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团体医疗执业何时准备好参与医疗保险风险合同?

When is a group practice ready for Medicare risk contracting?

作者信息

Gerrity G

机构信息

Penn State Geisinger Health System, Danville, PA, USA.

出版信息

Healthc Financ Manage. 1998 May;52(5):63-4.

PMID:10179442
Abstract

As senior citizens choose alternatives to traditional Medicare, group practices need to learn how Medicare risk contracting differs from traditional Medicare arrangements. To provide healthcare to Medicare patients, group practices should participate in both Medicare risk contracting and Medicare fee-for-service, but they need to make some operational changes to accommodate all these patients. When implementing an operational plan, group practices should consider three key factors-practice location, education of support staff and patients, and facility accessibility. The practice needs to accommodate the special needs of senior citizens to secure and retain a stable patient base.

摘要

随着老年人选择传统医疗保险的替代方案,集体医疗实践需要了解医疗保险风险合同与传统医疗保险安排有何不同。为向医疗保险患者提供医疗服务,集体医疗实践应同时参与医疗保险风险合同和医疗保险按服务收费,但它们需要进行一些运营调整以接纳所有这些患者。在实施运营计划时,集体医疗实践应考虑三个关键因素——实践地点、辅助人员和患者的教育以及设施的可达性。该实践需要满足老年人的特殊需求,以确保并留住稳定的患者群体。

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