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优先提供者组织(PPOs):将决定其发展和未来的力量。

PPOs: forces which will determine their growth and future.

作者信息

Cates N R

出版信息

Health Matrix. 1987 Fall;5(3):3-8.

PMID:10285384
Abstract

PPOs are designed to promote competition among providers for the purpose of enhancing cost containment. Business and industry have demonstrated an active interest in PPOs and report savings as a consequence of purchasing health services for employees from these new alternative care organizations. To be effective in reducing the rate of escalation of personal health care expenditures will require demonstration to the business community that they are able to provide quality care at less cost. This will require a strong utilization review program and a need for providers to share some risk as an incentive to be cost efficient. Furthermore, any federal or state legislation or regulation should discourage overburdensome costs for PPOs to do business.

摘要

优先提供者组织(PPOs)旨在促进医疗服务提供者之间的竞争,以加强成本控制。企业界已表现出对优先提供者组织的积极兴趣,并报告称,由于从这些新型替代护理组织为员工购买健康服务,节省了开支。要有效降低个人医疗保健支出的增长速度,需要向商界证明,它们能够以更低的成本提供优质护理。这将需要一个强大的利用审查计划,并且要求医疗服务提供者分担一些风险,以此作为提高成本效益的激励措施。此外,任何联邦或州的立法或监管都应避免给优先提供者组织带来过高的运营成本。

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