Burrows S N, Moravec R C
HealthEast Care, Inc., St. Paul, MN, USA.
Healthc Financ Manage. 1997 Aug;51(8):50-5.
During 1996, HealthEast Care, Inc., a healthcare provider-owned and governed direct-contracting company, successfully responded to a request for proposal from the metropolitan Minneapolis-St. Paul-based Buyers Health Care Action Group (BHCAG), a coalition of self-insured employers, to provide healthcare services to members of BHCAG's Choice Plus health plan. HealthEast Care developed a care system proposal for BHCAG that balanced consumer and purchaser expectations with historical healthcare costs. Providers are reimbursed for contracted healthcare services according to a unique fee-for-service, budget-based payment model. BHCAG chose to contract with HealthEast Care and 23 other care systems in the metropolitan Minneapolis-St. Paul area and other parts of Minnesota to serve more than 117,500 Choice Plus enrollees.
1996年期间，HealthEast Care公司是一家由医疗服务提供商所有并管理的直接签约公司，它成功回应了来自总部位于明尼阿波利斯 - 圣保罗市的“买家医疗保健行动小组”（BHCAG）的提案请求。BHCAG是一个由自我投保雇主组成的联盟，旨在为BHCAG的“选择加”健康计划的成员提供医疗保健服务。HealthEast Care为BHCAG制定了一个护理系统提案，该提案在消费者和购买者的期望与历史医疗成本之间取得了平衡。根据一种独特的按服务收费、基于预算的支付模式，为签约的医疗服务提供商报销费用。BHCAG选择与HealthEast Care以及明尼阿波利斯 - 圣保罗市大都市区和明尼苏达州其他地区的23个其他护理系统签约，为超过117,500名“选择加”参保人提供服务。
