Blue J W
Radiol Manage. 1985 Mar;7(2):15-9.
Over the past ten years, hospitals, physicians and health care administrators have been inundated with changes in health care reimbursement policies. Many administrators have dealt with changes in the way hospitals and physicians are reimbursed and, as employees, have had to make choices in their own personal health care coverage. The purpose of this paper is to examine several organizational structures that have been developed in response to reimbursement changes. We will look at the structure, and the advantages and disadvantages of PPOs, HMOs and IPAs.
在过去十年中,医院、医生和医疗保健管理人员一直被医疗保健报销政策的变化所淹没。许多管理人员应对了医院和医生报销方式的变化,并且作为员工,他们不得不在自己的个人医疗保险覆盖范围方面做出选择。本文的目的是研究为应对报销变化而发展起来的几种组织结构。我们将审视优先提供者组织(PPO)、健康维护组织(HMO)和独立执业协会(IPA)的结构及其优缺点。