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医疗保险的新按人头付费方法。

Medicare's new capitation method.

作者信息

Grimaldi P

机构信息

Birch & Davis Health Management Corporation, Silver Spring, MD, USA.

出版信息

J Health Care Finance. 1998 Summer;24(4):7-21.

PMID:9612733
Abstract

The method used to determine capitation rates for Medicare risk-bearing health plans changed on January 1, 1998. The new approach establishes a minimum rate that is substantially higher than the amounts Medicare previously paid in most of the nation's counties, reduces the volatility in the rates, and guarantees all participating health plans at least a 2 percent annual rate increase for the next several years. It is hoped that the methodological improvements will motivate more health plans to become Medicare contractors.

摘要

用于确定医疗保险风险承担健康计划人头费率的方法于1998年1月1日发生了变化。新方法设定了一个最低费率,该费率大幅高于医疗保险此前在美国大多数县支付的金额,降低了费率的波动性,并保证所有参与的健康计划在未来几年至少有2%的年费率增长。希望这些方法上的改进将促使更多的健康计划成为医疗保险承包商。

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