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超越连接性:一项健康计划电子解决方案的成功对医疗行业未来意味着什么。

Beyond connectivity: what the success of one health plan's e-solution means for the future of the healthcare industry.

作者信息

Riley T, Korpman R A

机构信息

PARTNERS National Health Plans of North Carolina, Inc., Winston-Salem, USA.

出版信息

J Healthc Inf Manag. 2001 Spring;15(1):37-49.

PMID:11338908
Abstract

This article highlights the statewide success and rapid acceptance by providers in North Carolina of PARTNERS National Health Plan's implementation of a multipayer Internet connectivity solution for providers, employers, and members. PARTNERS is a premier health plan in North Carolina that covers more than 400,000 lives. The company introduced on-line communication to their network of ten thousand providers and has seen the number of on-line users and interactions grow by approximately 25 percent a week to represent more than two thousand providers in the first six months of roll-out. Providers can now look up eligibility and benefits and review and submit claims and referrals on-line; soon they will be able to order and review lab results and perform prescription management. PARTNERS found their Internet solution in HealthTrio's Intelligent Connectivity, which allowed them to create Internet communications without replacing back-end office solutions.

摘要

本文重点介绍了北卡罗来纳州全州范围内的成功案例,以及PARTNERS国家健康计划为医疗服务提供者、雇主和会员实施的多支付方互联网连接解决方案迅速获得医疗服务提供者认可的情况。PARTNERS是北卡罗来纳州一家领先的健康计划公司,覆盖超过40万人。该公司向其一万名医疗服务提供者网络引入了在线通信,在推出后的头六个月里,在线用户数量和互动量每周增长约25%,超过两千名医疗服务提供者参与其中。现在,医疗服务提供者可以在线查询资格和福利,审查并提交索赔和转诊;很快他们将能够在线订购和查看实验室结果并进行处方管理。PARTNERS在HealthTrio的智能连接中找到了他们的互联网解决方案,这使他们能够创建互联网通信,而无需更换后端办公解决方案。

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