医疗保险竞争示范项目下健康维护组织的早期经验。
Early experience of health maintenance organizations under Medicare competition demonstrations.
作者信息
Langwell K, Rossiter L, Brown R, Nelson L, Nelson S, Berman K
出版信息
Health Care Financ Rev. 1987 Spring;8(3):37-55.
Between 1982 and 1985, health maintenance organizations (HMO's) entered the Medicare market under the Medicare competition demonstrations. The status and experience of these HMO's, their market areas,, and the benefit packages they offered are presented. Information from case studies of 20 of these HMO's is used to discuss the planning process through which the organizations prepared to enter the Medicare market. Data from administrative reports, submitted by the HMO's, are used to describe the operational experience, including enrollments, utilization, and financial performance.
1982年至1985年间，健康维护组织（HMO）依据医疗保险竞争示范项目进入了医疗保险市场。本文介绍了这些HMO的状况与经验、其市场区域以及所提供的福利套餐。通过对其中20个HMO的案例研究信息来探讨这些组织为进入医疗保险市场所做的规划过程。利用HMO提交的行政报告数据来描述运营经验，包括参保人数、服务利用情况和财务表现。
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