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风险业务:按人头付费的健康维护组织的报告与记录问题

Risky business: reporting and recording issues for capitated HMOs.

作者信息

Kazahaya G I

出版信息

Healthc Financ Manage. 1986 Oct;40(10):50-60.

PMID:10278536
Abstract

In the August issue of HFM, risked-based, risk-sharing, capitated HMO plans were defined. In this issue, the risks involved in entering into agreements with these plans and the financial recording and reporting issues to be considered when integrating the current system with capitated HMO reporting are considered. Implementation of capitation programs will require adjustments for the hospital. These programs will require changes to the hospital's database and an extensive analysis of how flexible budgeting will be affected, how capitation can be integrated into current productivity systems, and how traditional approaches of managing hospitals must be changed.

摘要

在《医院财务管理》八月刊中,对基于风险、风险分担、按人头付费的健康维护组织(HMO)计划进行了定义。在本期中,探讨了与这些计划签订协议所涉及的风险,以及在将当前系统与按人头付费的HMO报告整合时需要考虑的财务记录和报告问题。实施按人头付费计划将要求医院做出调整。这些计划将需要对医院的数据库进行更改,并对灵活预算将如何受到影响、按人头付费如何融入当前的生产力系统,以及医院传统管理方法必须如何改变进行广泛分析。

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Healthc Financ Manage. 1986 Oct;40(10):50-60.
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