Dymowski R J
Manag Care Q. 1997 Winter;5(1):33-41.
This article summarizes recent analysis concerning variation in the utilization of inpatient hospital benefits by geographic area and for different sources of benefits (health maintenance organization [HMO] versus non-HMO), in comparison to a nationwide standard defined as best observed performance. Observations include significant geographic variations relative to the standard, and the possibility of additional improvements in utilization by managed care organizations. It also notes the importance to benefit plan sponsors of reviewing data concerning the utilization levels of the managed care organizations with which they contract, and references recent comparative results presented for HMOs participating in the New England HEDIS Coalition.
本文总结了近期有关按地理区域以及不同福利来源（健康维护组织[HMO]与非HMO）划分的住院医院福利使用情况差异的分析，与定义为最佳观察表现的全国标准进行比较。观察结果包括相对于该标准存在显著的地理差异，以及管理式医疗组织在提高使用率方面的进一步改进可能性。它还指出了福利计划主办方审查与其签约的管理式医疗组织使用水平数据的重要性，并引用了参与新英格兰HEDIS联盟的HMO近期的比较结果。
