Adams C E, Kramer S, Wilson M
Washington State University, USA.
J Nurs Adm. 1995 Nov;25(11):39-45. doi: 10.1097/00005110-199511000-00008.
Quality outcomes were compared between home health patients enrolled in the traditional Medicare fee-for-service (FFS) program versus a health maintenance organization (HMO) with a Medicare cost contract with the federal government. The quality outcome scores were similar between the two patient groups. However, other home health research showed superior quality outcomes for patients enrolled in the traditional Medicare FFS program versus an HMO with a risk contract with the federal government. Before signing contracts with HMOs, home health administrators will want to identify the type of Medicare contract the HMO has with the federal government.
对参加传统医疗保险按服务付费(FFS)计划的家庭健康患者与与联邦政府签订医疗保险成本合同的健康维护组织(HMO)的质量结果进行了比较。两组患者的质量结果评分相似。然而,其他家庭健康研究表明,参加传统医疗保险FFS计划的患者的质量结果优于与联邦政府签订风险合同的HMO。在与HMO签订合同之前,家庭健康管理人员需要确定HMO与联邦政府签订的医疗保险合同类型。