McCall N, Wrightson C W, Paringer L, Trapnell G
Laguna Research Associates, San Francisco.
Health Aff (Millwood). 1994;13(2):234-45. doi: 10.1377/hlthaff.13.2.234.
This paper reports on estimated cost savings for acute care beneficiaries in the Arizona Health Care Cost Containment System (AHCCCS) over its first nine years of operation, fiscal years 1983-1991. AHCCCS has similar eligibility and service coverage as a traditional Medicaid program has but capitates health plans to provide medical services to beneficiaries. The results indicate that the program yielded $100 million in savings over estimates of what a traditional Medicaid program would have cost in Arizona. In addition, AHCCCS experienced a smaller rate of increase in program expenditures over time, so that cost savings have increased as the program has matured.
本文报告了亚利桑那医疗成本控制系统（AHCCCS）在其运营的头九年（1983 - 1991财政年度）为急性护理受益人节省的估计成本。AHCCCS的资格和服务覆盖范围与传统医疗补助计划类似，但它向健康计划支付固定费用，由其为受益人提供医疗服务。结果表明，该计划比传统医疗补助计划在亚利桑那州的预计成本节省了1亿美元。此外，随着时间的推移，AHCCCS的计划支出增长率较小，因此随着该计划的成熟，成本节省也有所增加。
