Dyer W D, Forkish I J
Healthcare Plus Insurance Services, Inc., El Segundo, CA, USA.
Healthc Financ Manage. 1996 Jul;50(7):42-4.
Provider organizations accepting capitated payments often purchase provider excess insurance to protect themselves from catastrophic loss. These organizations have the option of purchasing such insurance coverage from the HMOs with which they contract or from commercial insurance companies. To determine which purchase strategy will be cost-effective, provider organizations must carefully analyze their risk, determine how much coverage they need, and exercise due diligence.
接受定额付费的医疗机构通常会购买超额保险,以保护自己免受灾难性损失。这些机构可以选择从与其签约的健康维护组织(HMO)或商业保险公司购买此类保险。为了确定哪种购买策略具有成本效益,医疗机构必须仔细分析其风险,确定所需的保险额度,并进行尽职调查。