为农村医疗保险风险参保者服务：健康维护组织的决策、经验及未来计划。
Serving rural Medicare risk enrollees: HMOs' decisions, experiences, and future plans.
作者信息
Casey M
机构信息
Rural Health Research Center, University of Minnesota, Minneapolis 55414, USA.
出版信息
Health Care Financ Rev. 1998 Fall;20(1):73-81.
This article identifies factors that influence health maintenance organizations' (HMOs) decisions about offering a Medicare risk product in rural areas; describes HMOs' recent experiences serving rural Medicare risk enrollees; and assesses the potential impact of Medicare program changes on the future willingness of HMOs to offer a Medicare risk product in rural areas. Data for the analysis were collected through interviews with a national sample of 27 HMOs. The results underscore the importance of adjusted average per capita cost (AAPCC) rates in HMOs' decisions to offer Medicare risk products in rural areas, but also indicate that other factors influence these decisions.
本文确定了影响健康维护组织（HMO）在农村地区提供医疗保险风险产品决策的因素；描述了HMO近期为农村医疗保险风险参保人服务的经历；并评估了医疗保险计划变更对HMO未来在农村地区提供医疗保险风险产品意愿的潜在影响。分析数据是通过对全国27家HMO的抽样访谈收集的。结果强调了调整后的人均成本（AAPCC）费率在HMO决定在农村地区提供医疗保险风险产品中的重要性，但也表明其他因素会影响这些决策。
Zotero 插件