) a basic understanding of the mechanics of rate calculation; (2) awareness of the variables to be considered and assumptions to be made; (3) a source of information to use as a basis for these assumptions; and (4) a system to collect detailed actual experience data.

摘要

制定行为人头费合同费率的过程可能看似神秘且令人生畏。以下文章解释了用于制定人头费费率的方法的几个关键特征。这些特征包括:(1)对费率计算机制的基本理解;(2)对要考虑的变量和要做出的假设的认识;(3)用作这些假设基础的信息来源;以及(4)一个收集详细实际经验数据的系统。

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