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基于价值的采购公式。雇主转向以质量来评估和管理他们的健康计划。

Value-based formulas for purchasing. Employers shift to quality to evaluate and manage their health plans.

作者信息

Beauregard T R, Winston K R

机构信息

Connecticut Center for Hewitt Associates, Rowayton, USA.

出版信息

Manag Care Q. 1997 Winter;5(1):51-6.

PMID:10164650
Abstract

Employers have traditionally focused on cost and plan design in the management of their employees' health care programs. This cost focus has led most large employers to enroll employees in managed care programs and resulted in a new focus on the quality of care delivered by these plans. By evaluating cost and quality, employers attempt to understand the total value these health plans deliver. Hewitt Associates' Health Value Initiative, a health plan analysis based on employers' increased need for cost and quality information, is an example of a tool used by some employers to evaluate and strategically manage their health plans. A case study shows how one large employer used this information to shift to a more comprehensive cost and quality analysis, resulting ultimately in better health care costs and quality for its employees.

摘要

传统上,雇主在管理员工医疗保健计划时主要关注成本和计划设计。这种对成本的关注使得大多数大型雇主将员工纳入管理式医疗计划,并导致了对这些计划所提供医疗服务质量的新关注。通过评估成本和质量,雇主试图了解这些健康计划所提供的总价值。翰威特咨询公司的健康价值倡议是基于雇主对成本和质量信息需求的增加而进行的健康计划分析,它是一些雇主用来评估和战略管理其健康计划的工具的一个例子。一个案例研究展示了一家大型雇主如何利用这些信息转向更全面的成本和质量分析,最终为其员工带来了更好的医疗保健成本和质量。

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