Hoerger T J, Lindrooth R C, Eggleston J L
Research Triangle Institute, Research Triangle Park, NC 27709-12194, USA.
Clin Chem. 1998 Aug;44(8 Pt 1):1728-34.
The purpose of Medicare's Demonstration of Competitive Bidding for Clinical Laboratory Services is to determine whether competitive bidding can be used to provide quality laboratory services at prices below current Medicare reimbursement rates. Here, we present key features of the preliminary design for the demonstration. The following areas are covered: scope of the demonstration, bidding process, selection of winners, reimbursement, quality, and administration and monitoring. The role of the Health Care Financing Administration's Laboratory Technical Advisory Committee is also described, and the future of competitive bidding in a Medicare managed care environment is evaluated. We close with some brief comments on how to succeed in competitive bidding for Medicare services.
医疗保险临床实验室服务竞争性投标示范项目的目的是确定是否可以通过竞争性投标以低于当前医疗保险报销率的价格提供高质量的实验室服务。在此，我们介绍该示范项目初步设计的关键特征。涵盖以下几个方面：示范项目范围、投标过程、中标者选择、报销、质量以及管理与监督。还描述了医疗保健财务管理局实验室技术咨询委员会的作用，并评估了医疗保险管理式医疗环境中竞争性投标的未来。最后，我们对如何成功进行医疗保险服务的竞争性投标给出了一些简要评论。
