Fried I
Jennings Ryan & Kolb, Hadley, MA, USA.
Healthc Financ Manage. 1998 Jul;52(7):48-50.
Provider organizations interested in forming a Medicare PSO should first determine their market's readiness to accept a new Medicare risk product. How a Market might receive a new Medicare PSO depends on numerous factors. These factors include size and demographic characteristics of the Medicare Population; capitation rate; level of commercial and Medicare managed care enrollment; market concentration; provider supply, capabilities, and attitudes toward managed care; and prevalence of large employers and their level of interest in Medicare risk products.
有意组建医疗保险患者安全组织(PSO)的医疗机构应首先确定其市场对接受新的医疗保险风险产品的准备程度。一个市场对新的医疗保险PSO的接受程度取决于众多因素。这些因素包括医疗保险参保人群的规模和人口特征;人头费率;商业保险和医疗保险管理式医疗的参保水平;市场集中度;医疗服务提供者的供应、能力以及对管理式医疗的态度;以及大型雇主的数量及其对医疗保险风险产品的兴趣程度。