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了解你的减肥手术业务:你的保险费用是多少?你的优势是什么?

Knowing your bariatric practice: what's your insurance fee? What's your leverage?

作者信息

Frezza Eldo E

机构信息

Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, 79415, USA.

出版信息

Obes Surg. 2006 Jul;16(7):942-4. doi: 10.1381/096089206777822395.

Abstract

Healthcare today is a complex environment, and many states, regions and hospitals have been having problems in being solvent. Insurance co-payments have decreased, and the contract made with the physician depends on market leverage. We address contract problems in bariatric surgery and discuss how to try to divide bariatric surgery from general surgery practice, to get better insurance reimbursement. Creating leverage is also important: 1) how to attract new patients, and 2) how to add additional procedures, when necessary, to the initial bariatric surgery scheduled. Leverage can also be created by offering additional services, such as access to a dietician and exercise programs. By offering a variety of services, this will enhance not only the quality of care provided, but also the number of patients who will take advantage of your services, including bariatric surgery.

摘要

如今的医疗保健环境复杂,许多州、地区和医院在维持偿付能力方面都存在问题。保险共付额降低了,与医生签订的合同取决于市场影响力。我们解决减肥手术中的合同问题,并讨论如何尝试将减肥手术与普通外科手术业务区分开来,以获得更好的保险报销。创造影响力也很重要:一是如何吸引新患者,二是在必要时如何在最初安排的减肥手术基础上增加额外的手术项目。还可以通过提供额外服务来创造影响力,比如提供营养师咨询和健身项目。通过提供多种服务,不仅能提高所提供的护理质量,还能增加利用包括减肥手术在内的各项服务的患者数量。

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