Dunn T, Barth S
Health Care Strateg Manage. 1987 Feb;5(2):9-13.
The marriage of the delivery and insurance mechanisms is key to the managed care, preferred provider concept, for it holds potential for cost-effective optimization of delivery and marketing efforts. It is, however, necessary to understand each component of the marriage, if the benefits are to be enjoyed. This article explores the five major benefit plan financing arrangements in use today and examines their implications for risk-reward sharing arrangements in a managed care environment.
对于管理式医疗的首选供应商概念而言，服务提供机制与保险机制的结合是关键，因为它具有以成本效益方式优化服务提供和营销工作的潜力。然而，如果要享受其中的益处，就有必要了解这种结合的每个组成部分。本文探讨了当今使用的五种主要福利计划融资安排，并研究了它们在管理式医疗环境中对风险回报共享安排的影响。
