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Survey search: the status of gatekeeper systems. 调查搜索:看门人系统的状态。
Health cost management Pub Date : 1988-07-01
{"title":"Survey search: the status of gatekeeper systems.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A joint survey by the American Medical Care and Review Association and the Council on Medical Specialty Societies reveals HMOs' satisfaction with the quality and cost-effectiveness of gatekeeper systems. Criteria for gauging effectiveness are wide-ranging, however, and few HMOs have sought hard proof of gatekeepers' real contributions.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 4","pages":"23-8"},"PeriodicalIF":0.0,"publicationDate":"1988-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21157885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of sponsorship on PPO performance. 赞助对PPO绩效的影响。
Health cost management Pub Date : 1988-07-01
D V Loveland, P Carr
{"title":"The effects of sponsorship on PPO performance.","authors":"D V Loveland,&nbsp;P Carr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In trying to build a \"better health care mousetrap,\" hospitals, physicians, insurers, employers and other are sponsoring PPOs. Two Mercer-Meidinger-Hansen consultants who specialize in evaluating managed care plans discuss what prompts various sponsors to establish a PPO and how purchasers can discern the effects of these motivations on the plan's objectives, operational components and outcomes.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 4","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"1988-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21155922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breaking through the rhetoric on HMO quality. 突破关于HMO质量的花言巧语。
Health cost management Pub Date : 1988-07-01
D L Scofield
{"title":"Breaking through the rhetoric on HMO quality.","authors":"D L Scofield","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>\"The failure of HMO's and other managed care plans to compete on the basis of demonstrated, documented quality of care,\" recently deplored by InterStudy Chairman Paul Ellwood, suggests that employers need to assess HMOs' quality--at least for now--from other perspectives. The Manager of Medical Services at Healthplan Management Services details questions employers should ask HMOs about their finances, delivery system structure and processes, data collection and overall service results before they sign contracts.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 4","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"1988-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21155924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managed care? Not without gatekeepers and capitation. 管理式医疗吗?没有门卫，没有人头。
Health cost management Pub Date : 1988-07-01
L B Leisure
{"title":"Managed care? Not without gatekeepers and capitation.","authors":"L B Leisure","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Absolutely essential to truly managed health care are gatekeeping and capitated financial arrangements with providers, says TPF&C's national practice leader for group benefits consulting. He explains why he believes conventional notions of \"managed care\" are insufficient and how employers can press insurance carriers to accept (not just share) the financial risks of health coverage, as Cigna has done in a new arrangement with Allied-Signal, Inc.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 4","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1988-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21155919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forum: allocation, misallocation and reallocation of health care resources. Interview by Merit Kimball. 论坛:卫生保健资源的分配、错分配和再分配。Merit Kimball采访。
Health cost management Pub Date : 1988-05-01
R Fein
{"title":"Forum: allocation, misallocation and reallocation of health care resources. Interview by Merit Kimball.","authors":"R Fein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Calling cost containment efforts to date mostly \"appearance ... that is not what the game is about...,\" a Harvard medical economist sets forth his views about how America has spent--and should be spending--its health care dollars. He suggests directions the country might take toward establishment of a national health insurance policy administered by the states.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 3","pages":"22-6"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21181332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Massachusetts means to employers. 马萨诸塞州对雇主意味着什么。
Health cost management Pub Date : 1988-05-01
F P Hill
{"title":"What Massachusetts means to employers.","authors":"F P Hill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The implications for employers of Massachusetts' new law guaranteeing health insurance to all its residents go beyond costs, which may discourage health cost management efforts past a certain point. A Massachusetts company's Vice President of Compensation and Benefits reports on the law's immediate and potential effects and why they are important to policymakers and to health care payers, providers and consumers nationwide.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 3","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why companies should hire a nurse as health care manager. 为什么公司应该雇佣一名护士作为卫生保健经理。
Health cost management Pub Date : 1988-05-01
M Maiaroto
{"title":"Why companies should hire a nurse as health care manager.","authors":"M Maiaroto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Saving money from the day of hiring and bringing hard-to-duplicate knowledge and skills to the job, an experienced professional nurse can be the best possible manager of a company's health care activities and expenditures. One of a small but growing number of corporate nurse/health care managers explains what sets nurses apart and what credentials and qualities an employer should seek in a job candidate.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21157882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vital statistics: influence of six factors on medical cost increases in 1988. 生命统计:1988年六个因素对医疗费用增长的影响。
Health cost management Pub Date : 1988-05-01
{"title":"Vital statistics: influence of six factors on medical cost increases in 1988.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Projecting an 18% health benefits cost increase for the \"average\" employer in 1988, a large insurance company has broken down the components of this upward trend and calculated the extent to which each will contribute to the increase. This information suggests areas of concentration for cost managers.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 3","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21181335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new tier of health care management initiatives. 卫生保健管理举措的新层次。
Health cost management Pub Date : 1988-05-01
S E Kretz, A R Sherman, L L Getzfrid
{"title":"A new tier of health care management initiatives.","authors":"S E Kretz,&nbsp;A R Sherman,&nbsp;L L Getzfrid","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Some employers spend half their health benefits dollars on outpatient care. Utilization of ambulatory services is up, costs-per-case are escalating fast--with some procedures demonstrably costing 85%-95% of inpatient charges--and providers' profits are increasing. Executives of the Health Data Institute and The Associated Group describe a multi-pronged approached to managing the burgeoning costs of a health care delivery alternative that was supposed to save employers money.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 3","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21186724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A voluntary/mandatory cost containment program. 自愿/强制性成本控制计划。
Health cost management Pub Date : 1988-03-01
C G Pierce
{"title":"A voluntary/mandatory cost containment program.","authors":"C G Pierce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The first of only three U.S. coal companies to introduce health care cost containment measures to unionized employees, Westmoreland Coal offers the same program to salaried workers--except that participation is mandatory for the salaried group, voluntary for the union group. How the Company sold this dual approach to both groups, and the heartening results, are described by Westmoreland's Director of Human Resources.</p>","PeriodicalId":79919,"journal":{"name":"Health cost management","volume":"5 2","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"1988-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21157310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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