Gold M R, Hurley R, Lake T
Mathematica Policy Research (MPR), Washington, D.C., USA.
Health Aff (Millwood). 2001 Mar-Apr;20(2):175-85. doi: 10.1377/hlthaff.20.2.175.
Provider organizations have evolved to function as intermediaries between managed care plans and individual providers. These organizations assume much financial risk and care management responsibilities. We profile the characteristics of these organizations in markets across the country. The data, taken from a 1999 telephone survey of sixty-four entities in twenty markets and from interviews conducted during site visits to four markets, highlight the youth of many of these organizations, the large financial risk and functional responsibilities they bear, and the mixed views they hold about the health plans they contract with in terms of their willingness to delegate the authority, support, and collaboration that accompany risk. Policymakers need to evaluate what this means for oversight of managed care.
供应商组织已发展成为管理式医疗计划与个体供应商之间的中介机构。这些组织承担着大量财务风险和护理管理责任。我们概述了这些组织在全国各市场的特征。数据来自1999年对20个市场中64个实体的电话调查以及对4个市场实地考察期间进行的访谈，这些数据凸显了其中许多组织的年轻、它们所承担的巨大财务风险和职能责任，以及它们对与之签约的健康计划在授权、支持及伴随风险的协作意愿方面的不同看法。政策制定者需要评估这对管理式医疗监督意味着什么。
