保险公司对你所在医院的了解……以及他们如何利用这些信息。
What insurers know about your hospital ... and how they are using it.
作者信息
Scalise Dagmara
出版信息
Hosp Health Netw. 2004 Jan;78(1):34-8, 2.
PMID:14768449
Abstract
Insurers are using their purchasing power and their enormous stores of claims data to push hospitals to improve quality. Health plans are able to parse the data according to such quality indicators as cost, length of stay and outcomes. Hospitals are wary of the trend, but some welcome it, especially if insurers use the so-called pay-for-performance model.
摘要
保险公司正在利用其购买力和海量的理赔数据，推动医院提高质量。医疗保健计划能够根据成本、住院时长和治疗结果等质量指标来分析数据。医院对这一趋势持谨慎态度，但也有一些医院对此表示欢迎，尤其是在保险公司采用所谓的绩效付费模式的情况下。
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