Jordan Mark
Kaiser Foundation Health Plan, Oakland, California, USA.
Manag Care Interface. 2002 Nov;15(11):43-6.
Approximately 300 health plans contract with the Office of Personnel Management (OPM) to provide health care services to federal employees and their families under the Federal Employees Health Benefits Program. Total enrollment in this program is approximately 10 million persons, making it by far the largest employer health plan in the United States. However, the federal government insists on getting the "best price." This article explores the uncertainties and pitfalls that a health plan faces when it contracts with OPM and does not offer the best price.
大约300家医疗保健计划机构与人事管理办公室（OPM）签约，根据联邦雇员健康福利计划为联邦雇员及其家属提供医疗保健服务。该计划的总参保人数约为1000万人，使其成为美国迄今为止最大的雇主健康计划。然而，联邦政府坚持要获得“最优惠价格”。本文探讨了医疗保健计划机构在与OPM签约但未提供最优惠价格时所面临的不确定性和陷阱。
