为健康维护组织（HMO）的医疗服务付费：设定人头费率的问题与选择
Paying for HMO care: issues and options in setting capitation rates.
作者信息
Anderson G F, Steinberg E P, Holloway J, Cantor J C
出版信息
Milbank Q. 1986;64(4):548-65.
PMID:3547068
Abstract
As the public and private sectors continue to promote use of capitated health care systems, the problem of how to establish payment rates for individuals becomes increasingly important. Inattention to pricing policies can lead to increased total costs, windfall profits for some providers, and the loss of comprehensive coverage for high-risk individuals. Capitation systems used by government and corporations are measured against social and economic ideals; the shortfall can be addressed by proposed new alternatives.
摘要
随着公共部门和私营部门继续推动人头费医疗保健系统的使用，如何确定个人支付费率的问题变得越来越重要。对定价政策的忽视可能导致总成本增加、一些供应商获得暴利以及高危个体失去全面保险。政府和企业使用的人头费系统是根据社会和经济理想来衡量的；不足之处可以通过提议的新替代方案来解决。
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