Leisure L B
Health Cost Manage. 1988 Jul-Aug;5(4):1-7.
Absolutely essential to truly managed health care are gatekeeping and capitated financial arrangements with providers, says TPF&C's national practice leader for group benefits consulting. He explains why he believes conventional notions of "managed care" are insufficient and how employers can press insurance carriers to accept (not just share) the financial risks of health coverage, as Cigna has done in a new arrangement with Allied-Signal, Inc.
TPF&C集团福利咨询业务的全国业务负责人表示,真正的管理式医疗保健绝对离不开把关人制度以及与医疗服务提供者的按人头计费的财务安排。他解释了为何他认为传统的“管理式医疗”观念并不充分,以及雇主如何能促使保险公司接受(而不仅仅是分担)医保覆盖的财务风险,就像信诺保险(Cigna)在与联合信号公司(Allied-Signal, Inc.)的一项新协议中所做的那样。