Bachman M A
American Association of Physician Office Laboratories, Knoxville, TN 37933, USA.
Med Group Manage J. 1997 Jan-Feb;44(1):28-31.
CLIA has forced many physician offices to close their labs because the costs of operating them have been out-weighed by the revenues they generated. Managed care has imposed even further restrictions because managed care organizations (MCO) limit reimbursement to a very few in-house procedures. To reverse this trend, physician offices must make their labs attractive to MCOs by emphasizing quality, promoting customer satisfaction, discussing cost effectiveness and discounting laboratory fees. Once these are set, the next step is negotiating with the MCOs.
临床实验室改进修正案（CLIA）已迫使许多医生办公室关闭其实验室，因为运营这些实验室的成本已超过其产生的收入。管理式医疗甚至施加了进一步的限制，因为管理式医疗组织（MCO）将报销限制在极少数内部程序上。为扭转这一趋势，医生办公室必须通过强调质量、提高客户满意度、讨论成本效益和降低实验室费用，使他们的实验室对管理式医疗组织具有吸引力。一旦确定了这些，下一步就是与管理式医疗组织进行谈判。
