Klein J D, Chase J
Health Strategies Group, Inc., St. Paul, MN, USA.
Manag Care Q. 1997 Winter;5(1):42-50.
Medicaid and other publicly funded health coverage programs face special challenges in managed care purchasing. This article discusses two of those challenges based on the state of Minnesota's experience: how to develop, evaluate, and communicate access to care; and how to manage the transfer of enrollee eligibility and health status information.
医疗补助计划及其他公共资助的医疗保险项目在管理式医疗采购方面面临特殊挑战。本文基于明尼苏达州的经验探讨其中两项挑战:如何制定、评估并传达医疗服务可及性;以及如何管理参保人资格和健康状况信息的转移。