Burrows S N
HealthEast Care, Inc., St. Paul, MN, USA.
Manag Care Q. 1997 Summer;5(3):49-55.
HealthEast Care has contracted directly with large self-funded Minnesota employers, including 3M, since 1992. These innovative direct contracting arrangements continue to demonstrate how collaborative efforts between health care purchasers and providers can be of advantage to those enrolled in self-funded and noninsured health plans. Insured HMO enrollment in Minnesota has been flat since 1991, while enrollment in self-funded plans and in noninsured public health plans has doubled during the same period. Minnesota is a bellwether state on the threshold of reform that will shift the power race for health care change from HMOs to purchasers and providers responding to consumer needs.
自1992年以来，HealthEast Care已直接与包括3M在内的明尼苏达州大型自筹资金雇主签订了合同。这些创新的直接签约安排不断证明，医疗保健购买者和提供者之间的合作努力如何能使参加自筹资金和无保险健康计划的人受益。自1991年以来，明尼苏达州参保健康维护组织（HMO）的人数一直持平，而同期自筹资金计划和无保险公共健康计划的参保人数翻了一番。明尼苏达州是改革的风向标，改革将把医疗保健变革的权力竞争从健康维护组织转移到响应消费者需求的购买者和提供者手中。
