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面临风险:审视医疗保险损失的管理

At risk: a look at managing Medicare losses.

作者信息

Hottinger M, Polich C L, Parker M

机构信息

United Health Care Corporation, Minnetonka, MN.

出版信息

Healthc Financ Manage. 1991 May;45(5):22-4, 28-30, 32.

PMID:10145430
Abstract

On top of declining Medicare payment rates, hospitals face the prospects of increasing numbers of Medicare patients and costs associated with caring for them. Geriatric care management programs can help prevent financial losses by focusing on high-risk patients and costly diagnosis related groups. Under one approach, a geriatric care manager works to improve the efficiency of care, reduce lengths of stay, smooth transitions to alternate care settings, and involve patients and their families in decision making.

摘要

除了医疗保险支付率下降外,医院还面临医疗保险患者数量增加以及照顾这些患者相关成本上升的前景。老年护理管理项目可以通过关注高风险患者和与诊断相关的高成本群体来帮助防止财务损失。在一种方法中,老年护理经理致力于提高护理效率、缩短住院时间、平稳过渡到替代护理环境,并让患者及其家属参与决策。

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