Fried B M, Freeman P
Shaw Pittman Potts and Trowbridge, Washington, DC, USA.
Integr Healthc Rep. 1998 Aug:9-11.
Why should you take on the risks and complications of developing a PSO? Is it worth it? Will it mean assuming undue risk? The answer to this question gets complicated. This article will introduce more uncertainties than you had before. But, you need to have your eyes wide open. It's not just a question of your capability as a health system or a medical group. It's a question of HCFA's ability to administer the program. Even without knowing the capabilities of HCFA, most organizations would say that they don't trust the government to follow through with any program. In this article by Bruce Fried, we get a rare look at the inner thoughts and gyrations of government, as they attempt to risk-adjust Medicare payments to PSOs and HMOs. In ordinary language, that means, if you happen to have a very sick population of seniors, you will be paid more to take care of them. But, read this and weep.
为什么你要承担开展专业服务组织（PSO）所带来的风险和并发症呢？这值得吗？这会意味着承担不必要的风险吗？这个问题的答案变得复杂起来。本文将介绍比你之前更多的不确定性。但是，你需要睁大眼睛。这不仅仅是关于你作为一个医疗系统或医疗团队的能力问题。这是关于医疗保健财务管理局（HCFA）管理该项目的能力问题。即使不了解HCFA的能力，大多数机构都会表示，他们不信任政府能将任何项目贯彻到底。在布鲁斯·弗里德的这篇文章中，我们得以罕见地洞察政府的内心想法和运作，因为他们试图对向PSO和健康维护组织（HMO）支付的医疗保险费用进行风险调整。用通俗易懂的话来说，这意味着，如果你的老年患者群体恰好病情非常严重，照顾他们你会得到更多报酬。但是，读了这个你会想哭的。
