Murray M J, Anderson D J
Pathology Associates of University Hospitals, Inc., Cleveland, OH, USA.
Healthc Financ Manage. 1996 Jan;50(1):40-2, 44, 46.
With the increased emphasis on the development of Medicare managed care plans, healthcare organizations should explore Medicare managed care products and structures available in the marketplace and assess how they best fit with their overall strategy and strengths. An organization's Medicare strategy might involve protecting the organization's current Medicare population, increasing network linkages, and gaining experience with managed care and capitated payment contracting. Medicare, however, is only one of many potential payers for organizations. A strategy developed around Medicare, therefore, also must support the organization's overall managed care strategy.
随着对医疗保险管理式医疗计划发展的重视程度不断提高，医疗保健组织应探索市场上现有的医疗保险管理式医疗产品和结构，并评估它们如何最适合其整体战略和优势。一个组织的医疗保险战略可能包括保护该组织当前的医疗保险人群、增加网络联系以及积累管理式医疗和按人头付费合同的经验。然而，医疗保险只是组织众多潜在支付方之一。因此，围绕医疗保险制定的战略也必须支持该组织的整体管理式医疗战略。
