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如何评估管理式医疗合同。

How to evaluate managed care contracts.

作者信息

Lewis J B

机构信息

University of New Hampshire, Durham.

出版信息

Healthc Financ Manage. 1990 Dec;44(12):32, 34, 36 passim.

Abstract

In the early days of managed care, some hospitals hastily agreed to health plan contracts without proper deliberations. An analysis model can be used to examine the results of current managed care contracts and to estimate a proposed contract's potential bottom line contribution or opportunity loss. With this information, healthcare organizations can identify new contract proposals worth pursuing with health maintenance organizations, preferred provider organizations, employer groups, and other health plans.

摘要

在管理式医疗的早期,一些医院未经适当审议就匆忙同意了健康计划合同。一种分析模型可用于审视当前管理式医疗合同的结果,并估算一份拟议合同的潜在底线贡献或机会损失。有了这些信息,医疗保健机构就能确定值得与健康维护组织、优选医疗机构、雇主团体及其他健康计划进行洽谈的新合同提案。

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